{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T19:13:23Z","timestamp":1784229203432,"version":"3.55.0"},"reference-count":31,"publisher":"Royal College of Surgeons of England","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> A multidisciplinary team (MDT) approach to polytrauma patients minimises morbidity and mortality. This project assesses the extent to which British Orthopaedic Association Standards for Trauma guidelines for the management of the frail Orthopaedic patient are currently being met. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A retrospective analysis was performed of all Trauma and Orthopaedic patients in multiple medical institutions over a 2-week capture period from 1 March 2022 until 14 March 2022 inclusive. Data collected included age, sex, injury, length of stay and dates of speciality input. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> A total of 1,050 patients were included from 27 hospitals. The median age was 80 years, with 560 (53.3%) of all fractures being neck of femur fractures. Of the 1,050 patients, 870 (82.9%) were managed operatively. The median number of different speciality involvements was 3; 645 (61.4%) had an orthogeriatric (OG) review. In major trauma centres (MTC), 93.3% had OG input, compared with 66.3% in non-MTC. The speciality with the greatest input was Radiology, with Plastics having the lowest input. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> A standardised MDT approach is needed to optimise care and recovery in orthopaedic trauma patients. The difference in results regarding speciality involvement is substantial and needs to be addressed to minimise disparities in care received by this vulnerable cohort of patients. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2024.0048","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T07:38:27Z","timestamp":1722411507000},"page":"217-222","source":"Crossref","is-referenced-by-count":4,"title":["Multidisciplinary management of orthopaedic trauma \u2013 are we adhering to the guidelines?"],"prefix":"10.1308","volume":"107","author":[{"given":"K","family":"Hutchinson","sequence":"first","affiliation":[{"name":"Croydon University Hospital","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CB","family":"Bretherton","sequence":"additional","affiliation":[{"name":"Queen Mary University","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Gmati","sequence":"additional","affiliation":[{"name":"West Midlands","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Handley","sequence":"additional","affiliation":[{"name":"John Radcliffe Hospital","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Get It Right First Time (GIRFT) Collaborators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"171","reference":[{"key":"C1","doi-asserted-by":"crossref","first-page":"e054919","DOI":"10.1136\/bmjopen-2021-054919","author":"Sugand K","year":"2022","journal-title":"BMJ Open"},{"key":"C2","unstructured":"NHS Transformation Directorate. Information sharing in multidisciplinary teams (MDTs). https:\/\/transform.england.nhs.uk\/information-governance\/guidance\/information-governance-guidance-support-multidisciplinary-teams-mdts\/ (cited February 2025)."},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.139612"},{"key":"C4","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.04.020"},{"key":"C5","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000298"},{"key":"C6","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v21i2.41"},{"key":"C7","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2016-210289"},{"key":"C8","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18063049"},{"key":"C9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38643.663843.55"},{"key":"C10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0046175"},{"key":"C11","doi-asserted-by":"publisher","DOI":"10.1007\/s00223-021-00913-5"},{"key":"C12","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2016.03.006"},{"key":"C13","unstructured":"British Orthopaedic Association. The care of the older or frail orthopaedic trauma patient. https:\/\/www.boa.ac.uk\/static\/a30f1f4c-210e-4ee2-98fd14a8a04093fe\/boast-frail-and-older-care-final.pdf (cited February 2025)."},{"key":"C14","unstructured":"Medical Research Council and NHS Health Research Authority. Is my study research? http:\/\/www.hra-decisiontools.org.uk\/research\/ (cited February 2025)."},{"key":"C15","unstructured":"RPubs. Easy web publishing from R. https:\/\/rpubs.com\/ (cited February 2025)."},{"key":"C16","unstructured":"Posit. Turn data science into business results. https:\/\/www.posit.co\/ (cited February 2025)."},{"key":"C17","doi-asserted-by":"publisher","DOI":"10.1177\/2151458510378105"},{"key":"C18","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev355"},{"key":"C19","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_35_18"},{"key":"C20","unstructured":"National Institute for Health and Care Excellence (NICE). Osteoporosis: assessing the risk of fragility fracture. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK554920\/ (cited February 2025)."},{"key":"C21","unstructured":"British Geriatrics Society. Care of patients with fragility fracture (Blue Book). https:\/\/www.bgs.org.uk\/resources\/care-of-patients-with-fragility-fracture-blue-book (cited February 2025)."},{"key":"C22","doi-asserted-by":"publisher","DOI":"10.1177\/2151458510397504"},{"key":"C23","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13040669"},{"key":"C24","doi-asserted-by":"publisher","DOI":"10.22540\/JFSF-07-013"},{"key":"C25","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afw240"},{"key":"C27","first-page":"187","volume":"46","author":"Neuburger J","year":"2017","journal-title":"Age Ageing"},{"key":"C28","unstructured":"Getting it Right First Time (GIRFT). 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