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- Title
Ten years change in post-fracture care for hip fracture patients.
- Authors
Shimodan, Shun; Sato, Dai; Takahashi, Kaname; Nakamura, Yumejiro; Hyakkan, Ryota; Watanabe, Takamasa; Hishimura, Ryosuke; Ota, Masahiro; Shimizu, Hirokazu; Hojo, Yoshihiro; Hasegawa, Yuichi; Chubachi, Toshiya; Yasui, Keigo; Tsujimoto, Takeru; Tsukuda, Yukinori; Asano, Tsuyoshi; Takahashi, Daisuke; Takahata, Masahiko; Iwasaki, Norimasa; Shimizu, Tomohiro
- Abstract
<bold>Introduction: </bold>This multicenter, retrospective study aimed to clarify the changes in postoperative care provided by orthopaedic surgeons after hip fractures and clarify the incidence of secondary fractures requiring surgery.<bold>Materials and Methods: </bold>Subjects were patients with hip fracture treated surgically in seven hospitals during the 10-year period from January 2008 to December 2017. Data on patient demographics, comorbidities, preoperative and postoperative osteoporosis treatments, and secondary fractures were collected from the medical records.<bold>Results: </bold>In total, 4764 new hip fractures in 982 men and 3782 women (mean age: 81.3 ± 10.0 years) were identified. Approximately 10% of patients had a history of osteoporosis drug treatment and 35% of patients received postoperative drug treatment. The proportion of patients receiving postoperative drug therapy increased by approximately 10% between 2009 and 2010, 10% between 2010 and 2011, and 10% between 2011 and 2013. Although the rate of secondary fractures during the entire period and within 3 years decreased from 2011, the rate of secondary fracture within 1 year remained at around 2% every year.<bold>Conclusions: </bold>The approval of new osteoporosis drugs and the establishment of osteoporosis liaison services have had a positive effect on the use of postoperative drug therapy in the orthopedic field. Our finding that the rate of secondary fracture within 1 year of the initial fracture remained around 2% every year, despite improvements in postoperative drug therapy, suggests that both rehabilitation for preventing falls and early postoperative drug therapy are essential to prevent secondary fractures.
- Subjects
BONE fractures; OSTEOPOROSIS treatment; DRUG therapy; MEDICAL records; MEDICAL care; HIP fractures; PATIENTS; DISEASE incidence; RETROSPECTIVE studies; KAPLAN-Meier estimator; POSTOPERATIVE period; RESEARCH funding; LONGITUDINAL method; COMORBIDITY
- Publication
Journal of Bone & Mineral Metabolism, 2020, Vol 38, Issue 2, p222
- ISSN
0914-8779
- Publication type
journal article
- DOI
10.1007/s00774-019-01047-3