Featured Research

from universities, journals, and other organizations

U.S. Hip Fracture Rate Could Drop 25 Percent With Aggressive Osteoporosis Prevention

Date:
November 5, 2009
Source:
Kaiser Permanente
Summary:
Aggressively managing patients at risk for osteoporosis could reduce the hip fracture rate in the United States by 25 percent, according to a new study. The first step must be a more active role by orthopedic surgeons in osteoporosis disease management, researchers say.

Aggressively managing patients at risk for osteoporosis could reduce the hip fracture rate in the United States by 25 percent, according to a Kaiser Permanente study published in the November issue of the Journal of Bone & Joint Surgery. The first step must be a more active role by orthopedic surgeons in osteoporosis disease management, researchers say.

This study, the largest to look at osteoporosis management in men and women over 50 years old, followed 650,000 men and women in Kaiser Permanente's osteoporosis management program and found hip fractures dropped by 38 percent, preventing 970 hip fractures in 2007.

The prospective observational study examined the effectiveness of the Kaiser Permanente Southern California's Healthy Bones Program from 2002 to 2007. Kaiser Permanente HealthConnect®, the world's largest civilian electronic health record database, was used to collect data on patients that included anti-osteoporosis medication usage, bone density scans and fragility fractures.

A recent report showed that Kaiser Permanente in Southern California leads the nation for effective osteoporosis disease management. The National Committee on Quality Assurance, a private, non-profit organization dedicated to improving health care quality, recently released the results in its Quality Compass® study of reporting health plans for 2008. Of the 10 million Americans who have osteoporosis, 80 percent are women.

"Currently in the United States, the rate of treatment after a fragility fracture is only 20 percent. Treatment after a fragility fracture at Kaiser Permanente in Southern California is now 68 percent. Health care would be drastically improved if this model of osteoporosis care were adapted for the rest of America," said the study's lead author Richard M. Dell, MD, an orthopedic surgeon at Kaiser Permanente in Downey, California.

The Healthy Bones Program aggressively targets people at risk for hip fractures by identifying them through KP HealthConnect to ensure they get the bone density screenings and medications they need. The multidisciplinary team includes orthopedic surgeons and providers from endocrinology, family practice, internal medicine, rheumatology, gynecology, physical therapy, disease/care management, radiology, and nursing education.

In this study, researchers found that annual bone density screening rates increased by 263 percent from 2002 to 2007. In 2002 there were 21,557 scans a year. In 2007, there were 78,262 scans. The number of people on anti-osteoporosis medications increased by 153 percent from 33,208 in 2002 to 84,155 a year in 2007.

"The most important thing an orthopedic surgeon should know about osteoporosis/fracture prevention is that we can take action that helps to prevent hip and other fragility fractures," Dell said. "Simple steps like suggesting calcium and vitamin D for all your patients and bone mineral density testing in patients at higher risk for osteoporosis should be considered part of your daily practice."

More than 300,000 hip fractures are reported annually in the United States. Twenty-four percent of people who experience a hip fracture end up in a nursing home, 50 percent never reach their functional capacity, and 25 percent of patients over 65 years of age with a hip fracture die in the first year after the incident.

"After a fracture, you need treatment, and in America, most people are not getting the treatment they need," Dell said. "The lesson here is if you are over 50 years old and have a fragility fracture, ask your doctor about getting a bone density scan, and if needed, osteoporosis treatment."

Dr. Dell further states that understanding the pathophysiology of osteoporosis and fragility fractures helps to develop a treatment strategy for your patients. The medical management of osteoporosis is not always complex and can be done by most practicing orthopedic surgeons.

Study authors include: Richard M. Dell, MD, and Denise Greene, RNP, MS, of the Department of Orthopedics, Kaiser Permanente Downey Medical Center, and Dave Anderson, MD, and Kathy Williams, MSG, of the Department of Orthopedics, Kaiser Permanente Fontana Medical Center.


Story Source:

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


Cite This Page:

Kaiser Permanente. "U.S. Hip Fracture Rate Could Drop 25 Percent With Aggressive Osteoporosis Prevention." ScienceDaily. ScienceDaily, 5 November 2009. <www.sciencedaily.com/releases/2009/11/091102085821.htm>.
Kaiser Permanente. (2009, November 5). U.S. Hip Fracture Rate Could Drop 25 Percent With Aggressive Osteoporosis Prevention. ScienceDaily. Retrieved August 21, 2014 from www.sciencedaily.com/releases/2009/11/091102085821.htm
Kaiser Permanente. "U.S. Hip Fracture Rate Could Drop 25 Percent With Aggressive Osteoporosis Prevention." ScienceDaily. www.sciencedaily.com/releases/2009/11/091102085821.htm (accessed August 21, 2014).

Share This




More Health & Medicine News

Thursday, August 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Possible Ebola Patient in Isolation at California Hospital

Possible Ebola Patient in Isolation at California Hospital

Reuters - US Online Video (Aug. 20, 2014) — A patient who may have been exposed to the Ebola virus is in isolation at the Kaiser Permanente South Sacramento Medical Center. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Raw: World's Oldest Man Lives in Japan

Raw: World's Oldest Man Lives in Japan

AP (Aug. 20, 2014) — A 111-year-old Japanese was certified as the world's oldest man by Guinness World Records on Wednesday. Sakari Momoi, a native of Fukushima in northern Japan, was given a certificate at a hospital in Tokyo. (Aug. 20) Video provided by AP
Powered by NewsLook.com
Do More Wedding Guests Make A Happier Marriage?

Do More Wedding Guests Make A Happier Marriage?

Newsy (Aug. 20, 2014) — A new study found couples who had at least 150 guests at their weddings were more likely to report being happy in their marriages. Video provided by Newsy
Powered by NewsLook.com
Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) — Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
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