Conceptual Framework for an Episode of Rehabilitative Care After Surgical Repair of Hip Fracture

Sheehan, Katie J. (author): Department of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London, London SE1 1UL, United Kingdom

Smith, Toby O. (author): Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom

Johansen, Antony (author): Trauma Unit, University Hospital of Wales, Cardiff, United Kingdom

Drummond, Avril (author): School of Health Sciences, University of Nottingham, Nottingham, United Kingdom

Beaupre, Lauren (author): Department of Physical Therapy and Division of Orthopaedic Surgery, University of Alberta, Edmonton, Canada

Magaziner, Jay (author): Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland

Whitney, Julie (author): Department of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London

Hommel, Ami (author): Malmö universitet,Institutionen för vårdvetenskap (VV)

Cameron, Ian D. (author): John Walsh Centre for Rehabilitation Research, Kolling Institute of Medical Research, University of Sydney, Sydney, Australia

Price, Iona (author): Royal College of Physicians Patient and Carer Network, London, United Kingdom

Sackley, Catherine (author): Department of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London

(creator_code:org_t)

2019-01-23
2019
English.
In: Physical Therapy. - : Oxford University Press. - 0031-9023 .- 1538-6724. ; 99:3, s. 276-285

Related links:: https://doi.org/10.1...; show more...; https://academic.oup...; https://urn.kb.se/re...; https://doi.org/10.1...; show less...

Abstract Subject headings

Researchers face a challenge when evaluating the effectiveness of rehabilitation after a surgical procedure for hip fracture. Reported outcomes of rehabilitation will vary depending on the end point of the episode of care. Evaluation at an inappropriate end point might suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. The purpose of this article is to describe a conceptual framework for a continuum-care episode of rehabilitation after a surgical procedure for hip fracture. Definitions are proposed for the index event, end point, and service scope of the episode. Challenges in defining the episode of care and operationalizing the episode, and next steps for researchers are discussed. The episode described is intended to apply to all patients eligible for entry to rehabilitation after hip fracture and includes most functional recovery end points. This framework will provide a guide for rehabilitation researchers when designing and interpreting evaluations of the effectiveness of rehabilitation after hip fracture. Evaluation of all potential care episodes facilitates transparency in reporting of outcomes, enabling researchers to determine the true effectiveness of rehabilitation after a surgical procedure for hip fracture.

By the author/editor: Sheehan, Katie J ...; Smith, Toby O.; Martin, Finbarr ...; Johansen, Antony; Drummond, Avril; Beaupre, Lauren; show more...; Magaziner, Jay; Whitney, Julie; Hommel, Ami; Cameron, Ian D.; Price, Iona; Sackley, Catheri ...; show less...

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