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Treating Osteoporosis After Hip Fracture
Date:11/3/2008

se patients are older, and therefore may have a number of other health concerns. Their primary care physician is looking at the heart, lungs, and other more critical issues. Also, a lot of primary care physicians aren't that comfortable prescribing the specialized osteoporosis medications."

"In addition, orthopaedic surgeons frequently aren't prepared to take responsibility for osteoporosis management," Miki adds. "It's not a surgical issue -- it's chronic disease management, and their practices aren't set up for that type of care."

In the study, researchers randomly selected 31 hip fracture patients to receive follow-up care at a specialized orthopaedic osteoporosis clinic and 31 to receive the usual type of treatment from their primary care physician. Six months following the initial hip fracture:

-- 58 percent of patients in the orthopaedic clinic were still taking an

osteoporosis medication.

-- 29 percent of the patients in the primary care group were taking an

osteoporosis medication.

In addition:

-- 26 patients in the orthopedic group had undergone a bone mineral density

test compared with 7 patients in the primary care group

Researchers initially planned to continue the study until they had enrolled 120 patients, but the early findings were so conclusive that the study was discontinued.

"Hospitals need systems and processes in place so that orthopaedic surgeons can refer osteoporosis patients to a specialist who can oversee disease management," Miki said.

JBJS (http://www.ejbjs.org )

AAOS (http://www.aaos.org )

More information on Osteoporosis

(http://orthoinfo.aaos.org/topic.cfm?topic=A00232 )

Disclosure: The authors did not receive any outside funding or
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SOURCE American Academy of Orthopaedic Surgeons
Copyright©2008 PR Newswire.
All rights reserved

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