Trial reportDer Unfallchirurg2015
[Prevalence and management of osteoporosis in trauma surgery. Implementation of national guidelines during inpatient fracture treatment].
Trial report in Der Unfallchirurg, 2015. 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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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Operative treatment of 2-part surgical neck fractures of the proximal humerus (AO 11-A3) in the elderly: Cement augmented locking plate Philos™ vs. proximal humerus nail MultiLoc®.BMC musculoskeletal disorders · 2016Trial
- [79/f - increasing immobilization and back pain : Preparation for the medical specialist examination-Part 20].Der Unfallchirurg · 2021Article
- [Osteoporosis in private accident insurance].Der Unfallchirurg · 2018Review
- Failure and revision rates of proximal humeral fracture treatment with the use of a standardized treatment algorithm at a level-1 trauma center.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2017Article
- Investigation and management of osteoporosis in aged trauma patients: a treatment algorithm adapted to the German guidelines for osteoporosis.Journal of orthopaedic surgery and research · 2017Article
- Diagnosis and therapy of osteoporosis in geriatric trauma patients: an update.Innovative surgical sciences · 2016Review
- 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
- [Osteological interdisciplinary management : exemplified by a bilateral proximal humeral fracture].Der Unfallchirurg · 2015Article
- [Identification, diagnostics and guideline conform therapy of osteoporosis (DVO) in trauma patients : a treatment algorithm].Der Unfallchirurg · 2015Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoporosis-associated fractures represent a risk factor for developing further fragility fractures. Therefore, guideline-oriented osteoporosis intervention is of utmost importance during inpatient fracture treatment. PATIENTS AND
methodsWomen >50 years and men >60 years with fractures of the lumbar or thoracic spine, proximal femur, proximal humerus and distal radius were included in a prospective study. We analyzed the initiation of diagnosis and treatment of osteoporosis during the inpatient stay.
resultsA total of 455 patients were included and bone mineral density measurement (DXA) was carried out in 65.9 %. Women underwent DXA in 69.5 % and men significantly less frequently in 52.1 %. Osteoporosis was diagnosed in 56.6 %, where women were affected in 56.2 % and men in 59 % of cases. In 83.8 % osteoporosis had been previously unknown. Treatment according to the guidelines of the Organisation of German Scientific Osteology-related Societies (DVO) was initiated in 86.7 % and 77.1 % of women >70 years and men >80 years required anti-resorptive treatment after DXA.
conclusionsThe majority of elderly patients with fractures also suffer from osteoporosis, independent of gender. Even nowadays, osteoporosis is predominantly not diagnosed until the incidence of a fracture. Therefore, the trauma surgeon is in a key position to initiate diagnosis and treatment of osteoporosis.
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