15.6Review protocol – surgeon seniority

Review questionDoes surgeon seniority (consultant or equivalent) reduce the incidence of mortality, operative revision and poor functional outcome?
ObjectivesTo investigate whether senior surgeons lead to better outcomes for hip fracture patients
PopulationPatients >18 years old with a hip fracture undergoing different types of surgery for hip fracture repair

People with fractures caused by specific pathologies other than osteoporosis or osteopaenia, and patients under 18 years old are excluded from the scope.

Consultant grade or equivalent


Below consultant grade or equivalent



Mortality (30 days, 3 months, 1 year)

Length of stay in secondary care

Reoperation rate


Wound infection

Search strategyThe databases to be searched are Medline, Embase, The Cochrane Library and CINAHL.

Randomised controlled trials (RCTs) will be considered. If no RCTs are found well conducted cohort studies and observational studies may also be considered.

Studies will be restricted to English language only

No date restriction will be applied. Databases will be searched from their date of origin
The review strategyMeta-analyses will be conducted where possible.

If there is heterogeneity the following subgroups will be analysed separately:


From: Appendix C, Review protocols

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
Copyright © 2011, National Clinical Guideline Centre.

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