The impact of care pathways for patients with proximal femur fracture: rationale and design of a cluster-randomized controlled trial.

Title

The impact of care pathways for patients with proximal femur fracture: rationale and design of a cluster-randomized controlled trial.

Creator

Sermeus W; Peers J; Lodewijckx C; Deneckere S; Leigheb F; Boonen S; Sermon An; Boto P; Mendes RV; Panella M; EQCP study group

Publisher

Bmc Health Services Research

Date

2012

Subject

Humans; Aged; Research Design; Quality of Health Care; Outcome and Process Assessment (Health Care); Critical Pathways; Femoral Fractures/th [Therapy]; Femoral Fractures/mo [Mortality]

Description

BACKGROUND: Proximal femur fracture (PFF) is associated with considerable morbidity and mortality. The European Quality of Care Pathway (EQCP) study on PFF (NCT00962910) was designed to determine how care pathways (CP) for hospital treatment of PFF affect consistency of care, adherence to evidence-based key interventions, and clinical outcome., METHODS/DESIGN: An international cluster-randomized controlled trial (cRCT) will be performed in Belgium, Ireland, Italy and Portugal. Based on power analyses, a sample of 44 hospital teams and 437 patients per arm will be included in the study. In the control arm, usual care will be provided. Experimental teams will implement a care pathway which will include three active components: a formative evaluation of quality and organization of the care setting, a set of evidence-based key interventions, and support of the development and implementation of the CP. Main outcome will be the six-month mortality rate., DISCUSSION: The EQCP study constitutes the first international cRCT on care pathways. The EQCP project was designed as both a research and a quality improvement project and will provide a real-world framework for process evaluation to improve our understanding of why and when CP can really work., TRIAL REGISTRATION NUMBER: NCT00962910.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

124-124

Issue

101088677

Volume

12

Citation

Sermeus W; Peers J; Lodewijckx C; Deneckere S; Leigheb F; Boonen S; Sermon An; Boto P; Mendes RV; Panella M; EQCP study group, “The impact of care pathways for patients with proximal femur fracture: rationale and design of a cluster-randomized controlled trial.,” Pediatric Palliative Care Library, accessed September 21, 2021, https://pedpalascnetlibrary.omeka.net/items/show/11437.

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