Can orthopedic surgeons help create a better head start for osteoporosis treatment after hip fracture?
| Autor: | Nimrod Rozen, Barak Rinat, Guy Rubin, Uriel Giwnewer, Hagay Orbach |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
communal treatment medicine.medical_specialty diagnosis Osteoporosis Observational Study Periprosthetic vitamin D 030209 endocrinology & metabolism osteoporotic fracture Cohort Studies 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans discharge recommendation Orthopedic Procedures 030212 general & internal medicine Aged Retrospective Studies Aged 80 and over Univariate analysis Hip fracture calcium Hip Fractures business.industry General Medicine Odds ratio Middle Aged medicine.disease Surgery Head start Orthopedic surgery Female business Osteoporotic Fractures Research Article Cohort study |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000004141 |
| Popis: | Background: 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. Methods and materials: 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. Results: 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 |
| Databáze: | OpenAIRE |
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