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Hip Fracture Surgery Volumes Among Individuals 65 Years and Older During the COVID-19 Pandemic

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Hip fractures in individuals 65 years or older are common (>250 000 per year in the US) and consequential (1-year mortality rate, 12%-37%).1 Prior studies of orthopedic trauma (ie, fractures) in the general population documented a decline at the beginning of the COVID-19 pandemic in March-April 2020,2 followed by a return to baseline by summer 2020 once shelter-in-place orders were lifted.3 We assessed hip fracture surgery volumes among older individuals during the pandemic.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Kanu Okike, MD, MPH, Hawaii Permanente Medical Group, 3288 Moanalua Rd, Honolulu, HI 96821 (okike@post.harvard.edu).

Accepted for Publication: December 14, 2021.

Published Online: December 30, 2021. doi:10.1001/jama.2021.23761

Author Contributions: Dr Okike and Ms Chan had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Okike, Chan, Khatod, Paxton, Prentice.

Acquisition, analysis, or interpretation of data: Okike, Chan, Navarro, Paxton, Prentice.

Drafting of the manuscript: Okike, Chan, Navarro, Paxton.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Chan, Prentice.

Obtained funding: Paxton.

Administrative, technical, or material support: Okike, Navarro, Paxton.

Supervision: Navarro, Paxton, Prentice.

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank Kathryn Royse, PhD (Surgical Outcomes and Analysis Department, Kaiser Permanente), Christopher Grimsrud, MD (the Permanente Medical Group, Kaiser Permanente), and the Kaiser Permanente Surgical Outcomes and Analysis Department staff for their assistance with this study. No compensation was received for this assistance.

References
1.
Morrison  RS , Siu  AL . Hip fracture in adults: epidemiology and medical management. UpToDate. Updated December 10, 2021. https://www.uptodate.com/contents/hip-fracture-in-adults-epidemiology-and-medical-management
2.
Stoker  S , McDaniel  D , Crean  T ,  et al.  Effect of shelter-in-place orders and the COVID-19 pandemic on orthopaedic trauma at a community level II trauma center.   J Orthop Trauma. 2020;34(9):e336-e342. doi:10.1097/BOT.0000000000001860 PubMedGoogle ScholarCrossref
3.
Best  J , Stoker  S , McDaniel  D ,  et al.  Effects of easing shelter-in-place restrictions and the lingering COVID-19 pandemic on orthopaedic trauma at a community level 2 trauma center.   OTA Int. 2021;4(2):e123. doi:10.1097/OI9.0000000000000123 PubMedGoogle Scholar
4.
Inacio  MCS , Weiss  JM , Miric  A , Hunt  JJ , Zohman  GL , Paxton  EW .  A community-based hip fracture registry: Population, methods, and outcomes.   Perm J. 2015;19(3):29-36. doi:10.7812/TPP/14-231 PubMedGoogle Scholar
5.
Kochera  A .  Falls among older persons and the role of the home: an analysis of cost, incidence, and potential savings from home modification.   Issue Brief (Public Policy Inst (Am Assoc Retired Pers)). 2002;(IB56):1-14.PubMedGoogle Scholar
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