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Care of the older person
Intensive multidisciplinary rehabilitation programmes for older people with hip fractures may be beneficial but more research is needed
  1. Valentina Spedale1,
  2. Tommaso Finco1,
  3. Paolo Mazzola1,2
  1. 1 School of Medicine and Surgery, Università degli Studi di Milano-Bicocca, Monza, Italy
  2. 2 Acute Geriatrics Unit, San Gerardo Hospital ASST Monza, Monza, Italy
  1. Correspondence to Professor Paolo Mazzola, School of Medicine and Surgery, Universita degli Studi di Milano-Bicocca, Monza, Italy; paolo.mazzola{at}

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Commentary on: Handoll HH, Cameron ID, Mak JC, et al. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev 2021;11(11)

Implications for practice and research

  • There is evidence of moderate certainty that multidisciplinary rehabilitation after hip fracture surgery results in fewer cases of ‘poor outcome’.

  • The available studies are insufficient to draw robust conclusions about effectiveness of multidisciplinary rehabilitation.


In industrialised countries, hip fracture is a major threat for frail older people and the healthcare system. Moreover, the burden on society is increasing: 1.6 million of fractures occurred in adults in 2000, with predictions of numbers rising to 7.3–21.3 million by the year 2050.1 Mean age of fracture is around 80 years, and about 80% are women. Despite successful surgical treatment, the 1-year mortality rate is 12%–37%, while 10%–20% will require a change to a …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.