Publications by authors named "M J Heetveld"
Proximal femur fractures in the aging population present a variety of challenges. Physiologically, patients incurring this fracture are typically frail, with significant medical comorbidities, yet require early surgical treatment to restore mobility to prevent deterioration. Socioeconomically, the occurrence of a fragility fracture may be the beginning of the loss of independence, and the burdens of rehabilitation and support are borne by the individual patient and health care systems.
View Article and Find Full Text PDFImportance: Hip fractures in older adults are serious injuries that result in disability, higher rates of illness and death, and a substantial strain on health care resources. High-quality evidence to improve hip fracture care regarding the surgical approach of hemiarthroplasty is lacking.
Objective: To compare 6-month outcomes of the posterolateral approach (PLA) and direct lateral approach (DLA) for hemiarthroplasty in patients with acute femoral neck fracture.
Article Synopsis
- The study aims to compare the effectiveness and cost-effectiveness of two surgical approaches (posterolateral and direct lateral) for hemiarthroplasty in hip fracture patients, focusing on health-related quality of life and costs.
- It involves a multicenter randomized controlled trial (RCT) with 555 adult patients, assessing primary outcomes using the EQ-5D-5L questionnaire and secondary outcomes like complications and healthcare costs.
- This research is notable for being the largest RCT on this topic, including diverse patients and conducting a cost-utility analysis to enhance understanding of the surgical approaches' impact on patient well-being.
Trends in data quality and quality indicators 5 years after implementation of the Dutch Hip Fracture Audit.
Eur J Trauma Emerg Surg
December 2022
Purpose: The Dutch Hip Fracture Audit (DHFA), a nationwide hip fracture registry in the Netherlands, registers hip fracture patients and aims to improve quality of care since 2016. This study shows trends in the data quality during the first 5 years of data acquisition within the DHFA, as well as trends over time for designated quality indicators (QI).
Methods: All patients registered in the DHFA between 1-1-2016 and 31-12-2020 were included.
Background: The posterolateral approach (PLA) and direct lateral approach (DLA) are the most commonly used approaches for inserting a hemiarthroplasty in the treatment of femoral neck fractures. A recent review concluded that the routine use of PLA should be questioned, but this conclusion itself can be questioned. The aim of this study is to provide an updated overview and critical appraisal of the available evidence, focussing on outcomes most relevant for patients.
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