May 2011

Document Type


Degree Name



Dept. of Medical Informatics and Clinical Epidemiology


Oregon Health & Science University


The rate of hip fractures has been steadily increasing over the past 3 decades, 5 fold in women and 1.5 times in men. For patients with hip fractures, there are a number of treatment options available, varying from surgery to conservative management. Each option has benefits and risks, depending on patient factors. Advice to patients about treatment options is often given by junior doctors who learn by observation and mentoring by their senior colleagues. The advice given may therefore not be standardized or evidence-based and patients may make misinformed decisions. Decision aids, developed to support and streamline the medical decision-making process, may play a part in decision-making for patients with hip fractures. A decision aid was created for providers to use in consultation with patients who have hip fractures. This website included an evidence-based pathway, treatment options and advice on treatment. Ten clinicians used the pathway and answered a questionnaire on ease of use, clinical accuracy, and usability. Overall, the clinicians thought the pathway was clinically accurate but wanted more customization for individual patient concerns and expectations. This study provides preliminary evidence that decision aids can prove beneficial for orthopedic practice.




School of Medicine



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