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Ten years change in post-fracture care for hip fracture patients

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Title: Ten years change in post-fracture care for hip fracture patients
Authors: Shimodan, Shun Browse this author
Sato, Dai Browse this author
Takahashi, Kaname Browse this author
Nakamura, Yumejiro Browse this author
Hyakkan, Ryota Browse this author
Watanabe, Takamasa Browse this author
Hishimura, Ryosuke Browse this author
Ota, Masahiro Browse this author
Shimizu, Hirokazu Browse this author
Hojo, Yoshihiro Browse this author
Hasegawa, Yuichi Browse this author
Chubachi, Toshiya Browse this author
Yasui, Keigo Browse this author
Tsujimoto, Takeru Browse this author
Tsukuda, Yukinori Browse this author
Asano, Tsuyoshi Browse this author →KAKEN DB
Takahashi, Daisuke Browse this author →KAKEN DB
Takahata, Masahiko Browse this author →KAKEN DB
Iwasaki, Norimasa Browse this author →KAKEN DB
Shimizu, Tomohiro Browse this author →KAKEN DB
Keywords: Hip fracture
Secondary fracture
Anti-osteoporosis therapy
Osteoporosis liaison service
Issue Date: Mar-2020
Publisher: Springer
Journal Title: Journal of Bone and Mineral Metabolism
Volume: 38
Start Page: 222
End Page: 229
Publisher DOI: 10.1007/s00774-019-01047-3
Abstract: IntroductionThis 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.Materials and methodsSubjects 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.ResultsIn total, 4764 new hip fractures in 982 men and 3782 women (mean age: 81.310.0years) 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 3years decreased from 2011, the rate of secondary fracture within 1year remained at around 2% every year.Conclusions p id=Par4 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 1year 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.
Rights: The final publication is available at
Type: article (author version)
Appears in Collections:国際連携研究教育局 : GI-CoRE (Global Institution for Collaborative Research and Education : GI-CoRE) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 清水 智弘

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