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Patient Satisfaction Following Non-Operative Treatment of Geriatric Hip Fractures: A Case-Control Study
Benjamin R Wiseley1, Edward D Shin1, Gabrielle R Kuhn1
1Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, WI, USA.
Geriatric Orthopaedic Surgery & Rehabilitation
|August 15, 2024
Summary
Geriatric hip fracture patients showed similar overall satisfaction regardless of operative or non-operative treatment. However, satisfaction with treatment explanations and outcomes differed significantly between groups.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Patient Outcomes Research
Background:
- Geriatric hip fracture patients often receive operative treatment, with non-operative care associated with higher mortality.
- Patient satisfaction following different hip fracture treatment modalities remains under-investigated.
Purpose of the Study:
- To compare patient satisfaction between non-operative and operative treatment groups for geriatric hip fractures.
Main Methods:
- A 10-year retrospective study identified patients aged 60+ with proximal femur fractures (excluding isolated trochanteric fractures).
- A 6-question survey assessed treatment satisfaction among patients or their relatives.
Main Results:
- Overall satisfaction was high in both groups (91.1% operative, 82.1% non-operative), with no significant difference.
- Non-operative patients reported lower satisfaction with treatment option explanations (71.4% vs 83.9%) and ultimate outcomes (64.3% vs 85.7%) compared to operative patients.
- Likelihood to choose the same treatment again was high and similar in both groups (89.3%).
Conclusions:
- Patient satisfaction in geriatric hip fracture care is complex, influenced by factors beyond overall treatment course.
- Significant differences exist in satisfaction with treatment explanations and outcomes between operative and non-operative hip fracture management.
- Further research is needed to fully understand and improve patient satisfaction in geriatric hip fracture care.
