ArticleZeitschrift fur Gerontologie und Geriatrie2011
Treatment of osteoporosis in postmenopausal hip fracture patients after geriatric rehabilitation: changes over the last decade.
Article in Zeitschrift fur Gerontologie und Geriatrie, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of orthogeriatric care models with evaluation and treatment of osteoporosis: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Pooled it
- [Prevalence and management of osteoporosis in trauma surgery. Implementation of national guidelines during inpatient fracture treatment].Der Unfallchirurg · 2015Trial
- Functional status and depressive symptoms in relation to bone mineral density and osteoporosis in hospitalized older adults: a cross-sectional study.BMC geriatrics · 2026Article
- Effects of Protocol-driven Care by Internists on Adherence to Clinical Practice Guidelines for Hip Fracture Surgery Patients: An Interrupted Time Series Study Using a Nationwide Inpatient Database.Internal medicine (Tokyo, Japan) · 2025Article
- [Osteoporosis-epidemiology and quality of care].Zeitschrift fur Gerontologie und Geriatrie · 2019Review
- [Characteristics of pharmacotherapy in older patients with rheumatism].Zeitschrift fur Rheumatologie · 2018Review
- Value of a coordinated management of osteoporosis via Fracture Liaison Service for the treatment of orthogeriatric patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- The reliability and validity of the simplified Chinese version of Male QUALEFFO-26.Rheumatology international · 2016Article
- [Proximal femoral fractures in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2015Review
- [Co-management in geriatric traumatology].Der Orthopade · 2015Article
- [Augmentation techniques on the proximal femur].Der Unfallchirurg · 2015Review
- Ankle fractures have features of an osteoporotic fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- [Osteoporosis: therapy in interface management].Wiener medizinische Wochenschrift (1946) · 2013Review
- Osteoporosis and polypharmacy.Zeitschrift fur Gerontologie und Geriatrie · 2012Review
- [Osteoporotic treatment options in geriatric patients].Zeitschrift fur Gerontologie und Geriatrie · 2012Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoporotic hip fractures are a major cause of morbidity and mortality in postmenopausal women, and their impacts on society are substantial. Although adequate osteoporotic treatment reduces the risk of subsequent fractures and also mortality, only a minor proportion of the patients receives sufficient therapy.
objectivesThe goal of the present study was to evaluate osteoporosis treatment in two different cohorts and to describe the changes after the implementation of a Geriatric Facture Center (GFC) in cooperation with a level 1 trauma center. STUDY
designA retrospective, single-center cross sectional study design was used.
methodsA total of 455 patients (70 years and older) were included at our department of geriatric medicine. The patients were split into two groups. The usual care (UC) group consisted of 327 patients admitted to our department from 2001-2004. The GFC group included 128 patients admitted from 2009-2010. In addition to recording osteoporosis therapy, we collected demographic data, comorbidities, and different functional parameters of the patients. The data were collected retrospectively using medical records. SPSS 18.0 was used for statistical analysis.
resultsOf the patients, 43% in the GFC group received a specific antiresorptive or anabolic treatment (SAAT). Basic treatment with calcium and vitamin D3 was prescribed in 88% of the patients. The diagnosis "osteoporosis" was found in 73.4% of the discharge letters. In the UC group, the percentage of patients with a SAAT was 14.7%, calcium and vitamin D3 was prescribed in 30%, and the diagnosis was documented in 24.5%. All these differences are statistically significant (p < 0.0001). In the GFC group, better functional status and cognition were significantly associated with a higher rate of a prescribed SAAT, whereas age and comorbidities showed a negative association.
conclusionOur results show that the management of osteoporosis in postmenopausal hip fracture patients has significantly improved over the last decade. From our point of view, the main impact on this development is due to the implementation of a GFC with corresponding guidelines and treatment steps. In addition to structural changes, the improved evidence for osteoporosis treatment, especially of geriatric patients, has a positive influence on osteoporosis therapy.
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