Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

367 questions · 382 findings · 30 reviews · Bone, Joint and Muscle Trauma

No studies found 73 · 19.1%GRADE not reported 19 · 5%Very low 171 · 44.8%Low 90 · 23.6%Moderate 22 · 5.8%High 7 · 1.8%

Intervention not reported

Mobility scales, using different scales: SPPB (range 0 to 12), PPME (range 0 to 12). A higher score indicates better mobility. · adults following hip fracture surgery

The intervention leads to higher mobility scales, using different scales: SPPB (range 0 to 12), PPME… (high certainty).

1 finding from 1 review

Intervention not reported

Walking speedg ‐ overall analysis Measured using metres/second (m/s) and metres/minute (m/min). A higher score indicates faster walking. · adults following hip fracture surgery

The intervention showed no clear difference in walking speedg ‐ overall analysis Measured using metres/second (m/s)… (moderate certainty).

1 finding from 1 review

Intervention not reported

TUG (lower score = faster) · adults following hip fracture surgery

It is very uncertain whether the intervention changes TUG (lower score = faster) (very low certainty).

1 finding from 1 review

Intervention not reported

Mobility scales, using different mobility scales: mPPT (range 0 to 36), POMA (range 0 to 30). · adults following hip fracture surgery

The intervention probably leads to higher mobility scales, using different mobility scales: mPPT (range 0 to… (moderate certainty).

1 finding from 1 review

Intervention not reported

Functioningi ‐ overall analysis Using different scales: mBI (range 0 to 20), BI (range 0 to 100), FIM (range 18 to 126), NEADL (range 0 to 66). A higher score indicates better functioning. · adults following hip fracture surgery

It is very uncertain whether the intervention changes functioningi ‐ overall analysis Using different scales: mBI (range 0… (very low certainty).

1 finding from 1 review

Intervention not reported

HRQoL Using EQ‐5D (range 0 to 1) and HOOS (range 0 to 100). A higher score indicates better quality of life. · adults following hip fracture surgery

It is very uncertain whether the intervention changes HRQoL Using EQ‐5D (range 0 to 1) and HOOS (range 0 to 100). A higher… (very low certainty).

1 finding from 1 review

Intervention not reported

Adverse event: number of people who were re‐admitted · adults following hip fracture surgery

The intervention showed no clear difference in adverse event: number of people who were re‐admitted (low certainty).

1 finding from 1 review

Intervention not reported

Number of people who returned to living at pre‐fracture residence · adults following hip fracture surgery

The intervention showed no clear difference in number of people who returned to living at pre‐fracture residence (low certainty).

1 finding from 1 review

Intervention not reported

Mobility scales, using different mobility scales: MILA (range 0 to 36), EMS (range 0 to 20), BBS (range 0 to 56), PPME (range 0 to 12), Koval (range 1 to 7). Higher values indicate better mobility (except MILA and Koval, where scale was inverted f... · adults following hip fracture surgery

The intervention probably leads to higher mobility scales, using different mobility scales: MILA (range 0 to… (moderate certainty).

1 finding from 1 review

Retrograde intramedullary nail (RIMN) vs locking plate

Direct adverse events (reoperation): we report reoperation for removal of implant as this is the most clinically relevant. Other adverse events with data included: loss of fixation, superficial infection, deep infection, haematoma formation, impla... · adults with fractures of the distal femur

It is very uncertain whether retrograde intramedullary nail (RIMN) changes direct adverse events (reoperation): we report reoperation for… compared with locking plate (very low certainty).

1 finding from 1 review