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A retrospective observational study of osteoporosis management after a fragility fracture in primary care
ConclusionIn the primary care setting, fragility fracture infrequently resulted in osteoporosis treatment or fracture risk assessment, even after multiple fragility fractures. These results suggest a fragility fracture is not recognized as a major risk factor for subsequent fracture and its occurrence does not prompt primary care physicians to intervene. These data urge initiatives to identify and overcome obstacles to primary care physicians ’ effective management of patients after fragility fractures. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - May 6, 2022 Category: Orthopaedics Source Type: research

Overview of the clinical efficacy and safety of eldecalcitol for the treatment of osteoporosis
ConclusionsThis systematic review indicated that ELD was superior than alfacalcidol for improving vertebral fracture risk and BMD. Further large-scale trials should be conducted to verify the long-term effects and safety of ELD in osteoporosis.Prospero registration numberCRD42020147518. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - May 5, 2022 Category: Orthopaedics Source Type: research

Development of a data-driven case-mix adjustment model for comparison of hospital performance in hip fracture care
ConclusionsDutch hospitals show significant case-mix variation regarding hip fracture patients. Case-mix adjustment is a prerequisite when comparing hospitals ’ 30-day and 90-day hip fracture patients’ mortality. Adjusted mortality may serve as a starting point for improving hip fracture care. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 27, 2022 Category: Orthopaedics Source Type: research

Screening and management of osteoporosis: a survey of knowledge, attitude and practice among primary care physicians in Malaysia
ConclusionGiven the insufficient knowledge and low level of osteoporosis screening, there is a need for a national structured health programme to address the knowledge gap, increase screening practices and enhance accessibility to BMD and anti-osteoporosis medication in primary care. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 26, 2022 Category: Orthopaedics Source Type: research

Cost-effectiveness of romosozumab for the treatment of postmenopausal women at very high risk of fracture in Canada
ConclusionRomosozumab/alendronate was associated with reduced costs and greater benefit relative to other comparators. Probabilistic, deterministic, and scenario analyses indicate that romosozumab/alendronate represents the best value for money; the uncertainty analyses are robust, and therefore romosozumab should be considered for reimbursement by public drug plans in Canada . (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 26, 2022 Category: Orthopaedics Source Type: research

Correction to: Quality indicators in the treatment of geriatric hip fractures: literature review and expert consensus
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 22, 2022 Category: Orthopaedics Source Type: research

Correction to: Access to care for low trauma hip fractures in South Africa
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 20, 2022 Category: Orthopaedics Source Type: research

Reduction prevalence of fragility fracture hospitalisation during the COVID-19 lockdown
AbstractSummaryFracture hospitalizations of people  ≥ 65 years old living in France increased annually from 2015 until 2019 (average: 1.8%), until being reduced in 2020 (− 1.4%) with an abrupt decrease during the lockdown period. Decreased exposure to the risk of falling during COVID-19 year 2020 may have reflected in lower incidence of fractures. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 18, 2022 Category: Orthopaedics Source Type: research

Physical activity estimated by osteogenic potential and energy expenditure has differing associations with bone mass in young adults: the raine study
ConclusionThis study revealed disagreement in associations of self-reported METs and loading score estimates with bone health in young adults. Coupling traditional energy expenditure questionnaire outcomes with bone-loading estimates may improve understanding of the location-specific skeletal benefits of physical activity in young adults. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 18, 2022 Category: Orthopaedics Source Type: research

The relationship between vitamin D deficiency, body composition, and physical/cognitive functions
ConclusionWe imply that together with BMI, VitD deficiency is independently related with increased regional subcutaneous fat tissue. We also underscore the role of US measurements for evaluation of body composition in related clinical scenarios. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 14, 2022 Category: Orthopaedics Source Type: research

Association of possible sarcopenic obesity with osteoporosis and fragility fractures in postmenopausal women
ConclusionsPossible sarcopenic obese women had a lower likelihood of osteoporosis but a higher likelihood of fragility fractures than non-sarcopenic non-obese and sarcopenia-only women. Furthermore, possible sarcopenic obese individuals had lower values of TBS than non-sarcopenic non-obese and sarcopenia-only women. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 14, 2022 Category: Orthopaedics Source Type: research

Impact of osteoporosis liaison services on the expected lifetime osteoporosis-related medical expenses of patients with fragility fracture in a private hospital in Japan
ConclusionThe implementation of OLS can reduce overall healthcare costs despite the increased expenses required to provide medical therapy and periodic examinations. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 13, 2022 Category: Orthopaedics Source Type: research

How to initiate and develop Fracture Liaison Services (FLS). Recommendations from the IOF Capture the Fracture ® FLS Mentors in Brazil
ConclusionThe peculiarity of the Brazilian healthcare system means FLS implementation needs to be tailored to local reality. However, even with limitations, any attempt to capture patients who suffer a fracture due to bone fragility is effective and reduces the risk of further fractures. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 12, 2022 Category: Orthopaedics Source Type: research

Medical expenditures for fragility hip fracture in Japan: a study using the nationwide health insurance claims database
ConclusionThis is the first study to estimate medical expenditures for hip fracture using the nationwide health insurance claims database, which represents almost all health insurance claims in Japan. Fragility hip fracture inflicts a considerable health economic burden on society in Japan. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - April 11, 2022 Category: Orthopaedics Source Type: research