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Regionalization of Hip Fracture Care in Five High-Income Countries.


ABSTRACT:

Objective

To describe differences in regionalization of hip fracture care and the volume-outcome relationship in five countries.

Study setting and design

We conducted a population-based cross-sectional cohort study in Canada, Israel, the Netherlands, Taiwan, and the United States. Within each country, we stratified patients into quintiles based upon the volume of hip fractures in the hospital where they were treated. We measured regionalization by the proportion of acute-care hospitals that treated patients with hip fractures and summarized the hospital volume distribution by the ratio of hip fracture volumes for high-volume hospitals versus low-volume hospitals. We then examined age- and sex-standardized outcomes and treatment for patients treated at high-volume and low-vol

SUBMITTER: Bakx P 

PROVIDER: S-EPMC12636264 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature