{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:32:28Z","timestamp":1787963548581,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Abstract<\/jats:title>\n            <jats:p>Despite the same latitude on earth, Israel and South Africa have a wide variety of healthcare systems and approaches. Israel is a developed country with life expectancy within the first decile of the modern world. South Africa is a developing country where available resources and health care varies greatly across the country. Israeli policy makers have realized in 1999 the importance of early surgery for hip fractures as the single most important factor contributing to decreased mortality. After an introduction of a newer reimbursement system in 2004, and public advertising of early hip fracture treatment as a quality tag for hospitals, in more than 85% of the cases patients are operated on early (within 8 hours) with a significant decrease in mortality. However, other issues such as patient preparation, rehabilitation, and prevention are still at their beginning. South Africa deals with significant challenges with high energy hip fractures in a younger population, although osteoporosis is on the rise in certain parts of the country. Due to limited resources and distances, time to surgery differs among hospital systems in the country. In public hospitals, a delay up to a week may be common, whereas in private hospitals most patients are operated early within 48 to 72 hours. Due to decreased life expectancy, arthroplasty is more aggressively used in displaced femoral neck fractures. Rehabilitation is mostly done within the families. Prevention and orthogeriatric teamwork are not being commonly practiced. Generally speaking, more attention to hip fractures is needed from healthcare funders.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/oi9.0000000000000065","type":"journal-article","created":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T00:11:11Z","timestamp":1585527071000},"page":"e065","source":"Crossref","is-referenced-by-count":10,"title":["Hip fracture care and national systems in Israel and South Africa"],"prefix":"10.1097","volume":"3","author":[{"given":"Yoram A.","family":"Weil","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hadassah Hebrew University Hospital, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian P.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Unit, Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sithombo","family":"Maqungo","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Unit, Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal","family":"Khoury","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hadassah Hebrew University Hospital, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meir","family":"Liebergall","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hadassah Hebrew University Hospital, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maritz","family":"Laubscher","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Unit, Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,3]]},"reference":[{"key":"R1-20231103","first-page":"131","article-title":"Consensus conference on the treatment and rehabilitation of hip fractures in the elderly","volume":"1","author":"Givon","year":"1999","journal-title":"Isr Med Assoc J."},{"key":"R3-20231103","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.injury.2009.11.016","article-title":"Different reimbursement influences surviving of hip fracture in elderly patients","volume":"42","author":"Peleg","year":"2011","journal-title":"Injury."},{"key":"R4-20231103","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s13584-017-0150-7","article-title":"The effect of \u2019Out of hours surgery Service\u2019 in Israel on hip fracture fixation outcomes: a retrospective analysis","volume":"6","author":"Keren","year":"2017","journal-title":"Isr J Health Policy Res."},{"key":"R8-20231103","first-page":"1","article-title":"[Results following the implementation of a clinical pathway in the process of care to elderly patients with osteoporotic hip fracture in a second level hospital]","volume":"60","author":"Sanchez-Hernandez","year":"2016","journal-title":"Rev Esp Cir Ortop Traumatol."},{"key":"R9-20231103","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/s11999-015-4494-4","article-title":"Dedicated perioperative hip fracture comanagement programs are cost-effective in high-volume centers: an economic analysis","volume":"474","author":"Swart","year":"2016","journal-title":"Clin Orthop Relat Res."},{"key":"R10-20231103","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1001\/archinternmed.2009.321","article-title":"Impact of a comanaged Geriatric Fracture Center on short-term hip fracture outcomes","volume":"169","author":"Friedman","year":"2009","journal-title":"Arch Intern Med."},{"key":"R11-20231103","doi-asserted-by":"crossref","first-page":"S637","DOI":"10.1007\/s00198-010-1396-x","article-title":"Ortho-geriatric service\u2014a literature review comparing different models","volume":"21","author":"Kammerlander","year":"2010","journal-title":"Osteoporosis Int."},{"key":"R12-20231103","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/BOT.0000000000001146","article-title":"Outcomes of early surgical intervention in geriatric proximal femur fractures among patients receiving direct oral anticoagulation","volume":"32","author":"Franklin","year":"2018","journal-title":"J Orthop Trauma."},{"key":"R13-20231103","doi-asserted-by":"crossref","first-page":"e020625","DOI":"10.1136\/bmjopen-2017-020625","article-title":"Should surgery be delayed in patients taking direct oral anticoagulants who suffer a hip fracture? A retrospective, case-controlled observational study at a UK major trauma centre","volume":"8","author":"Mullins","year":"2018","journal-title":"BMJ Open."},{"key":"R14-20231103","doi-asserted-by":"crossref","first-page":"3849","DOI":"10.1007\/s00268-018-4709-4","article-title":"Orthopaedic surgeon density in South Africa","volume":"42","author":"Dell","year":"2018","journal-title":"World J Surg."},{"key":"R15-20231103","doi-asserted-by":"crossref","first-page":"2218","DOI":"10.1016\/j.injury.2016.06.020","article-title":"Surgical hip dislocation for removal of retained intra-articular bullets","volume":"47","author":"Maqungo","year":"2016","journal-title":"Injury."},{"key":"R16-20231103","first-page":"46","article-title":"Intramedullary nailing of subtrochanteric femur fractures caused by low velocity gunshots","volume":"16","author":"Swanepoel","year":"2018","journal-title":"SA Orthop J."},{"key":"R17-20231103","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1016\/S2214-109X(18)30412-1","article-title":"Fragility fractures in sub-Saharan Africa: time to break the myth","volume":"7","author":"Gregson","year":"2019","journal-title":"Lancet Glob Health."},{"key":"R18-20231103","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s11657-017-0409-1","article-title":"Osteoporotic hip fractures in Black South Africans: a regional study","volume":"12","author":"Paruk","year":"2017","journal-title":"Arch Osteoporos."},{"key":"R19-20231103","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s11657-015-0203-x","article-title":"Vertebral fracture prevalence in black and white South African women","volume":"10","author":"Conradie","year":"2015","journal-title":"Arch Osteoporos."},{"key":"R21-20231103","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1080\/22201009.2013.10872302","article-title":"Recommendations for the acute and long-term medical management of low-trauma hip fractures","volume":"18","author":"Cassim","year":"2013","journal-title":"J Endocrinol Metab Diabetes South Africa."},{"key":"R22-20231103","doi-asserted-by":"crossref","first-page":"41","DOI":"10.17159\/2309-8309\/2017\/v16n3a5","article-title":"The management of fragility fractures of the hip: a quality assessment project","volume":"16","author":"Kauta","year":"2017","journal-title":"SA Orthop J."},{"key":"R23-20231103","first-page":"58","article-title":"Management of femoral neck fractures","volume":"12","author":"Marais","year":"2013","journal-title":"SA Orthop J."}],"container-title":["OTA International: The Open Access Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/OI9.0000000000000065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T23:00:28Z","timestamp":1699052428000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/OI9.0000000000000065"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/oi9.0000000000000065","relation":{},"ISSN":["2574-2167"],"issn-type":[{"value":"2574-2167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}