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Can orthopedic surgeons help create a better head start for osteoporosis treatment after hip fracture?


ABSTRACT: Treatment for osteoporosis in the community in patients who were operated for hip fracture appears to be suboptimal at best. Evidence regarding treatment beyond the 1st year after surgery is scarce. We examined the association between discharge recommendations for treatment of osteoporosis in patients suffering from hip fractures and treatment beyond the 1st year.We performed a retrospective observational cohort study in patients age 50 to 90 years operated for osteoporotic hip fractures between the years 2008 and 2014. We investigated the correlation between discharge recommendations and rates of osteoporosis treatment postdischarge 1 to 7 years, and the influence of osteoporosis diagnosis upon treatment. Exclusion criteria besides age included high-energy trauma, pathologic or periprosthetic fractures, and patients deceased within 1-year postsurgery.A total of 602 patient files were examined. Univariate analysis showed that, of 283 patients who were prescribed dietary supplementation of vitamin D and calcium, a significantly higher percentage of patients received treatment if they had a recommendation (50.3% vs 36.1%, P = 0.0005), were diagnosed (43.8% vs 14.4%, P?

SUBMITTER: Rinat B 

PROVIDER: S-EPMC5058859 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature

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Can orthopedic surgeons help create a better head start for osteoporosis treatment after hip fracture?

Rinat Barak B   Rubin Guy G   Orbach Hagay H   Giwnewer Uriel U   Rozen Nimrod N  

Medicine 20160701 27


<h4>Background</h4>Treatment for osteoporosis in the community in patients who were operated for hip fracture appears to be suboptimal at best. Evidence regarding treatment beyond the 1st year after surgery is scarce. We examined the association between discharge recommendations for treatment of osteoporosis in patients suffering from hip fractures and treatment beyond the 1st year.<h4>Methods and materials</h4>We performed a retrospective observational cohort study in patients age 50 to 90 year  ...[more]

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