{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T01:16:20Z","timestamp":1791335780030,"version":"4.3.1"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T00:00:00Z","timestamp":1679097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T00:00:00Z","timestamp":1679097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>For geriatric hip fracture patients, the decision between surgery and palliative, non-operative management is made through shared decision making (SDM). For this conversation, a physician must be familiar with the patient\u2019s goals of care (GOC). These are predominantly unknown for hip fracture patients and challenging to assess in acute setting. The objective was to explore these GOC of geriatric patients in case of a hip fracture.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>An expert panel gathered possible outcomes after a hip fracture, which were transformed into statements where participants indicated their relative importance on a 100-point scoring scale during interviews. These GOC were ranked using medians and deemed important if the median score was 90 or above. Patients were aged 70\u00a0years or older with a hip contusion due to similarities with the hip fracture population. Three cohorts based on frailty criteria and the diagnosis of dementia were made.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Preserving cognitive function, being with family and being with partner scored in all groups among the most important GOC. Both non-frail and frail geriatric patients scored return to pre-fracture mobility and maintaining independence among the most important GOC, where proxies of patients with a diagnosis of dementia scored not experiencing pain as the most important GOC.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>All groups scored preserving cognitive function, being with family and being with partner among the most important GOC. The most important GOC should be discussed when a patient is presented with a hip fracture. Since patients preferences vary, a patient-centered assessment of the GOC remains essential.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00068-023-02258-0","type":"journal-article","created":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T14:02:21Z","timestamp":1679148141000},"page":"1835-1844","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["The goals of care in acute setting for geriatric patients in case of a hip fracture"],"prefix":"10.1007","volume":"49","author":[{"given":"Thomas Marcus Paulus","family":"Nijdam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5909-3692","authenticated-orcid":false,"given":"Duco Willem Pieter Marie","family":"Laane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim Ellen Eloeska","family":"Schiepers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diederik Pieter Johan","family":"Smeeing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diederik Hendrik Ruth","family":"Kempen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna Cunera","family":"Willems","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Detlef","family":"van der Velde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,3,18]]},"reference":[{"key":"2258_CR1","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.injury.2018.04.015","volume":"49","author":"N Veronese","year":"2018","unstructured":"Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018;49:1458\u201360.","journal-title":"Injury"},{"key":"2258_CR2","doi-asserted-by":"publisher","first-page":"S51","DOI":"10.1016\/S0002-9343(97)90027-9","volume":"103","author":"AR Lyons","year":"1997","unstructured":"Lyons AR, Karpf DB, Lips P, Cooper C. Clinical outcomes and treatment of hip fractures. Am J Med. 1997;103:S51\u201364.","journal-title":"Am J Med"},{"key":"2258_CR3","doi-asserted-by":"publisher","first-page":"2180","DOI":"10.1016\/j.injury.2017.07.007","volume":"48","author":"B Nkanang","year":"2017","unstructured":"Nkanang B, Parker M, Parker E, Griffiths R. Perioperative mortality for patients with a hip fracture. Injury. 2017;48:2180\u20133.","journal-title":"Injury"},{"key":"2258_CR4","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1080\/17453674.2021.1959155","volume":"92","author":"HH Wijnen","year":"2021","unstructured":"Wijnen HH, Schmitz PP, Es-Safraouy H, Roovers LA, Taekema DG, Van Susante JLC. Nonoperative management of hip fractures in very frail elderly patients may lead to a predictable short survival as part of advance care planning. Acta Orthop. 2021;92:728\u201332.","journal-title":"Acta Orthop"},{"key":"2258_CR5","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1089\/jpm.2018.0029","volume":"21","author":"CB Johnston","year":"2018","unstructured":"Johnston CB, Holleran A, Ong T, McVeigh U, Ames E. Hip fracture in the setting of limited life expectancy: the importance of considering goals of care and prognosis. J Palliat Med. 2018;21:1069\u201373.","journal-title":"J Palliat Med"},{"key":"2258_CR6","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1001\/jamasurg.2022.0089","volume":"157","author":"SAI Loggers","year":"2022","unstructured":"Loggers SAI, Willems HC, Van Balen R, Gosens T, Polinder S, Ponsen KJ, et al. Evaluation of quality of life after nonoperative or operative management of proximal femoral fractures in frail institutionalized patients: the FRAIL-HIP study. JAMA Surg. 2022;157:434\u2013434.","journal-title":"JAMA Surg"},{"key":"2258_CR7","doi-asserted-by":"publisher","first-page":"2407","DOI":"10.1016\/j.injury.2020.08.027","volume":"51","author":"SAI Loggers","year":"2020","unstructured":"Loggers SAI, Van Lieshout EMM, Joosse P, Verhofstad MHJ, Willems HC. Prognosis of nonoperative treatment in elderly patients with a hip fracture: a systematic review and meta-analysis. Injury. 2020;51:2407\u201313.","journal-title":"Injury"},{"key":"2258_CR8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-063007","volume":"12","author":"TMP Nijdam","year":"2022","unstructured":"Nijdam TMP, Laane DWPM, Spierings JF, Schuijt HJ, Smeeing DPJ, van der Velde D. Proxy-reported experiences of palliative, non-operative management of geriatric patients after a hip fracture: a qualitative study. BMJ Open. 2022;12: e063007.","journal-title":"BMJ Open"},{"key":"2258_CR9","doi-asserted-by":"publisher","first-page":"1994","DOI":"10.1001\/jamainternmed.2014.5271","volume":"174","author":"RE Bernacki","year":"2014","unstructured":"Bernacki RE, Block SD. Communication about serious illness care goals: a review and synthesis of best practices. JAMA Intern Med. 2014;174:1994\u20132003.","journal-title":"JAMA Intern Med"},{"key":"2258_CR10","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.tcm.2015.03.018","volume":"26","author":"SM Dunlay","year":"2016","unstructured":"Dunlay SM, Strand JJ. How to discuss goals of care with patients. Trends Cardiovasc Med. 2016;26:36\u201343.","journal-title":"Trends Cardiovasc Med"},{"key":"2258_CR11","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1016\/j.mcna.2022.01.007","volume":"106","author":"A Choi","year":"2022","unstructured":"Choi A, Sanft T. Establishing goals of care. Med Clin North Am. 2022;106:653\u201362.","journal-title":"Med Clin North Am"},{"key":"2258_CR12","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1086\/JCE2020314293","volume":"31","author":"EG Hower","year":"2020","unstructured":"Hower EG. Beyond shared decision making. J Clin Ethics. 2020;31:293\u2013302.","journal-title":"J Clin Ethics"},{"key":"2258_CR13","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.1016\/j.pec.2015.06.022","volume":"98","author":"AM Stiggelbout","year":"2015","unstructured":"Stiggelbout AM, Pieterse AH, De Haes JCJM. Shared decision making: concepts, evidence, and practice. Patient Educ Couns. 2015;98:1172\u20139.","journal-title":"Patient Educ Couns"},{"key":"2258_CR14","doi-asserted-by":"publisher","first-page":"2264","DOI":"10.1093\/ageing\/afab160","volume":"50","author":"S Festen","year":"2021","unstructured":"Festen S, Van Twisk YZ, Van Munster BC, De Graeff P. \u201cWhat matters to you?\u201d Health outcome prioritisation in treatment decision-making for older patients. Age Ageing. 2021;50:2264\u20139.","journal-title":"Age Ageing"},{"key":"2258_CR15","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1016\/j.mcna.2019.12.001","volume":"104","author":"N Jain","year":"2020","unstructured":"Jain N, Bernacki RE. Goals of care conversations in serious illness: a practical guide. Med Clin North Am. 2020;104:375\u201389.","journal-title":"Med Clin North Am"},{"key":"2258_CR16","doi-asserted-by":"publisher","first-page":"215145931984980","DOI":"10.1177\/2151459319849801","volume":"10","author":"NM Sullivan","year":"2019","unstructured":"Sullivan NM, Blake LE, George M, Mears SC. Palliative care in the hip fracture patient. Geriatr Orthop Surg Rehabil. 2019;10:2151459319849801.","journal-title":"Geriatr Orthop Surg Rehabil."},{"key":"2258_CR17","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1111\/aas.13494","volume":"64","author":"J Kristiansson","year":"2020","unstructured":"Kristiansson J, Hagberg E, Nellg\u00e5rd B. The influence of time-to-surgery on mortality after a hip fracture. Acta Anaesthesiol Scand. 2020;64:347\u201353.","journal-title":"Acta Anaesthesiol Scand"},{"key":"2258_CR18","doi-asserted-by":"publisher","first-page":"1609","DOI":"10.1503\/cmaj.092220","volume":"182","author":"N Simunovic","year":"2010","unstructured":"Simunovic N, Devereaux PJ, Sprague S, Guyatt GH, Schemitsch E, DeBeer J, et al. Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. Can Med Assoc J. 2010;182:1609\u201316.","journal-title":"Can Med Assoc J"},{"key":"2258_CR19","doi-asserted-by":"crossref","unstructured":"Alvi HM, Thompson RM, Krishnan V, Kwasny MJ, Beal MD, Manning DW. Time-to-surgery for definitive fixation of hip fractures: a look at outcomes based upon delay. Am J Orthop (Belle Mead NJ). 2018;47.","DOI":"10.12788\/ajo.2018.0071"},{"key":"2258_CR20","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1136\/bmjspcare-2011-000027","volume":"1","author":"IR Murray","year":"2011","unstructured":"Murray IR, Biant LC, Clement NC, Murray SA. Should a hip fracture in a frail older person be a trigger for assessment of palliative care needs? BMJ Support Palliat Care. 2011;1:3\u20134.","journal-title":"BMJ Support Palliat Care"},{"key":"2258_CR21","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1016\/j.injury.2019.03.021","volume":"50","author":"G Larsson","year":"2019","unstructured":"Larsson G, Str\u00f6mberg U, Rogmark C, Nilsdotter A. It was not a hip fracture\u2014you were lucky this time\u2014or perhaps not! A prospective study of clinical outcomes in patients with low-energy pelvic fractures and hip contusions. Injury. 2019;50:913\u20138.","journal-title":"Injury"},{"key":"2258_CR22","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s11606-021-06737-1","volume":"36","author":"A Sharma","year":"2021","unstructured":"Sharma A, MinhDuc NT, LuuLamThang T, Nam NH, Ng SJ, Abbas KS, et al. A consensus-based checklist for reporting of survey studies (CROSS). J Gen Intern Med. 2021;36:179\u20133187.","journal-title":"J Gen Intern Med"},{"key":"2258_CR23","first-page":"281","volume":"34","author":"C Passmore","year":"2002","unstructured":"Passmore C, Dobbie AE, Parchman M, Tysinger J. Guidelines for constructing a survey. Fam Med. 2002;34:281\u20136.","journal-title":"Fam Med"},{"key":"2258_CR24","doi-asserted-by":"publisher","first-page":"2476","DOI":"10.1001\/jama.284.19.2476","volume":"284","author":"KE Steinhauser","year":"2000","unstructured":"Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, McIntyre L, Tulsky JA. Factors considered important at the end of life by patients, family, physicians, and other care providers. JAMA. 2000;284:2476\u201382.","journal-title":"JAMA"},{"key":"2258_CR25","doi-asserted-by":"publisher","first-page":"2267","DOI":"10.2147\/CIA.S133896","volume":"13","author":"N Kotekar","year":"2018","unstructured":"Kotekar N, Shenkar A, Nagaraj R. Postoperative cognitive dysfunction\u2014current preventive strategies. Clin Interv Aging. 2018;13:2267\u201373.","journal-title":"Clin Interv Aging."},{"key":"2258_CR26","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1001\/jama.2021.22647","volume":"327","author":"T Li","year":"2022","unstructured":"Li T, Li J, Yuan L, Wu J, Jiang C, Daniels J, et al. Effect of regional vs general anesthesia on incidence of postoperative delirium in older patients undergoing hip fracture surgery: the RAGA randomized trial. JAMA J Am Med Assoc. 2022;327:50\u20138.","journal-title":"JAMA J Am Med Assoc"},{"key":"2258_CR27","doi-asserted-by":"publisher","first-page":"421","DOI":"10.2147\/CIA.S115945","volume":"12","author":"CA Mosk","year":"2017","unstructured":"Mosk CA, Mus M, Vroemen JPAM, Van Der Ploeg T, Vos DI, Elmans LHGJ, et al. Dementia and delirium, the outcomes in elderly hip fracture patients. Clin Interv Aging. 2017;12:421\u201330.","journal-title":"Clin Interv Aging"},{"key":"2258_CR28","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1016\/j.pec.2021.08.031","volume":"105","author":"AM Kurasz","year":"2022","unstructured":"Kurasz AM, Smith GE, Curiel RE, Barker WW, Behar RC, Ramirez A, et al. Patient values in healthcare decision making among diverse older adults. Patient Educ Couns. 2022;105:1115\u201322.","journal-title":"Patient Educ Couns"},{"key":"2258_CR29","doi-asserted-by":"publisher","first-page":"1442","DOI":"10.1089\/jpm.2018.0103","volume":"21","author":"NC Ernecoff","year":"2018","unstructured":"Ernecoff NC, Zimmerman S, Mitchell SL, Song MK, Lin FC, Wessell KL, et al. Concordance between goals of care and treatment decisions for persons with dementia. J Palliat Med. 2018;21:1442\u20137.","journal-title":"J Palliat Med"},{"key":"2258_CR30","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1016\/j.pec.2010.04.032","volume":"83","author":"TR Fried","year":"2011","unstructured":"Fried TR, Tinetti M, Agostini J, Iannone L, Towle V. Health outcome prioritization to elicit preferences of older persons with multiple health conditions. Patient Educ Couns. 2011;83:278\u201382.","journal-title":"Patient Educ Couns"},{"key":"2258_CR31","doi-asserted-by":"publisher","first-page":"1856","DOI":"10.1001\/archinternmed.2011.424","volume":"171","author":"TR Fried","year":"2011","unstructured":"Fried TR, Tinetti ME, Iannone L, O\u2019Leary JR, Towle V, Van Ness PH. Health outcome prioritization as a tool for decision making among older persons with multiple chronic conditions. Arch Intern Med. 2011;171:1856\u20138.","journal-title":"Arch Intern Med"},{"key":"2258_CR32","doi-asserted-by":"publisher","first-page":"2870","DOI":"10.1681\/ASN.2018060657","volume":"29","author":"SJ Ramer","year":"2018","unstructured":"Ramer SJ, McCall NN, Robinson-Cohen C, Siew ED, Salat H, Bian A, et al. Health outcome priorities of older adults with advanced CKD and concordance with their nephrology providers\u2019 perceptions. J Am Soc Nephrol. 2018;29:2870\u20138.","journal-title":"J Am Soc Nephrol"},{"key":"2258_CR33","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1037\/0882-7974.19.1.183","volume":"19","author":"N Frieswijk","year":"2004","unstructured":"Frieswijk N, Buunk BP, Steverink N, Slaets JPJ. The effect of social comparison information on the life satisfaction of frail older persons. Psychol Aging. 2004;19:183.","journal-title":"Psychol Aging"},{"key":"2258_CR34","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1016\/j.jaging.2007.03.002","volume":"22","author":"K Henchoz","year":"2008","unstructured":"Henchoz K, Cavalli S, Girardin M. Health perception and health status in advanced old age: a paradox of association. J Aging Stud. 2008;22:282\u201390.","journal-title":"J Aging Stud."},{"key":"2258_CR35","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s10198-019-01152-0","volume":"21","author":"S Spitzer","year":"2020","unstructured":"Spitzer S. Biases in health expectancies due to educational differences in survey participation of older Europeans: it\u2019s worth weighting for. Eur J Health Econ. 2020;21:573\u2013605.","journal-title":"Eur J Health Econ"},{"key":"2258_CR36","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1016\/j.ijsu.2020.08.017","volume":"82","author":"O Hasan","year":"2020","unstructured":"Hasan O, Barkat R, Rabbani A, Rabbani U, Mahmood F, Noordin S. Charlson comorbidity index predicts postoperative complications in surgically treated hip fracture patients in a tertiary care hospital: Retrospective cohort of 1045 patients. Int J Surg. 2020;82:116\u201320.","journal-title":"Int J Surg"}],"container-title":["European Journal of Trauma and Emergency Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-023-02258-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00068-023-02258-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-023-02258-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T09:05:50Z","timestamp":1692867950000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00068-023-02258-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,18]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["2258"],"URL":"https:\/\/doi.org\/10.1007\/s00068-023-02258-0","relation":{},"ISSN":["1863-9933","1863-9941"],"issn-type":[{"value":"1863-9933","type":"print"},{"value":"1863-9941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,18]]},"assertion":[{"value":"6 January 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was conducted in accordance with the Declaration of Helsinki, and the study design was approved by the Medical Ethics Committee, Utrecht (MEC-U), The Netherlands (W22.149).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Participants gave informed consent to participate in the study before taking part. When patients were not able to give informed consent due to cognitive impairment or were deceased, the legal representative was asked for informed consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}