Perioperative medicine & outcomes
A quasi-experimental evaluation of the association between implementation of Quality-Based Procedures funding for hip fractures and improvements in processes and outcomes for hip fracture patients in Ontario: an interrupted time series analysis
An erratum to this article was published (Can J Anaesth, Sep 2024 ↗)
Authors' conclusion
The introduction of the QBP Hip Fracture program, supported by evidence-based recommendations, was associated with improved application of some evidence-based processes of care but no changes in clinical outcomes.
Study context
- Population
- Adults with hip fracture in Ontario
- Participants
- 41,256 vs 45,500
- Comparison
- Post-QBP vs pre-QBP periods
- post-QBPn = 41,256
- pre-QBPn = 45,500reference
- Outcome
- Processes of care and clinical outcomes after QBP implementation (total counterfactual differences)
Methodological detailssegmented regression, linked health data, 2013 wash-in period excluded
- Segmented regression
- Linked health data
- 2013 wash-in period excluded
Main finding
As reported in the abstract
Total counterfactual increase in use of nerve blocks after QBP implementation
11.1%
95% CI 6.2 to 16.0
Total counterfactual decrease in use of echocardiography after QBP implementation
−2.5%
95% CI −3.7 to −1.3
Further findings
90-day mortality, 90-day readmission, LOS, days alive at home
- No clinically or statistically meaningful change with QBP
Original publication
A quasi-experimental evaluation of the association between implementation of Quality-Based Procedures funding for hip fractures and improvements in processes and outcomes for hip fracture patients in Ontario: an interrupted time series analysis. Can J Anaesth. Published 26 February 2024. doi:10.
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