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

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 int...

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Bibliographic Details
Published in:BMC health services research 2012-05, Vol.12 (1), p.124-124, Article 124
Main Authors: Vanhaecht, Kris, Sermeus, Walter, Peers, Jan, Lodewijckx, Cathy, Deneckere, Svin, Leigheb, Fabrizio, Boonen, Steven, Sermon, An, Boto, Paulo, Mendes, Rita Veloso, Panella, Massimiliano
Format: Article
Language:English
Subjects:
Aged
Analysis
Care and treatment
Chronic obstructive pulmonary disease
Clinical trials
Critical Pathways
Europe
Evidence-based medicine
Femoral Fractures - mortality
Femoral Fractures - therapy
Femur
Fractures
Health aspects
Health care
Health services
Hip joint
Hospital costs
Humans
Intervention
Length of stay
Medical care
Mortality
Older people
Orthopedic nursing
Outcome and Process Assessment (Health Care)
Patients
Public health
Quality management
Quality of Health Care
Research Design
Study Protocol
Womens health
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Summary: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. 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. 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. NCT00962910.
ISSN:1472-6963
1472-6963
DOI:10.1186/1472-6963-12-124