Outcomes and secondary prevention strategies for male hip fractures
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationAnn Pharmacother. 2002, 36(1):17-23
AbstractOBJECTIVE: To assess clinical outcomes and determine whether osteoporosis assessment and secondary prevention strategies were performed for male veterans hospitalized for hip fractures. DESIGN: Retrospective chart review for male veterans hospitalized for hip fracture from January 1993 through July 1999. SETTING: The Veterans Affairs Medical Center, Madison, WI. RESULTS: Medical charts were available for 46 of 53 male patients admitted for hip fracture during the study period. Three subjects were excluded because hip fracture was associated with high-impact trauma. Mean age of the 43 study patients was 72 years (range 43-91 y), and mean length of hospitalization was 16 days (median 11 d, range 3-108 d). Thirty-two (82%) of 39 veterans whose disposition was documented were discharged to a nursing home. Eleven (26%) of 43 men died within 12 months after fracture. Twelve (28%) had fractured previously. Four (10%) subsequently had another fracture. Three of 9 patients with documented ambulation status were ambulatory at 1 year. Three patients received a bone mass measurement within a prespecified time interval of 6 months subsequent to fracture. No patient's records included a diagnosis of osteoporosis either before or within 6 months after fracture. One-third of the patients had documentation of calcium or multivitamin supplementation at discharge. One patient was receiving calcitonin at the time of fracture and continued to receive it afterward. No other patient was prescribed antiresorptive therapy by the time of hospital discharge. CONCLUSIONS: Male veterans with hip fractures received inadequate evaluation and treatment for osteoporosis, although a substantial portion had documentation of recurrent fractures. Education of clinicians and creation of algorithms for management of established osteoporosis may improve outcomes for these individuals.
DescriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links field
- Evaluation of in-hospital management of fracture risk in older patients: a chart review study of tertiary prevention.
- Authors: Byszewski AM, Cranney A, Man-Son-Hing M, Azad N, Amos S
- Issue date: 2006 May-Jun
- Secondary prevention of hip fractures among the hospitalized elderly: are we doing enough?
- Authors: Kamel HK
- Issue date: 2005 Apr
- Screening and treatment of osteoporosis after hip fracture: comparison of sex and race.
- Authors: Antonelli M, Einstadter D, Magrey M
- Issue date: 2014 Oct-Dec
- Expert physician recommendations and current practice patterns for evaluating and treating men with osteoporotic hip fracture.
- Authors: Colón-Emeric C, Yballe L, Sloane R, Pieper CF, Lyles KW
- Issue date: 2000 Oct
- Androgen deprivation in veterans with prostate cancer: implications for skeletal health.
- Authors: Wilcox A, Carnes ML, Moon TD, Tobias R, Baade H, Stamos E, Elliott ME
- Issue date: 2006 Dec