Featured Research

from universities, journals, and other organizations

Healthy Bones Program Reduces Hip Fractures By 37 Percent, Study Finds

Date:
November 7, 2008
Source:
Kaiser Permanente
Summary:
A study of 625,000 men and women over the age of 50 that found proactive measures can reduce hip fracture rates by an average of 37.2 percent and as much as 50 percent among those at risk for osteoporosis and/or hip fractures.

Proactive measures can reduce hip fracture rates by an average of 37.2 percent -- and as much as 50 percent -- among those at risk, according to a study conducted by Kaiser Permanente Southern California.

The study was published online on November 3 by The Journal of Bone & Joint Surgery, a peer-reviewed journal.

The largest study of its kind, the five-year study tracked more than 625,000 male and female patients over the age of 50 in Southern California who had specific risk factors for osteoporosis and/or hip fractures. The implementation of a number of initiatives in the Kaiser Permanente Southern California Healthy Bones Program reduced the hip fracture rates beyond the goal rate of 25 percent.

"One-half of all women and one-third of all men will sustain a fragility fracture in their lifetime. The mortality rate due to osteoporosis-related fractures is greater than the rates for breast cancer and cervical cancer combined," said study lead author Richard M. Dell, MD, an orthopedic surgeon at the Kaiser Permanente Bellflower Medical Center. "Yet it's a misconception that nothing can be done to prevent or treat osteoporosis. It is possible to achieve at least a 25 percent reduction in the hip fracture rate in the United States if a more active role is taken by all orthopedic surgeons in osteoporosis disease management."

The National Osteoporosis Foundation reports that although osteoporosis can affect people of all ages, the problem of osteoporosis has reached epidemic proportions with the rapidly aging population. Of the 10 million Americans who have osteoporosis, 80 percent are women. More than 300,000 hip fractures are reported annually in the United States. Twenty-four percent end up in a nursing home, 50 percent never reach their functional capacity, and 25 percent of patients with a hip fracture die in the first year after the incident.

Participating physicians in the study implemented a number of initiatives including increasing the use of bone density test (DXA scans) and anti-osteoporosis medications; adding osteoporosis education and home health programs; and standardizing the practice guidelines for osteoporosis management.

"Significant improvements in hip fracture rates are achievable wherever orthopedic surgeons and treatment teams are willing to take a more active role in osteoporosis disease management," Dell said.

Study authors include: Richard M. Dell, MD and Denise Greene, RNP, MS, Department of Orthopedics, Kaiser Permanente Bellflower; Steven R. Schelkun, MD, Department of Orthopedics, Kaiser Permanente San Diego; and Kathyrn W. Williams, MSG, Department of Orthopedics, Kaiser Permanente Fontana.

Recommendations for Prevention and Treatment of Osteoporosis (Based on the ten steps outlined by Laura Tosi, MD, and the American Orthopaedic Association's Own the Bone initiative.)

  1. Be a champion. Remember that addressing the problem of fragility fractures is multifaceted and will require a multidisciplinary solution. Identify potential partners in your community.
  2. Be proactive. Identify high-risk patients and don't wait until your patient has a fragility fracture.
  3. Teach your patients about osteoporosis and falls.
  4. Develop pre-printed admission sheets and orders.
  5. Develop a discharge checklist for fragility fracture patients, and improve your discharge documentation.
  6. Set realistic goals and measure what you've done.
  7. Use the new fracture risk assessment tool called FRAX.

Story Source:

The above story is based on materials provided by Kaiser Permanente. Note: Materials may be edited for content and length.


Journal Reference:

  1. Dell et al. Osteoporosis Disease Management: The Role of the Orthopaedic Surgeon. The Journal of Bone and Joint Surgery, 2008; 90 (supplement 4): 188 DOI: 10.2106/JBJS.H.00628

Cite This Page:

Kaiser Permanente. "Healthy Bones Program Reduces Hip Fractures By 37 Percent, Study Finds." ScienceDaily. ScienceDaily, 7 November 2008. <www.sciencedaily.com/releases/2008/11/081104152306.htm>.
Kaiser Permanente. (2008, November 7). Healthy Bones Program Reduces Hip Fractures By 37 Percent, Study Finds. ScienceDaily. Retrieved August 23, 2014 from www.sciencedaily.com/releases/2008/11/081104152306.htm
Kaiser Permanente. "Healthy Bones Program Reduces Hip Fractures By 37 Percent, Study Finds." ScienceDaily. www.sciencedaily.com/releases/2008/11/081104152306.htm (accessed August 23, 2014).

Share This




More Health & Medicine News

Saturday, August 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Newsy (Aug. 21, 2014) An experimental drug used to treat Marburg virus in rhesus monkeys could give new insight into a similar treatment for Ebola. Video provided by Newsy
Powered by NewsLook.com
Two US Ebola Patients Leave Hospital Free of the Disease

Two US Ebola Patients Leave Hospital Free of the Disease

AFP (Aug. 21, 2014) Two American missionaries who were sickened with Ebola while working in Liberia and were treated with an experimental drug are doing better and have left the hospital, doctors say on August 21, 2014. Duration: 01:05 Video provided by AFP
Powered by NewsLook.com
Cadavers, a Teen, and a Medical School Dream

Cadavers, a Teen, and a Medical School Dream

AP (Aug. 21, 2014) Contains graphic content. He's only 17. But Johntrell Bowles has wanted to be a doctor from a young age, despite the odds against him. He was recently the youngest participant in a cadaver program at the Indiana University NW medical school. (Aug. 21) Video provided by AP
Powered by NewsLook.com
American Ebola Patients Released: What Cured Them?

American Ebola Patients Released: What Cured Them?

Newsy (Aug. 21, 2014) It's unclear whether the American Ebola patients' recoveries can be attributed to an experimental drug or early detection and good medical care. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins