Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

31 questions · 31 findings · 5 reviews

No studies found 2 · 6.5%GRADE not reported 0 · 0%Very low 16 · 51.6%Low 8 · 25.8%Moderate 4 · 12.9%High 1 · 3.2%

Total hip arthroplasty vs hemiarthroplasty

Functional status, early (within 4 months): using HHS (range from 0 to 100) and Johansen hip score (range from 0 to 100); higher scores indicate better function · adults with displaced and undisplaced hip fractures
1 finding from 1 review

Total hip arthroplasty vs hemiarthroplasty

Activities of daily living · adults with displaced and undisplaced hip fractures

It is very uncertain whether total hip arthroplasty changes activities of daily living, early (within 4 months): using Katz… compared with hemiarthroplasty (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

Total hip arthroplasty vs hemiarthroplasty

Unplanned return to theatre (end of · adults with displaced and undisplaced hip fractures

Total hip arthroplasty showed no clear difference in unplanned return to theatre (end of compared with hemiarthroplasty (low certainty).

1 finding from 1 review

Intervention not reported

Total hip arthroplasty (single articulation) (3 RCTs; 306 participants)a · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes total hip arthroplasty (single articulation) (3 RCTs; 306… (very low certainty).

1 finding from 1 review

Intervention not reported

Dual‐mobility total hip arthroplasty (No direct evidence, indirect evidence only) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes dual‐mobility total hip arthroplasty (No direct evidence, indirect… (very low certainty).

1 finding from 1 review

Intervention not reported

Total hip arthroplasty (single articulation) (2 RCTs; 225 participants)a · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes total hip arthroplasty (single articulation) (2 RCTs; 225… (very low certainty).

1 finding from 1 review

Intervention not reported

Dual‐mobility total hip arthroplasty (No direct evidence, indirect evidence only) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes dual‐mobility total hip arthroplasty (No direct evidence, indirect… (very low certainty).

1 finding from 1 review

Peripheral nerve block vs systemic analgesia

Pain at rest on arrival in postoperative care unit Visual/verbal analogue scale · adults undergoing elective primary total hip replacement

Peripheral nerve blocks showed no clear difference in pain at rest on arrival in postoperative care unit Visual/verbal… compared with systemic analgesia (moderate certainty).

1 finding from 1 review

Peripheral nerve block vs neuraxial block

Aute confusional state Disorientation · adults undergoing elective primary total hip replacement

It is very uncertain whether peripheral nerve block changes aute confusional state Disorientation compared with neuraxial block (very low certainty).

1 finding from 1 review