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A Delphi consensus on the management of Spanish patients with osteoporosis at high risk of fracture: OSARIDELPHI study
ConclusionThis Delphi study provides expert-based recommendations on clinical decision-making for managing patients with osteoporosis at high risk of fracture. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 23, 2023 Category: Orthopaedics Source Type: research

The integrated structure of care: evidence for the efficacy of models of clinical governance in the prevention of fragility fractures after recent sentinel fracture after the age of 50 years
ConclusionsBased on our findings, clinicians should promote the management of patients experiencing a fragility fracture through structured and integrated models of care. The task force has formulated appropriate recommendations on the implementation of multidisciplinary care systems in patients with, or at risk of, fragility fractures. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 21, 2023 Category: Orthopaedics Source Type: research

Effects of exercise on bone mineral density in middle-aged and older men: A comprehensive meta-analysis
ConclusionOur results suggested a relatively mild, improvement effect of exercise on LS and proximal femur BMD. Exercise has the potential to be an effective way to avert bone loss in middle-aged and older men. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - August 7, 2023 Category: Orthopaedics Source Type: research

Secondary fracture prevention with osteoporosis medication after a fragility fracture in Sweden remains low despite new guidelines
ConclusionDespite increasing prescription proportions, medical treatment for secondary fracture prevention remains low. In addition, it is more common to be prescribed vitamin D or calcium than osteoporosis medication after a fragility fracture, contrary to current guidelines. These results indicate that there is room for improvement for Fracture Liaison Services in Sweden. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 29, 2023 Category: Orthopaedics Source Type: research

First Ecuadorian consensus statement on the management of osteoporosis
(Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 28, 2023 Category: Orthopaedics Source Type: research

Mortality following fragility hip fracture in China: a record linkage study
ConclusionAlthough mortality risk declined over time, patients with fragility hip fracture experienced an approximate ninefold excess mortality, peaking shortly after fracture, in comparison with that of the general population. Continuous efforts in lowering the occurrence of hip fracture have the potential to improve the survival of the elderly population in China. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 27, 2023 Category: Orthopaedics Source Type: research

Treatment of osteoporosis with denosumab in patients with decreased kidney function
ConclusionTreatment with denosumab of osteoporosis in patients with decreased kidney function (eGFR 9 –50 mL/min), with normal/high PTH, seems in general to be well tolerated, with improvement of bone and decreased risk of new fractures. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 26, 2023 Category: Orthopaedics Source Type: research

Factors associated with non-initiation of osteoporosis pharmacotherapy after hip fracture: analysis of claims data in Japan
ConclusionPharmacotherapy for osteoporosis was less likely to be initiated after a hip fracture in male patients and patients with dementia. These patients should be considered for pharmacotherapy because they are at high risk of recurrent fractures. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 21, 2023 Category: Orthopaedics Source Type: research

Can the greater trochanter/femoral neck signal intensity ratio on coronal T1 weighted images of the hip differentiate normal −abnormal bone mineral density?
ConclusionsThe T/N ratio seems to be effective at differentiating patients with normal vs. abnormal BMD and may help triage patients for additional evaluation. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 19, 2023 Category: Orthopaedics Source Type: research

A new digital case-based educational program Orthogeriatrics TeleECHO, a strategy to improve the care of fragility fracture patients
ConclusionThe Orthogeriatrics TeleECHO program was effective in changing perceptions and self-confidence of the participants, and applying knowledge acquired to patient care. This model of learning could be applied in other countries in other languages to improve post-fracture care worldwide. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 19, 2023 Category: Orthopaedics Source Type: research

The serum NT-proBNP is associated with all-cause mortality in geriatric hip fracture: a cohort of 1354 patients
ConclusionsThe NT-proBNP levels were nonlinearly associated with mortality in elderly hip fractures, and NT-proBNP of 781 ng/L was a valuable indicator of all-cause mortality.Trial registrationChiCTR2200057323 (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 17, 2023 Category: Orthopaedics Source Type: research

Economic evaluation of four treatment strategies for postmenopausal patients with osteoporosis and a recent fracture in mainland China: a cost-effectiveness analysis
ConclusionStratified treatment based on very high fracture risk is more cost-effective than conventional pills in mainland China. Among the stratified treatments, zoledronate is the optimal option. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 17, 2023 Category: Orthopaedics Source Type: research

The serum NT-proBNP is associated with all-cause mortality in geriatric hip fracture: a cohort of 1354 patients
ConclusionsThe NT-proBNP levels were nonlinearly associated with mortality in elderly hip fractures, and NT-proBNP of 781 ng/L was a valuable indicator of all-cause mortality.Trial registrationChiCTR2200057323 (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 17, 2023 Category: Orthopaedics Source Type: research

Economic evaluation of four treatment strategies for postmenopausal patients with osteoporosis and a recent fracture in mainland China: a cost-effectiveness analysis
ConclusionStratified treatment based on very high fracture risk is more cost-effective than conventional pills in mainland China. Among the stratified treatments, zoledronate is the optimal option. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 17, 2023 Category: Orthopaedics Source Type: research

Hip structural analysis, trabecular bone score, and bone mineral density in post-menopausal women with type-2 diabetes mellitus: a multi-center cross-sectional study in the south of Iran
ConclusionThis study may highlight the utility of the TBS and BMD at the distal radius and total forearm in subjects with type-2 diabetes mellitus, where the BMD at central sites may not adequately predict fracture risk. (Source: Archives of Orthopaedic and Trauma Surgery)
Source: Archives of Orthopaedic and Trauma Surgery - July 16, 2023 Category: Orthopaedics Source Type: research