ArticleDer Unfallchirurg2008
[Reality of treatment of osteoporotic fractures in German trauma departments. A contribution for outcome research].
Article in Der Unfallchirurg, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- [Preventive bone mineral density measurement in postmenopausal women. Differentiation of treatment of recommendations Guidelines of the Umbrella Organization for Osteology ("Dachverband Osteologie")].Der Unfallchirurg · 2013Trial
- Mapping the Clinical Care Pathway of Fragility Fracture Patients at a German Maximum Care Provider Through Qualitative Research.Zeitschrift fur Orthopadie und Unfallchirurgie · 2026Article
- [Results of the pilot phase of the Age Trauma Registry DGU®].Der Unfallchirurg · 2017Article
- Geriatric Fracture Centre (German Trauma Society): guidelines and certification to improve geriatric trauma care.Innovative surgical sciences · 2016Article
- [Posttraumatic deformities of the knee joint : Intra-articular osteotomy after malreduction of tibial head fractures].Der Unfallchirurg · 2016Review
- The Role of a Primary Arthroplasty in the Treatment of Proximal Tibia Fractures in Orthogeriatric Patients.BioMed research international · 2016Article
- [Indication for primary fracture prosthesis of the shoulder].Der Unfallchirurg · 2013Article
- [Comparison of regional distribution of cancellous bone in osteoporotic and non-osteoporotic distal radii].Der Unfallchirurg · 2011Article
- [Tibial head fractures in the elderly].Der Unfallchirurg · 2011Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The implementation of clinical pathways has a proven positive effect on the diagnostic workup and initiation of therapy in osteoporotic fracture patients. Unlike in most countries, fracture care in Germany is provided by so-called trauma surgeons. Therefore, it is essential to focus on the trauma surgeon for correct diagnostic workup and therapy initiation after a fragility fracture. A questionnaire was mailed to 409 departments of traumatology inquiring about the existence of a standardized clinical pathway for diagnosis and treatment of patients with fragility fractures. One of the central issues of the survey was whether those pathways comply with national guidelines. Only institutions that stated that they followed a clinical pathway were analyzed. 80% of institutions took part in our survey, 35% of which reported following a defined clinical pathway. Diagnostic workup is in concordance with the national guidelines in 30%, and therapy is guideline-based in 51%, with 12% basing both diagnostic workup and therapy on the guidelines. Thus, the vast majority of German traumatology departments do not follow national guidelines regarding osteoporosis diagnostics and therapy in patients with fragility fractures, leading to a great opportunity to improve fragility fracture care by means of both education and interdisciplinary cooperation.
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Registered trials
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