REGAINing the Freedom to Choose Insensibility for Hip Fracture Surgery

Editorial| March 2024 REGAINing the Freedom to Choose Insensibility for Hip Fracture Surgery This article has an Audio Podcast Elizabeth L. Whitlock, M.D., M.Sc.; Elizabeth L. Whitlock, M.D., M.Sc. 1Department of Anesthesia and Perioperative Care, University of California–San Francisco, San Francisco, California. Search for other works by this author on: This Site PubMed Google Scholar Alexander K. Smith, M.D., M.P.H. Alexander K. Smith, M.D., M.P.H. 2Division of Palliative Medicine, Department of Medicine, University of California–San Francisco, San Francisco, California. Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information This editorial accompanies the article on p. 375. Accepted for publication November 28, 2023. Address correspondence to Dr. Whitlock: Anesthesiology March 2024, Vol. 140, 352–354. https://doi.org/10.1097/ALN.0000000000004853 Connected Content Article: Long-term Outcomes with Spinal versus General Anesthesia for Hip Fracture Surgery: A Randomized Trial Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation Elizabeth L. Whitlock, Alexander K. Smith; REGAINing the Freedom to Choose Insensibility for Hip Fracture Surgery. Anesthesiology 2024; 140:352–354 doi: https://doi.org/10.1097/ALN.0000000000004853 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsAnesthesiology Search Advanced Search Topics: hip fracture repair, anesthesia, general Hip fracture is a life-changing event for older patients,1 often followed by poor outcomes. Hip fracture surgery is also particularly amenable to neuraxial anesthesia, as well as general anesthesia. While tremendous strides in the safety of anesthesia care have occurred over the past few decades, identifying long-term survival benefits of one anesthesia type over another would be very important. Nonetheless, traditional endpoints like survival can feel a little thin when a plausible outcome is survival with unacceptable quality of life. Many older adults care more about functional and cognitive outcomes of treatment decisions than mortality.2 To capture “what matters,” we can and should study function and independence at these distant endpoints. The Regional versus General Anesthesia for Promoting Independence after Hip Fracture (REGAIN) trial was a forward-thinking international, multicenter, pragmatic, randomized trial of neuraxial versus general anesthesia for hip fracture repair,3 with prespecified study of 1-yr outcomes... You do not currently have access to this content.