Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

18 questions · 18 findings · 4 reviews · Bone, Joint and Muscle Trauma

No studies found 0 · 0%GRADE not reported 0 · 0%Very low 7 · 38.9%Low 7 · 38.9%Moderate 4 · 22.2%High 0 · 0%

Supported discharge and multidisciplinary home rehabilitation vs (Optimised) usual care

Mortality (at 4 months) · Older people undergoing hip fracture aftercare

It is very uncertain whether supported discharge and multidisciplinary home rehabilitation changes mortality (at 4 months) compared with usual care: mainly (very low certainty).

1 finding from 1 review

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

Mortality (at 4 months) · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture

Supported discharge and multidisciplinary home rehabilitation showed no clear difference in mortality (at 4 months) compared with usual care: people living (low certainty).

1 finding from 1 review

Smooth pins vs fixed angle plates

Mortality: at 12 months · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether smooth pins changes mortality: at 12 months compared with fixed angle plates (very low certainty).

1 finding from 1 review

Cephalomedullary nails vs extramedullary implants

Mortality, early (≤ 4 months) · older adults (> 60 years of age) with extracapsular hip fractures

Cephalomedullary nails showed no clear difference in mortality, early (≤ 4 months) compared with extramedullary implants (moderate certainty).

1 finding from 1 review

Smooth pins vs fixed angle plates

Mortality: early(within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether smooth pins changes mortality: early(within 4 months) compared with fixed angle plates (very low certainty).

1 finding from 1 review

Total hip arthroplasty vs hemiarthroplasty

Mortality, early (within 4 months) · adults with displaced and undisplaced hip fractures

It is very uncertain whether total hip arthroplasty changes mortality, early (within 4 months) compared with hemiarthroplasty (very low certainty).

1 finding from 1 review

Cemented vs uncemented hemiarthroplasty

Mortality, early (within 4 months) · adults with displaced and undisplaced hip fractures

Cemented showed no clear difference in mortality, early (within 4 months) compared with uncemented hemiarthroplasty (low certainty).

1 finding from 1 review

Screws vs fixed angle plates

Mortality: early (within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether screws changes mortality: early (within 4 months) compared with fixed angle plates (very low certainty).

1 finding from 1 review

Screws vs smooth pins

Mortality: early (within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether screws changes mortality: early (within 4 months) compared with smooth pins (very low certainty).

1 finding from 1 review

Screws or pins vs fixed angle plates

Mortality: early (within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether screws or pins changes mortality: early (within 4 months) compared with fixed angle plates (very low certainty).

1 finding from 1 review

Screws vs fixed angle plates

Mortality at 12 months (Data prioritised at 12 months, but in its absence we included data after 4 months and up to 24 months.) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

Screws showed no clear difference in mortality at 12 months (Data prioritised at 12 months, but in its… compared with fixed angle plates (low certainty).

1 finding from 1 review

Screws vs smooth pins

Mortality at 12 months (Data prioritised at 12 months, but in its absence we included data after 4 months and up to 24 months.) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

Screws showed no clear difference in mortality at 12 months (Data prioritised at 12 months, but in its… compared with smooth pins (low certainty).

1 finding from 1 review

Screws or pins vs fixed angle plates

Mortality at 12 months (Data prioritised at 12 months, but in its absence we included data after 4 months and up to 24 months.) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

Screws or pins showed no clear difference in mortality at 12 months (Data prioritised at 12 months, but in its… compared with fixed angle plates (low certainty).

1 finding from 1 review