Cochrane · systematic review · CD013405
Surgical interventions for treating extracapsular hip fractures in older adults: a network meta‐analysis
Lewis, SR, Macey, R, Lewis, J, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
14
No studies
2
Included studies
NR
No studies 2 · 11.1%Ungraded 2 · 11.1%Very low 10 · 55.6%Low 4 · 22.2%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Certainty of the effects and network estimates for treating extracapsular hip fractures in older adults: mortality at 12 months
Population: older adults (> 60 years of age) with extracapsular hip fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total studies: 56 Total participants: 8407 | no estimate extracted | 56 participants | Ungraded |
Static fixed angle plate (5 studies; 847 participants)a | RR 1.02 [0.77, 1.36] | 5 studies · 847 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Long cephalomedullary nail (2 studies; 400 participants)a | RR 1.27 [0.89, 1.81] | 2 studies · 400 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Short cephalomedullary nail (33 studies; 5380 participants)a | RR 0.97 [0.87, 1.07] | 33 studies · 5380 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Condylocephalic nail (6 studies; 847 participants)a | RR 0.93 [0.74, 1.16] | 6 studies · 847 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
External fixation (1 study; 100 participants)a | RR 0.75 [0.36, 1.57] | 1 study · 100 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Hemiarthroplasty (No direct evidence, indirect evidence only) | RR 1.36 [0.73, 2.54] | NR | Very low Downgraded: risk of bias, imprecision, indirectness |
Non‐operative treatment (1 study; 106 participants)a | RR 1 [0.53, 1.87] | 1 study · 106 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Total hip arthroplasty (1 study; 156 participants)a | RR 0.69 [0.12, 4.03] | 1 study · 156 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Dynamic fixed angle plate | no estimate extracted | NR | No studies |
Certainty of the effects and network estimates for treating extracapsular hip fractures in older adults: unplanned return to theatre
Population: older adults (> 60 years of age) with extracapsular hip fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total studies: 55 Total participants: 9296 | no estimate extracted | 55 participants | Ungraded |
Static fixed angle plate (4 studies; 622 participants)a | RR 2.48 [1.36, 4.5] | 4 studies · 622 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Long cephalomedullary nail (2 studies; 400 participants)a | RR 1.58 [0.55, 4.56] | 2 studies · 400 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Short cephalomedullary nail (34 studies; 6437 participants)a | RR 1.12 [0.8, 1.56] | 34 studies · 6437 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Condylocephalic nail (7 studies; 996 participants)a | RR 3.33 [1.95, 5.68] | 7 studies · 996 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
External fixation (1 studies; 100 participants)a | RR 0.09 [0, 1.87] | 1 study · 100 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Hemiarthroplasty (No direct evidence, indirect evidence only) | RR 0.37 [0.01, 10.26] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Dynamic fixed angle plate | no estimate extracted | NR | No studies |