Hip Fracture Audit


Use audit to drive improvement in hip fracture care around the world


  • Bring together a global multidisciplinary network of people experienced in and passionate about hip fracture audit
  • Provide a platform for sharing HFA knowledge, learning and research, and consensus over core aspects of registry design


Hip Fracture Toolbox

  • Developed as a collaboration by the Asia Pacific Fragility Fracture Alliance Hip Fracture Registry Working Group and the Fragility Fracture Network Hip Fracture Audit Special Interest Group, this practical and informative resource explains the fundamental need, and how to best advocate for, the establishment of a national hip fracture registry.
  • To learn more,visit: https://apfracturealliance.org/hfr-toolbox/

Minimum Common Dataset

  • The simplest set of data that new national audits should aim to collect has been reviewed and released as the FFN’s Minimum Common Dataset 2022  and includes 22 core questions and 12 optional fields which may be of use depending on the organisation of healthcare in different countries.
  • The MCD 2022 was based on a review of audit datasets taken by ten established national audits and these audits should try to ensure that they continue to capture the elements of the MCD 2022 if they wish to compare their findings with those of other countries.

Quality Indicators

  • A registry is just a record of what is happening, and for it to drive improvement it needs to be focused on key aspects of patient care.
  • Agreed standards and national guidelines will define which aspects of care should be the focus in individual countries, but a review of Quality Indicators has identified nine key areas that are commonly the focus of national audit programmes.


Antony Johansen

Antony Johansen was the first UK consultant to be appointed as a full time orthogeriatrician, and has worked in the trauma unit of the University Hospital of Wales in Cardiff since 1997.

He has championed the specialty of orthogeriatrics; co-authoring the British Orthopaedic Association’s ‘Blue Book’ on Fragility Fracture, and the NICE Guidelines on Hip Fracture. Since 2013 he has been clinical lead for the National Hip Fracture Database (NHFD) at the Royal College of Physicians, London.

As an honorary professor in Cardiff University his research interests embrace the whole field of geriatric medicine, with a focus on quality improvement for older trauma patients.

Cristina Ojeda-Thies

Dr. Cristina Ojeda-Thies MD, PhD, FEBOT is an orthopaedic surgeon currently working in Madrid, dedicated mainly to treating frail patients with fragility fractures, as well as musculoskeletal infections.

Her doctoral dissertation on the effects of surgical delay for hip fractures won the prestigious UAM-ASISA award for best doctoral thesis on Health Management and Health Economics.

She is part of the steering group of the Spanish National Hip Fracture Registry. As international liaison for her registry she has acquired increasing responsibilities in the FFN, mainly as future vice-chair of the Hip Fracture Audit Special Interest Group and as Board Member.
When she is not counting fractured hips or participating in zoom meetings, she enjoys open water swimming and carpentry.

             Advisory Group

Ami Hommel Sweden
Margareta Hedstrom Sweden
Cecilia Rogmark Sweden
Karl-Goran Thorngren Sweden
Jan-Erik Giertsen Norway
Alma Becic Pedersen Denmark
Antony Johansen Wales
Xavier Griffin England
Louise Brent Ireland
Kirsty Ward Scotland
Andrew Hall Scotland
Karen Adam Scotland
Nick Clement Scotland
Cristina Ojeda-Thies Spain
Sarwiga Diem Germany
Christine Hoefer Germany
Jacqui Close Australia
Ian Harris Australia
Hannah Seymour Australia
Elizabeth Armstrong Australia
Lara Harvey Australia
Pierre Guy Canada
Irewin Tabu Philippines
Roberto López Mexico
Juan Carlos Viveros Mexico
Bruno Rafael Boietti Argentina

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