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There is (probably) no (meaningful) difference in (most) outcomes between ‘spinal' and ‘general' anaesthesia for hip fracture surgery: time to move forward

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There is (probably) no (meaningful) difference in (most) outcomes between ‘spinal' and ‘general' anaesthesia for hip fracture surgery: time to move forward. / White, S.M.; Tedore, T.; Shelton, C.L.
In: British Journal of Anaesthesia, Vol. 130, No. 4, 30.04.2023, p. 385-389.

Research output: Contribution to Journal/MagazineEditorialpeer-review

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White SM, Tedore T, Shelton CL. There is (probably) no (meaningful) difference in (most) outcomes between ‘spinal' and ‘general' anaesthesia for hip fracture surgery: time to move forward. British Journal of Anaesthesia. 2023 Apr 30;130(4):385-389. Epub 2023 Mar 15. doi: 10.1016/j.bja.2023.01.013

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@article{560bd21668844d758b0b08fab5c4f68b,
title = "There is (probably) no (meaningful) difference in (most) outcomes between {\textquoteleft}spinal' and {\textquoteleft}general' anaesthesia for hip fracture surgery: time to move forward",
abstract = "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.",
keywords = "general anaesthesia, geriatric anaesthesia, hip fracture, postoperative outcomes, spinal anaesthesia",
author = "S.M. White and T. Tedore and C.L. Shelton",
year = "2023",
month = apr,
day = "30",
doi = "10.1016/j.bja.2023.01.013",
language = "English",
volume = "130",
pages = "385--389",
journal = "British Journal of Anaesthesia",
issn = "0007-0912",
publisher = "ELSEVIER SCI LTD",
number = "4",

}

RIS

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 -