{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T09:18:28Z","timestamp":1787995108106,"version":"build-2784847793"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,29]]},"DOI":"10.7759\/cureus.115388","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:44:02Z","timestamp":1787993042000},"source":"Crossref","is-referenced-by-count":0,"title":["The Surgical Timing Gap in Elderly Hip Fracture Management: A Regional Systems Analysis"],"prefix":"10.7759","author":[{"given":"Abdelrahim","family":"Shaaeldin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osama F","family":"Almaghthawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"M. Salem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhassan Yousef","family":"Alturkestani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghad  A","family":"Sokail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nesreen M","family":"Abujabal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eilaf H","family":"Hawsah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima J","family":"Alnakli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Algheryafi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena F","family":"Alahmadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-009-0920-3","article-title":"Excess mortality following hip fracture: a systematic epidemiological review","volume":"20","author":"Abrahamsen B","year":"2009","unstructured":"Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009, 20:1633-50. 10.1007\/s00198-009-0920-3","journal-title":"Osteoporos Int"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0000000000000841","article-title":"One-year mortality rate after hip fracture in the western region of Saudi Arabia: a retrospective cohort study","volume":"31","author":"Al-Hebshi A","year":"2020","unstructured":"Al-Hebshi A, Hegaze A, Mustafa HN, et al.. One-year mortality rate after hip fracture in the western region of Saudi Arabia: a retrospective cohort study. Curr Orthopaed Pract. 2020, 31:115-9. 10.1097\/BCO.0000000000000841","journal-title":"Curr Orthopaed Pract"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.100266","article-title":"Fragility femoral and hip fractures in Saudi Arabia: a systematic review of epidemiology, risk factors, clinical outcomes, and health-system gaps","volume":"17","author":"Argan MS","year":"2025","unstructured":"Argan MS, Soliman Ali Alwalidi H, Tariq Alassiry L, et al.. Fragility femoral and hip fractures in Saudi Arabia: a systematic review of epidemiology, risk factors, clinical outcomes, and health-system gaps. Cureus. 2025, 17:e100266. 10.7759\/cureus.100266","journal-title":"Cureus"},{"key":"ref4","article-title":"National Hip Fracture Database (NHFD) Preliminary National Report 2009","year":"2009","unstructured":"National Hip Fracture Database (NHFD) Preliminary National Report 2009. British Orthopaedic Association, British Geriatrics Society, 2009."},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.06.005","article-title":"British Orthopaedic Association's Standards for Trauma (BOAST): care of the older or frail patient with orthopaedic injuries","volume":"51","author":"British Orthopaedic Association Trauma Committee","year":"2020","unstructured":"British Orthopaedic Association Trauma Committee. British Orthopaedic Association's Standards for Trauma (BOAST): care of the older or frail patient with orthopaedic injuries. Injury. 2020, 51:1419-21. 10.1016\/j.injury.2020.06.005","journal-title":"Injury"},{"key":"ref6","doi-asserted-by":"crossref","DOI":"10.1186\/s12877-015-0140-y","article-title":"The effect of early surgery after hip fracture on 1-year mortality","volume":"15","author":"Colais P","year":"2015","unstructured":"Colais P, Di Martino M, Fusco D, Perucci CA, Davoli M. The effect of early surgery after hip fracture on 1-year mortality. BMC Geriatr. 2015, 15:141.","journal-title":"BMC Geriatr"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/BF01623184","article-title":"Hip fractures in the elderly: a world-wide projection","volume":"2","author":"Cooper C","year":"1992","unstructured":"Cooper C, Campion G, Melton LJ 3rd. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992, 2:285-9. 10.1007\/BF01623184","journal-title":"Osteoporos Int"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B3.35738","article-title":"Recovery of health-related quality of life in a United Kingdom hip fracture population. The Warwick Hip Trauma Evaluation--a prospective cohort study","volume":"97-B","author":"Griffin XL","year":"2015","unstructured":"Griffin XL, Parsons N, Achten J, Fernandez M, Costa ML. Recovery of health-related quality of life in a United Kingdom hip fracture population. The Warwick Hip Trauma Evaluation--a prospective cohort study. Bone Joint J. 2015, 97-B:372-82. 10.1302\/0301-620X.97B3.35738","journal-title":"Bone Joint J"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15291","article-title":"Guideline for the management of hip fractures 2020: Guideline by the Association of Anaesthetists","volume":"76","author":"Griffiths R","year":"2021","unstructured":"Griffiths R, Babu S, Dixon P, et al.. Guideline for the management of hip fractures 2020: Guideline by the Association of Anaesthetists. Anaesthesia. 2021, 76:225-37. 10.1111\/anae.15291","journal-title":"Anaesthesia"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-152-6-201003160-00008","article-title":"Meta-analysis: excess mortality after hip fracture among older women and men","volume":"152","author":"Haentjens P","year":"2010","unstructured":"Haentjens P, Magaziner J, Col\u00f3n-Emeric CS, Vanderschueren D, Milisen K, Velkeniers B, Boonen S. Meta-analysis: excess mortality after hip fracture among older women and men. Ann Intern Med. 2010, 152:380-90. 10.7326\/0003-4819-152-6-201003160-00008","journal-title":"Ann Intern Med"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-006-0172-4","article-title":"An estimate of the worldwide prevalence and disability associated with osteoporotic fractures","volume":"17","author":"Johnell O","year":"2006","unstructured":"Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006, 17:1726-33. 10.1007\/s00198-006-0172-4","journal-title":"Osteoporos Int"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2021.05.008","article-title":"Hip fracture surgery within 36 hours reduces both 30-day and 1-year mortality rates","volume":"20","author":"Keohane D","year":"2022","unstructured":"Keohane D, Downey C, Sheridan GA, O'Kelly P, Quinlan JF. Hip fracture surgery within 36 hours reduces both 30-day and 1-year mortality rates. Surgeon. 2022, 20:262-7. 10.1016\/j.surge.2021.05.008","journal-title":"Surgeon"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0046175","article-title":"Timing matters in hip fracture surgery: patients operated within 48 hours have better outcomes. A meta-analysis and meta-regression of over 190,000 patients","volume":"7","author":"Moja L","year":"2012","unstructured":"Moja L, Piatti A, Pecoraro V, et al.. Timing matters in hip fracture surgery: patients operated within 48 hours have better outcomes. A meta-analysis and meta-regression of over 190,000 patients. PLoS One. 2012, 7:e46175. 10.1371\/journal.pone.0046175","journal-title":"PLoS One"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.017520","article-title":"Association of length of hospital stay with delay to surgical fixation of hip fracture","volume":"65","author":"Murphy JR","year":"2022","unstructured":"Murphy JR, Loh J, Smith NC, Stone NC. Association of length of hospital stay with delay to surgical fixation of hip fracture. Can J Surg. 2022, 65:E188-92. 10.1503\/cjs.017520","journal-title":"Can J Surg"},{"key":"ref15","article-title":"Hip Fracture: Management","year":"2011","unstructured":"Hip Fracture. Management. Cambridge University Press, Cambridge, UK; 2011."},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afw201","article-title":"Increased orthogeriatrician involvement in hip fracture care and its impact on mortality in England","volume":"46","author":"Neuburger J","year":"2017","unstructured":"Neuburger J, Currie C, Wakeman R, et al.. Increased orthogeriatrician involvement in hip fracture care and its impact on mortality in England. Age Ageing. 2017, 46:187-92. 10.1093\/ageing\/afw201","journal-title":"Age Ageing"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1111\/os.12633","article-title":"Time to surgery reduction in hip fracture patients on an integrated orthogeriatric unit: a comparative study of three healthcare models","volume":"12","author":"Pablos-Hern\u00e1ndez C","year":"2020","unstructured":"Pablos-Hern\u00e1ndez C, Gonz\u00e1lez-Ram\u00edrez A, da Casa C, et al.. Time to surgery reduction in hip fracture patients on an integrated orthogeriatric unit: a comparative study of three healthcare models. Orthop Surg. 2020, 12:457-62. 10.1111\/os.12633","journal-title":"Orthop Surg"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.17606","article-title":"Association between wait time and 30-day mortality in adults undergoing hip fracture surgery","volume":"318","author":"Pincus D","year":"2017","unstructured":"Pincus D, Ravi B, Wasserstein D, et al.. Association between wait time and 30-day mortality in adults undergoing hip fracture surgery. JAMA. 2017, 318:1994-2003. 10.1001\/jama.2017.17606","journal-title":"JAMA"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.68.BJO-2025-0083.R1","article-title":"Avoidable and unavoidable delays in hip fracture surgery : a prospective observational study of who, what, and why?","volume":"6","author":"Sarkies M","year":"2025","unstructured":"Sarkies M, Murphy N, Kunnath R, et al.. Avoidable and unavoidable delays in hip fracture surgery : a prospective observational study of who, what, and why?. Bone Jt Open. 2025, 6:876-85. 10.1302\/2633-1462.68.BJO-2025-0083.R1","journal-title":"Bone Jt Open"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.092220","article-title":"Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis","volume":"182","author":"Simunovic N","year":"2010","unstructured":"Simunovic N, Devereaux PJ, Sprague S, Guyatt GH, Schemitsch E, Debeer J, Bhandari M. Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. CMAJ. 2010, 182:1609-16. 10.1503\/cmaj.092220","journal-title":"CMAJ"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae075","article-title":"Barriers and facilitators to early mobilisation and weight-bearing as tolerated after hip fracture surgery among older adults in Saudi Arabia: a qualitative study","volume":"53","author":"Turabi RY","year":"2024","unstructured":"Turabi RY, Sheehan KJ, Guerra S, O'Connell MD, Wyatt D. Barriers and facilitators to early mobilisation and weight-bearing as tolerated after hip fracture surgery among older adults in Saudi Arabia: a qualitative study. Age Ageing. 2024, 53:10.1093\/ageing\/afae075","journal-title":"Age Ageing"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1588651","article-title":"Development and evaluation of a multidisciplinary intervention program for osteoporotic hip fractures in the elderly","volume":"12","author":"Xu P","year":"2025","unstructured":"Xu P, Cao C, Zhao K, et al.. Development and evaluation of a multidisciplinary intervention program for osteoporotic hip fractures in the elderly. Front Med (Lausanne). 2025, 12:1588651. 10.3389\/fmed.2025.1588651","journal-title":"Front Med (Lausanne)"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/470106-the-surgical-timing-gap-in-elderly-hip-fracture-management-a-regional-systems-analysis","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:44:03Z","timestamp":1787993043000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/470106-the-surgical-timing-gap-in-elderly-hip-fracture-management-a-regional-systems-analysis"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,29]]},"references-count":22,"URL":"https:\/\/doi.org\/10.7759\/cureus.115388","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,29]]}}}