Review of the long-term disability associated with hip fractures

Bertram, Melanie, Norman, Rosana, Kemp, Linda and Vos, Theo (2011) Review of the long-term disability associated with hip fractures. Injury Prevention, 17 6: 365-370. doi:10.1136/ip.2010.029579

Author Bertram, Melanie
Norman, Rosana
Kemp, Linda
Vos, Theo
Title Review of the long-term disability associated with hip fractures
Journal name Injury Prevention   Check publisher's open access policy
ISSN 1353-8047
Publication date 2011-12-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1136/ip.2010.029579
Open Access Status Not Open Access
Volume 17
Issue 6
Start page 365
End page 370
Total pages 7
Place of publication London, United Kingdom
Publisher B M J Group
Language eng
Formatted abstract
Objectives: To determine the proportion of hip fracture patients who experience long-term disability and to re-estimate the resulting burden of disease associated with hip fractures in Australia in 2003.
Methods: A literature review of the functional outcome following a hip fracture (keywords morbidity, treatment outcome, disability, quality of life, recovery of function, hip fractures, and femoral neck fractures) was carried out using PubMed and Ovid MEDLINE.
Results: A range of scales and outcome measures are used to evaluate recovery following a hip fracture. Based on the available evidence on restrictions in activities of daily living, 29% of hip fracture cases in the elderly do not reach their pre-fracture levels 1 year post-fracture. Those who do recover tend to reach their pre-fracture levels of functioning at around 6 months. These new assumptions result in 8251 years lived with disability for hip fractures in Australia in 2003, a 4.5-fold increase compared with the previous calculation based on Global Burden of Disease assumptions that only 5% of hip fractures lead to long-term disability and that the duration of short-term disability is just 51 days.
Conclusions: The original assumptions used in burden of disease studies grossly underestimate the long-term disability from hip fractures. The long-term consequences of other injuries may similarly have been underestimated and need to be re-examined. This has important implications for modelling the cost-effectiveness of preventive interventions where disability-adjusted life years are used as a measure of health outcome.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2012 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 47 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 18 Oct 2011, 22:04:06 EST by Dr Rosana Norman on behalf of School of Public Health