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    Compliance of an elderly hip fracture population with secondary preventative measures. Efficacy of a simple clinical practice intervention.

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    Authors
    Street, John
    Lenehan, Brian
    Higgins, Tony
    Mulcahy, David
    Mullan, George
    Affiliation
    Department of Trauma and Orthopaedic Surgery, Cork University Hospital, Cork,, Ireland. hrb_street@yahoo.com
    Issue Date
    2012-02-03T15:05:01Z
    MeSH
    Aged
    Aged, 80 and over
    Family Practice
    Female
    Hip Fractures/etiology/*prevention & control
    Humans
    Male
    Osteoporosis/complications/*drug therapy
    *Patient Compliance
    Prospective Studies
    Recurrence
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    Citation
    Acta Orthop Belg. 2006 Apr;72(2):204-9.
    Journal
    Acta orthopaedica Belgica
    URI
    http://hdl.handle.net/10147/208838
    PubMed ID
    16768267
    Abstract
    Secondary pharmaceutical measures are effective in all age groups for the prevention of osteoporotic fractures. This prospective study determines the demographics of 566 consecutive osteoporotic hip fractures presenting to a Level 1 Trauma Center. We examine the efficacy of simple treatment recommendations for pharmaceutical treatment of osteoporosis and the factors determining general practitioner and patient compliance with these recommendations in a community setting. One out of four patients (24.5%) had sustained a previous fragility fracture. Mean age was 80 years. Twenty five percent were resident in a nursing home and only 10% were taking anti-resorptive therapy preoperatively. In hospital mortality was 6%, and 39% of recruited patients were dead at 12 months. By this time more than half the survivors were resident in a nursing home. The compliance with anti-resorptive therapy had increased to over 70% consequent to our simple recommendations. Significant differences in GP and patient compliance were observed between nursing home and own residence dwellers. This study demonstrates the efficacy of a simple clinical practice intervention in increasing patient and GP compliance with secondary fracture prevention measures. We also discuss many of the confounding issues determining this compliance.
    Language
    eng
    ISSN
    0001-6462 (Print)
    0001-6462 (Linking)
    Collections
    Cork University Hospital

    entitlement

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