Epidemiology, patient outcome and complications after non-operative management of hip fracture: a systematic review.

ABSTRACT:

Introduction

Surgery is the preferred treatment for hip fracture in older people. However, a proportion of patients with hip fracture do not receive surgery. There is a lack of contemporary evidence describing this patient population and what their associated outcomes are. We aimed to describe the variation in non-operative management and its outcomes around the world.

Methods

We performed a systematic review and meta-analysis of older people presenting to hospital with hip fracture, comparing those with and without surgery for non-operative proportions, mortality and other outcomes. Risk of bias was assessed using the Newcastle-Ottawa Scale. We performed a random effects meta-analysis with adjustment for clustering.

Results

Of 4437 screened studies, 185 were included

SUBMITTER: Winfield J 

PROVIDER: S-EPMC12519934 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature