NIHR HIPCARE: a cluster randomised controlled trial with embedded process evaluation

About this project

Older patients are particularly likely to break a bone (fracture) because of a fall from a standing height, as their bones are weakened by osteoporosis. These fragility fractures have serious consequences; in the UK 25% of hip fracture patients die within a year and survivors have a reduction in their quality-of-life similar to having a stroke. Outcomes may be even worse in LMIC without the same level of healthcare resource. Asia is particularly affected by rapidly ageing populations. The number of hip fractures is expected to increase from 1,124,060 now to 2,563,488 in 2050. Associated healthcare cost may rise to US$15 billion. Improving care for patients with hip fracture is therefore a priority in this region. Looking after patients following a hip fracture requires healthcare workers from many different backgrounds to work together. These include surgeons, doctors specialising in looking after older patients, nurses and therapists, each with defined roles and responsibilities. In the UK, this team approach has reduced the number of patients dying and improved quality-of-life after hip fracture. It also reduced time spent in hospital and associated healthcare costs. Our project has two parts: 1. To refine the multidisciplinary HIPCARE training and support package for each LMIC. 2. To see if the HIPCARE intervention improves the quality-of-life for hip fracture patients in LMIC and whether it reduces healthcare costs, compared with usual care. The HIPCARE training package…

Published by

Mahidol University · Academic, training and research

Countries

Thailand

Sectors

Medical research

Funded by

UK - Department of Health and Social Care (DHSC)

Implemented by

The University of Oxford, Kathmandu Medical College Public Limited, University of Philippines Manila, Mahidol University, Faculty of Medicine Ramathibodi Hospital, The Hanoi University of Public Health, George Institute Services India Private Limited, All India Institute of Medical Sciences, New Delhi, University of New South Wales

Accountable

The University of Oxford

Published by Mahidol University to the International Aid Transparency Initiative (IATI), last updated 12 Oct 2026 and imported automatically. IATI identifier: XI-ROR-01znkr924-GB-GOV-10-RIGHT-4-203194.

No updates yet.