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Drivers of Delayed Time to Surgery for Hip Fracture Patients: A Multi-Center Qualitative Study

Emily A Schultz1, Jessica M Welch, William Cross

  • 1From the Department of Orthopaedic Surgery, Stanford University, Stanford, CA (Schultz, Gardner, and Kamal), the Department of Orthopaedic Surgery, Duke University, Durham, NC (Welch and DeBaun), the Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN. (Cross and Holte), the Department of Orthopaedic Surgery, Scripps Clinic, San Diego, CA. (Shah), the Department of Orthopaedic Surgery, Kaiser Permanente, Oakland, CA (Mansuripur), the Department of Orthopaedic Surgery, Boston University, Boston, MA (Kain), the Department of Orthopaedic Surgery, Precision Orthopedics and Sports Medicine, Irving, TX. (Lee), the Department of Orthopaedic Surgery, OrthoArkansas, Little Rock, AR. (Burn), the Department of Orthopedic Surgery, OHSU-Hillsboro Medical Center, Hillsboro, OR. (Hall), the Department of Orthopaedic Surgery, University of Iowa, Iowa City, IA (Willey), the Department of Orthopaedic Surgery, University of Arizona Phoenix, Phoenix, AZ (McKee), the Department of Orthopaedic Surgery, Orthopedic Physician Associates, Seattle, WA (Pang), the Department of Orthopaedic Surgery, White Plains Hospital Physician Associates, White Plains, NY. (Douglass), the Department of Orthopaedic Surgery, NYU Langone Health, New York, NY. (Egol), the Department of Orthopaedic Surgery, University of Texas at Austin, Austin, TX (Laverty), the Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO. (Miller), the Department of Orthopaedic Surgery, Prisma Health (Jeray), the Department of Orthopaedic Surgery, Emory University, Atlanta, GA (Schenker), the Novant Health Fracture Clinic, UNC SOM-Charlotte, Charlotte, NC. (Cannada), the Department of Orthopaedic Surgery, University of Miami, Coral Gables, FL (Hernandez), the Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA (Mehta), the Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA (Wustrack, Morshed and Shapiro), the Department of Orthopaedic Surgery, Salem Orthopedics, Salem, OR. (Mitchell), and the Department of Surgery (Morris, Harris) and the Department of Health Policy (Baker), Stanford University, Stanford, CA.

The Journal of the American Academy of Orthopaedic Surgeons
|August 4, 2025
PubMed
Summary

Delays in time to surgery (TTS) for hip fracture patients increase mortality risks. Eight key themes, including patient health and care coordination, were identified as drivers of these delays across US hospitals.

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