Perioperative medicine & outcomes

Epidemiology, patient outcome and complications after non‐operative management of hip fracture: a systematic review

AnaesthesiaPublished Systematic review and meta-analysis

Authors' conclusion

Non-operative management of hip fracture is relatively common, but there is wide variation that is unexplained by differences in patient characteristics.

Study context

Population
Older people presenting to hospital with hip fracture
Participants
10,763,994 people · 185 studies
Comparison
Non-operative management vs surgery
Outcome
Proportion of non-operative management
Methodological detailsrandom effects meta-analysis with adjustment for clustering, Newcastle-Ottawa Scale risk of bias, Risk of bias generally low except expected confounding by indication
  • Random effects meta-analysis with adjustment for clustering
  • Newcastle-Ottawa Scale risk of bias
  • Risk of bias generally low except expected confounding by indication

Pooled result

As reported in the abstract

Overall proportion of non-operative management

Non-operative

8.4%

95% CI 7.2–9.7%

Further pooled results

Association of non-operative proportions with sex, fracture type or ethnicity

No consistent association

Mortality · all time points

Non-operative management associated with greater RR of death at all time points

Original publication

Epidemiology, patient outcome and complications after non‐operative management of hip fracture: a systematic review. Anaesthesia. Published 25 August 2025. doi:10.1111/anae.16732

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.