Fragility Fracture Systems: International Perspectives - Asia & Australia.

Autor:	Tarrant SM; Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, Australia., Kim JW; Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea., Matsushita T; Department of Traumatology, Fukushima Medical University/Trauma and Reconstruction Center, Shinyurigaoka General Hospital, Kawasaki, Japan., Minehara H; Department of Traumatology, Fukushima Medical University/Trauma and Reconstruction Center, Shinyurigaoka General Hospital, Kawasaki, Japan., Noda T; Department of Orthopaedic Surgery and Traumatology, Kawasaki Medical School General Medical Center, Okayama, Japan., Oh JK; Korea University Guro Hospital, Seoul., Park KC; Hanyang University Guri Hospital, Hanyang University, Guri, Republic of Korea., Yamamoto N; Niigata Rehabilitation Hospital, Niigata, Japan., Balogh ZJ; Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, Australia.; School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Jazyk:	angličtina
Zdroj:	OTA international : the open access journal of orthopaedic trauma [OTA Int] 2022 Jun 09; Vol. 5 (3 Suppl), pp. e195. Date of Electronic Publication: 2022 Jun 09 (Print Publication: 2022).
DOI:	10.1097/OI9.0000000000000195
Abstrakt:	Background: The incidence and burden of fragility fractures have reached the level where comprehensive systematic care is warranted to optimize the care of these patients. Hip fractures are the most frequently lethal and independence level changing fragility fractures, responsible for 30-day mortality comparable to high-energy trauma patients with injury severity scores over 12. It is a reasonable expectation that countries have a hip fracture treating system of care in place for this high-risk population. This review explores the systems of care from the Asia-Pacific Perspective. Methods: From the International Orthopaedic Trauma Association's member societies, nations from the Asia-Pacific Region were requested to contribute with an overview of their fragility fracture management systems. The content or the review was standardized by a template of headings, which each country endeavored to cover. Results: Australia, Japan, and South Korea contributed voluntarily from the 5 member countries of the region. Each country has made considerable efforts and achievements with diverse approaches to standardize and improve the care of fragility fractures, particularly hip fractures. Beyond the individual nations' efforts there is also an existing Asia-Pacific Collaborative. The data collection and in some counties the existence of a registry is promising; funding and recognition of the problem among competing health care budget priorities are common. Conclusions: Our review covers some of the countries with strongest economy and highest health care standards. The lack of a universal robust system for hip fracture care is apparent. The data collection from registry initiations is expected to drive system development further in these countries and hopefully fast track the development in other countries within the most populous geographical region of the Earth. Competing Interests: The authors disclose there are no conflicts of interest related to the research topic (“Hip fracture management systems”) and submitted manuscript. The authors have no conflicts of interest to disclose. (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.)
Databáze:	MEDLINE
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