AHRQ Effective Health Care Program - Research Reviews: Comparative Effectiveness of Pain Management Interventions for Hip Fracture

AHRQ Effective Health Care Program - Research Reviews
Comparative Effectiveness of Pain Management Interventions for Hip Fracture
Key questions published 8 May 2009

Draft Key Questions
1. In older adults (?50 years) admitted to hospital following acute hip fracture, what is the comparative effectiveness of pharmacologic and/or nonpharmacologic pain management interventions for controlling short and long term pain due to acute hip fracture and hip fracture repair?

We will consider all interventions, alone or in combination, with various methods of administration and modes of delivery, and at various time points during the care pathway (e.g., preoperative, postoperative, subacute management);
Comparators of interest will be as defined in the primary studies.


2. In older adults (?50 years) admitted to hospital following acute hip fracture, what is the comparative effectiveness of pharmacologic and/or nonpharmacologic pain management interventions on other outcomes, including:

Medical/surgical complications
Mental status
Functional status
Ability to pursue rehabilitation
Return to prefracture living arrangements
Health-related quality of life
Health services utilization
Mortality (30 day and up to 1-year postfracture).

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AHRQ Effective Health Care Program - Research Reviews