{"doi":"10.1111/jgs.18530","title":"Variation in care for patients presenting with hip fracture in six <scp>high‐income</scp> countries: A <scp>cross‐sectional</scp> cohort study","abstract":"BACKGROUND: Hip fractures are costly and common in older adults, but there is limited understanding of how treatment patterns and outcomes might differ between countries. METHODS: We performed a retrospective serial cross-sectional cohort study of adults aged ≥66 years hospitalized with hip fracture between 2011 and 2018 in the US, Canada, England, the Netherlands, Taiwan, and Israel using population-representative administrative data. We examined mortality, hip fracture treatment approaches (total hip arthroplasty [THA], hemiarthroplasty [HA], internal fixation [IF], and nonoperative), and health system performance measures, including hospital length of stay (LOS), 30-day readmission rates, and time-to-surgery. RESULTS: The total number of hip fracture admissions between 2011 and 2018 ranged from 23,941 in Israel to 1,219,696 in the US. In 2018, 30-day mortality varied from 3% (16% at 1 year) in Taiwan to 10% (27%) in the Netherlands. With regards to processes of care, the proportion of hip fractures treated with HA (range 23%-45%) and THA (0.2%-10%) differed widely across countries. For example, in 2018, THA was used to treat approximately 9% of patients in England and Israel but less than 1% in Taiwan. Overall, IF was the most common surgery performed in all countries (40%-60% of patients). IF was used in approximately 60% of patients in the US and Israel, but only 40% in England. In 2018, rates of nonoperative management ranged from 5% of patients in Taiwan to nearly 10% in England. Mean hospital LOS in 2018 ranged from 6.4 days (US) to 18.7 days (England). The 30-day readmission rate in 2018 ranged from 8% (in Canada and the Netherlands) to nearly 18% in England. The mean days to surgery in 2018 ranged from 0.5 days (Israel) to 1.6 days (Canada). CONCLUSIONS: We observed substantial between-country variation in mortality, surgical approaches, and health system performance measures. These findings underscore the need for further research to inform evidence-based surgical approaches.","journal":"Journal of the American Geriatrics Society","year":2023,"id":349926,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":10,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7686,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":418391,"name":"Laura A. Hatfield","orcid":"0000-0003-0366-3929","position":1,"is_corresponding":false},{"id":1093477,"name":"Pieter Bakx","orcid":"0000-0001-7749-3091","position":2,"is_corresponding":false},{"id":22963,"name":"Amitava Banerjee","orcid":"0000-0001-8741-3411","position":3,"is_corresponding":false},{"id":1093880,"name":"Y C Chen","orcid":null,"position":4,"is_corresponding":false},{"id":1048913,"name":"Christina Fu","orcid":"0000-0001-5555-3874","position":5,"is_corresponding":false},{"id":1093478,"name":"Carlos Godoy","orcid":"0000-0001-8846-3242","position":6,"is_corresponding":false},{"id":1093479,"name":"Michal Gordon","orcid":"0000-0002-7058-8714","position":7,"is_corresponding":false},{"id":1093480,"name":"Renaud Heine","orcid":"0000-0002-5324-6659","position":8,"is_corresponding":false},{"id":432119,"name":"Nicole Huang","orcid":"0000-0002-6629-1176","position":9,"is_corresponding":false},{"id":742449,"name":"Dennis T. Ko","orcid":"0000-0001-6840-8051","position":10,"is_corresponding":false},{"id":1093481,"name":"Lisa M. Lix","orcid":"0000-0001-8685-3212","position":11,"is_corresponding":false},{"id":352992,"name":"Victor Novack","orcid":"0000-0001-8706-9622","position":12,"is_corresponding":false},{"id":552826,"name":"Laura Pasea","orcid":"0000-0001-9374-9691","position":13,"is_corresponding":false},{"id":1093482,"name":"Feng Qiu","orcid":"0000-0001-9882-7564","position":14,"is_corresponding":false},{"id":1093483,"name":"Thérèse A. Stukel","orcid":"0000-0001-9283-8764","position":15,"is_corresponding":false},{"id":1050758,"name":"Carin A. Uyl‐de Groot","orcid":"0000-0001-5808-302X","position":16,"is_corresponding":false},{"id":1093484,"name":"Bheeshma Ravi","orcid":"0000-0003-1829-6885","position":17,"is_corresponding":false},{"id":1093485,"name":"Saeed Al‐Azazi","orcid":"0000-0002-6695-5825","position":18,"is_corresponding":false},{"id":1055190,"name":"Gabe Weinreb","orcid":"0000-0002-1220-8090","position":19,"is_corresponding":false},{"id":416094,"name":"Peter Cram","orcid":"0000-0002-1910-346X","position":20,"is_corresponding":false},{"id":383911,"name":"Bruce E. Landon","orcid":"0000-0003-4912-0647","position":21,"is_corresponding":false},{"id":1093476,"name":"Nitzan Burrack","orcid":"0000-0001-6926-8505","position":0,"is_corresponding":true}],"reference_count":53,"raw_metadata":null,"created_at":"2026-07-19T01:12:19.059218Z","pmid":"37565425","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}