Publications by authors named "Maria C J M Tol"
Importance: 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.
Objectives: To determine the level of agreement between both proxy versions and the self-completed EQ-5D-5L.
Design: A randomized agreement study.
Setting And Participants: We recruited 120 patients (compos mentis) and their proxies at the orthopaedic outpatient clinic.
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.
View Article and Find Full Text PDFIntroduction: Surgery for proximal femoral fractures in the Netherlands is performed by trauma surgeons, general surgeons and orthopaedic surgeons. The aim of this study was to assess whether there is a difference in outcome for patients with proximal femoral fractures operated by trauma surgeons versus general surgeons. Secondly, the relation between hospital and surgeon volume and postoperative complications was explored.
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