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Conceptual framework for an episode of rehabilitative care after hip fracture surgery

Sheehan, K.J.; Smith, T.O.; Martin, F.C.; Johansen, A.; Drummond, A.; Beaupre, L.; Magaziner, J.; Whitney, J.; Hommel, A.; Cameron, I.D.; Price, I.; Sackley, C.

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Authors

K.J. Sheehan

T.O. Smith

F.C. Martin

A. Johansen

AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research

L. Beaupre

J. Magaziner

J. Whitney

A. Hommel

I.D. Cameron

I. Price

C. Sackley



Abstract

Researchers face a challenge when evaluating the effectiveness of rehabilitation after hip fracture surgery. Reported outcomes of rehabilitation will vary depending on the endpoint of the episode of care. Evaluation at an inappropriate endpoint may suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. The purpose of this paper is to describe a conceptual framework for a continuum-care-episode of rehabilitation after hip fracture surgery. We propose definitions for the index event, endpoint, and service scope of the episode. We discuss challenges in defining the episode of care, operationalizing the episode, and next steps for researchers. The episode described is intended to apply to all patients eligible for entry to rehabilitation after hip fracture and includes most functional recovery endpoints. This framework will provide a guide for rehabilitation researchers when designing and interpreting evaluations of the effectiveness of rehabilitation after hip fracture. Evaluation of all potential care episodes facilitates transparency in reporting of outcomes enabling researchers to determine the true effectiveness of rehabilitation after hip fracture surgery.

Citation

Sheehan, K., Smith, T., Martin, F., Johansen, A., Drummond, A., Beaupre, L., …Sackley, C. (2019). Conceptual framework for an episode of rehabilitative care after hip fracture surgery. Physical Therapy, 99(3), 276–285. https://doi.org/10.1093/ptj/pzy145

Journal Article Type Article
Acceptance Date Jul 24, 2018
Online Publication Date Jan 23, 2019
Publication Date 2019-03
Deposit Date Jul 31, 2018
Publicly Available Date Mar 28, 2024
Journal Physical Therapy
Print ISSN 0031-9023
Electronic ISSN 1538-6724
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 99
Issue 3
Pages 276–285
DOI https://doi.org/10.1093/ptj/pzy145
Keywords Physical Therapy, Sports Therapy and Rehabilitation
Public URL https://nottingham-repository.worktribe.com/output/947895
Publisher URL https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj/pzy145/5299590

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