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Conceptual Framework for an Episode of Rehabilitative Care After Surgical Repair of Hip Fracture

Research output: Contribution to journalArticlepeer-review

Katie J. Sheehan, Toby O. Smith, Finbarr C. Martin, Antony Johansen, Avril Drummond, Lauren Beaupre, Jay Magaziner, Julie Whitney, Ami Hommel, Ian D. Cameron, Iona Price, Catherine Sackley

Original languageEnglish
Pages (from-to)276-285
Number of pages10
JournalPhysical Therapy
Issue number3
Early online date23 Jan 2019
Accepted/In press24 Aug 2018
E-pub ahead of print23 Jan 2019
Published1 Mar 2019


King's Authors


Researchers face a challenge when evaluating the effectiveness of rehabilitation after a surgical procedure for hip fracture. Reported outcomes of rehabilitation will vary depending on the end point of the episode of care. Evaluation at an inappropriate end point might suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. The purpose of this article is to describe a conceptual framework for a continuum-care episode of rehabilitation after a surgical procedure for hip fracture. Definitions are proposed for the index event, end point, and service scope of the episode. Challenges in defining the episode of care and operationalizing the episode, and next steps for researchers are discussed. The episode described is intended to apply to all patients eligible for entry to rehabilitation after hip fracture and includes most functional recovery end points. This framework will provide a guide for rehabilitation researchers when designing and interpreting evaluations of the effectiveness of rehabilitation after hip fracture. Evaluation of all potential care episodes facilitates transparency in reporting of outcomes, enabling researchers to determine the true effectiveness of rehabilitation after a surgical procedure for hip fracture.

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