ClinicalTrials.gg
CompletedNCT03422497Updated Feb 5, 2018

The Association of Sex With Guideline-based Perioperative Care in Hip Fracture Surgery

An observational study in Hip Fractures, Gender Bias and Surgery, sponsored by Ottawa Hospital Research Institute. Completed. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2018-02-05.

Sponsored by Ottawa Hospital Research Institute · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
50,000
Ages
65 Years and older
Sex
All
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Study summary

The investigators will use multilevel multivariable regression analysis to measure the association of sex with provision of guideline-based perioperative care for hip fracture surgery in Ontario.

Read the detailed description

In 2013, the Ontario Ministry of Health and Longterm Care published a 'Quality Based Procedures' guideline for care of hip fracture patients. The adjusted association of sex with receipt of 5 perioperative processes of care that can be accurately measured in health administrative data within this guideline will be investigated.

02

Conditions studied

  • Hip Fractures
  • Gender Bias
  • Surgery
  • Anesthesia
03

In context

Hip Fractures

842 studies on the registry are indexed under Hip Fractures; 165 are open to participants now.

This study's enrollment of 50,000 is above the median of 149 across 280 observational studies indexed under Hip Fractures.

Browse Hip Fractures studies →

Lead sponsor

Ottawa Hospital Research Institute is the lead sponsor of 547 studies on the registry; 99 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Emergency hip fracture surgery patients

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Non-elective hospital admission
  • Hip fracture diagnosis
  • Hip fracture surgery

Exclusion criteria

Exclusion criteria

-None

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
50,000 participants (actual)
Patient registry
No

Groups and cohorts

  • Male hip fracture surgery patients

    Individuals 65 years or older admitted non-electively to hospital with a diagnosis of hip fracture who have surgery for their hip fracture and have male sex listed in their discharge abstract

    Other: Male sex

  • Female hip fracture surgery patients

    Individuals 65 years or older admitted non-electively to hospital with a diagnosis of hip fracture who have surgery for their hip fracture and have female sex listed in their discharge abstract

    Other: Female sex

Interventions

  • OtherMale sex

    Male sex-as listed in the discharge abstract database

  • OtherFemale sex

    Male sex-as listed in the discharge abstract database

06

What researchers measure

Primary outcomes

  1. Perioperative geriatric medicine consult

    Physician billing code for perioperative, inpatient geriatric medicine consult or comprehensive assessment

    Time frame: Hospital admission to date of discharge from hospital, or 365 days after admission, whichever came first

Secondary outcomes

  1. Preoperative anesthesiology consult

    Physician billing code for preoperative, inpatient anesthesiology consult

    Time frame: Hospital admission to date of surgery, or 365 days after admission, whichever came first

  2. Wait for surgery greater than 2 days

    Hospital admission to surgery wait for greater than 2 days

    Time frame: Hospital admission to date of surgery, or 365 days after admission, whichever came first

  3. Perioperative regional analgesia

    Peripheral nerve block or epidural administered in the perioperative period, identified from physician billing data codes

    Time frame: Hospital admission to 3 days after surgery

  4. Neuraxial anesthesia

    Spinal or epidural anesthesia, without concurrent general anesthesia, administered for the hip fracture surgery and identified from the discharge abstract database section which describes anesthesia techniques for surgery.

    Time frame: Day of surgery

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Cho N, Boland L, McIsaac DI. The association of female sex with application of evidence-based practice recommendations for perioperative care in hip fracture surgery. CMAJ. 2019 Feb 11;191(6):E151-E158. doi: 10.1503/cmaj.180564. PubMed 30745399 ↗

Individual participant data

Plan to share: No — Privacy policies in our institution preclude data sharing

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2013 to primary completion in Mar 2016, 34 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 17, 2018
First posted
Feb 5, 2018
StartActual
May 2013
Primary completionActual
Mar 2016
CompletionActual
Mar 2016
Last update
Feb 5, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03422497
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
May 2013
Primary completion
Mar 2016
Completion
Mar 2016
Last update
Feb 5, 2018

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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