{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:12:17Z","timestamp":1792098737179,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T00:00:00Z","timestamp":1645056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Although geriatric hip fracture is a serious public health problem in China, the result of orthogeriatric co\u2010management (OGC) is rarely reported. This study aimed to evaluate the effect of OGC in Chinese patients aged \u226565\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this single\u2010centre, pre\u2010post intervention, retrospective study, traditional orthopaedic care (TOC) was used until OGC was implemented in May 2015, a multidisciplinary team was organized, and clinical protocol was designed. Consecutive hip fracture patients who were\u2009\u226565\u2009years and injured within 3\u2009weeks were included in this study. Demographic characteristics, comorbidities, fracture patterns, surgical procedure, time to surgery, length of hospital stay, inpatient complications, and in\u2010hospital mortality were extracted and examined. At 1\u2010year after surgery, data on patients' mobility and mortality were collected. The time to surgery, incidence of inpatient complications, mortality and functional outcomes were compared between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in sex, fracture type, and surgical pattern between OGC (<jats:italic>n<\/jats:italic>\u00a0=\u00a0434) and TOC (<jats:italic>n<\/jats:italic>\u00a0=\u00a0452) groups. Patients in OGC group were significantly older (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and had a higher age\u2010adjusted Charlson comorbidity index (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). However, waiting time between admission and operation was significantly lower in OGC group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). There was no significant difference in the mortality rate at the time of the patient being in\u2010hospital and at 1, 3, and 6\u2009months after surgery. Although 1\u2010year mortality was higher in OGC group (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.036), Cox regression analysis showed no significant correlation of OGC with 1\u2010year mortality. There was no significant difference in pre\u2010injury mobility and 1\u2010year follow\u2010up mobility assessed by Parker score. Only approximately half of the patients in both groups completely returned to their pre\u2010injury mobility level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>OGC significantly shortens time to surgery for geriatric hip fractures compared with TOC. However, there is no significant effect on mortality rate within 1\u2009year and functional status at 1\u2009year of follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13233","type":"journal-article","created":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T08:59:53Z","timestamp":1645088393000},"page":"671-677","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of Orthogeriatric Co\u2010Management on Geriatric Hip Fractures in China"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7914-8176","authenticated-orcid":false,"given":"Gang","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming\u2010hui","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi\u2010wen","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man\u2010yi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin\u2010bao","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,17]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1017","article-title":"Epidemiology and management of osteoporosis in the People's Republic of China: current perspectives","volume":"10","author":"Lin X","year":"2015","journal-title":"Clin Interv Aging"},{"key":"e_1_2_8_3_1","unstructured":"National Bureau of Statistics of China.China statistical yearbook. [Internet]. Available from:http:\/\/www.stats.gov.cn\/tjsj\/ndsj\/"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-015-3093-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50455.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14237"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0332-0"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38643.663843.55"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-019-05139-8"},{"key":"e_1_2_8_10_1","unstructured":"British Orthopaedic Association.The care of patients with fragility fracture. Blue Book. [Internet]2007. Available from:https:\/\/www.bgs.org.uk\/resources\/care-of-patients-with-fragility-fracture-blue-book."},{"key":"e_1_2_8_11_1","unstructured":"National Institute for Health and Care Excellence (UK).Hip fracture: management. [Internet]2011. Available from:https:\/\/www.nice.org.uk\/guidance\/cg124."},{"key":"e_1_2_8_12_1","unstructured":"Scottish Intercollegiate Guidelines Network.Management of hip fracture in older people. [Internet]2009. Available from:https:\/\/www.sign.ac.uk\/assets\/sign111.pdf"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00229"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.08.001"},{"key":"e_1_2_8_15_1","first-page":"566","article-title":"Intraoperative management of geriatric hip fractures in China: a survey","volume":"20","author":"Yang M","year":"2018","journal-title":"Chin J Orthop Trauma"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-019-0594-1"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90129-5"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B5.8376443"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.73656"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-015-3261-4"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-016-3845-7"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318291f0e5"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.321"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-4132-3"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-012-0109-9"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182a5a045"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13233","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.13233","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T17:24:40Z","timestamp":1692984280000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,17]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1111\/os.13233"],"URL":"https:\/\/doi.org\/10.1111\/os.13233","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,17]]},"assertion":[{"value":"2021-09-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}