Van Voorden TAJ, Hartog DD, Van Lieshout EMM, et al. - This research was intended to ascertain the impact of the implementation of the dutch hip fracture audit (DHFA) on 30-day mortality, length of hospital stay and time until surgery in elderly with a hip fracture in the Netherlands. Researchers performed a multicenter retrospective comparative cohort study and extracted data from the Dutch Nationwide Trauma Registration (LTR). They tried to compare data from 2015, before implementation of DHFA, and data from 2017, when the DHFA was implemented. Thirty-day mortality was the primary outcome and length of hospital stay and time until surgery were considered as secondary outcomes. They applied multivariable regression models to compare results between groups. The total number of participants included in the study were 3,808 (1,839 in the 2015 cohort and 1,969 in the 2017 cohort, 29% was male; mean age 82 years). The evidence suggested that implementation of the DHFA quality indicator does have a positive non-significant trend on 30-day mortality, but displayed no effect on length of hospital stay and time until surgery. More study on relevant quality indicators appears therefore mandatory.