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Research output: Contribution to Journal/Magazine › Editorial › peer-review
Research output: Contribution to Journal/Magazine › Editorial › peer-review
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TY - JOUR
T1 - There is (probably) no (meaningful) difference in (most) outcomes between ‘spinal' and ‘general' anaesthesia for hip fracture surgery
T2 - time to move forward
AU - White, S.M.
AU - Tedore, T.
AU - Shelton, C.L.
PY - 2023/4/30
Y1 - 2023/4/30
N2 - A meta-analysis influenced by two recent large randomised controlled trials (REGAIN and RAGA) concluded that little, if any, difference in commonly measured outcomes exists between patients administered spinal or general anaesthesia for their hip fracture surgery. We explore whether there is genuinely no difference, or what the methodological problems in research might be that prevent any real difference from being observed. We also discuss the need for greater nuance in future research to determine how anaesthetists might deliver perioperative care towards improving postoperative recovery trajectories in patients following hip fracture.
AB - A meta-analysis influenced by two recent large randomised controlled trials (REGAIN and RAGA) concluded that little, if any, difference in commonly measured outcomes exists between patients administered spinal or general anaesthesia for their hip fracture surgery. We explore whether there is genuinely no difference, or what the methodological problems in research might be that prevent any real difference from being observed. We also discuss the need for greater nuance in future research to determine how anaesthetists might deliver perioperative care towards improving postoperative recovery trajectories in patients following hip fracture.
KW - general anaesthesia
KW - geriatric anaesthesia
KW - hip fracture
KW - postoperative outcomes
KW - spinal anaesthesia
U2 - 10.1016/j.bja.2023.01.013
DO - 10.1016/j.bja.2023.01.013
M3 - Editorial
VL - 130
SP - 385
EP - 389
JO - British Journal of Anaesthesia
JF - British Journal of Anaesthesia
SN - 0007-0912
IS - 4
ER -