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Ten years change in post-fracture care for hip fracture patients

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Abstract

Introduction

This multicenter, retrospective study aimed to clarify the changes in postoperative care provided by orthopaedic surgeons after hip fractures and clarify the incidence of secondary fractures requiring surgery.

Materials and methods

Subjects were patients with hip fracture treated surgically in seven hospitals during the 10-year period from January 2008 to December 2017. Data on patient demographics, comorbidities, preoperative and postoperative osteoporosis treatments, and secondary fractures were collected from the medical records.

Results

In total, 4764 new hip fractures in 982 men and 3782 women (mean age: 81.3 ± 10.0 years) were identified. Approximately 10% of patients had a history of osteoporosis drug treatment and 35% of patients received postoperative drug treatment. The proportion of patients receiving postoperative drug therapy increased by approximately 10% between 2009 and 2010, 10% between 2010 and 2011, and 10% between 2011 and 2013. Although the rate of secondary fractures during the entire period and within 3 years decreased from 2011, the rate of secondary fracture within 1 year remained at around 2% every year.

Conclusions

The approval of new osteoporosis drugs and the establishment of osteoporosis liaison services have had a positive effect on the use of postoperative drug therapy in the orthopedic field. Our finding that the rate of secondary fracture within 1 year of the initial fracture remained around 2% every year, despite improvements in postoperative drug therapy, suggests that both rehabilitation for preventing falls and early postoperative drug therapy are essential to prevent secondary fractures.

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Acknowledgements

This project was supported in part by a Grant-in-Aid for Young Scientists (B) from the Ministry of Education, Culture, Sports, Science, and Technology of Japan 17K16670 (T. Shimizu).

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15 Nishi-7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan

    Shun Shimodan, Dai Sato, Kaname Takahashi, Yumejiro Nakamura, Ryota Hyakkan, Takamasa Watanabe, Ryosuke Hishimura, Masahiro Ota, Hirokazu Shimizu, Yuichi Hasegawa, Toshiya Chubachi, Takeru Tsujimoto, Yukinori Tsukuda, Tsuyoshi Asano, Daisuke Takahashi, Masahiko Takahata, Norimasa Iwasaki & Tomohiro Shimizu

  2. Department of Orthopaedic Surgery, Kushiro City General Hospital, Kushiro, Hokkaido, Japan

    Shun Shimodan

  3. Department of Orthopaedic Surgery, Iwamizawa City Hospital, Iwamizawa, Hokkaido, Japan

    Dai Sato

  4. Department of Orthopaedic Surgery, Hakodate General Central Hospital, Hakodate, Hokkaido, Japan

    Kaname Takahashi, Yumejiro Nakamura, Ryota Hyakkan & Takamasa Watanabe

  5. Department of Orthopaedic Surgery, Ebetsu City Hospital, Ebetsu, Hokkaido, Japan

    Ryosuke Hishimura

  6. Department of Orthopaedic Surgery, Hokushokai Hospital, Iwamizawa, Hokkaido, Japan

    Masahiro Ota

  7. Department of Orthopaedic Surgery, Kushiro Rosai Hospital, Kushiro, Hokkaido, Japan

    Hirokazu Shimizu & Yoshihiro Hojo

  8. Department of Orthopaedic Surgery, Obihiro Kosei Hospital, Obihiro, Hokkaido, Japan

    Yuichi Hasegawa, Toshiya Chubachi & Keigo Yasui

  9. Department of Orthopaedic Surgery, Otaru City Hospital, Otaru, Hokkaido, Japan

    Takeru Tsujimoto & Yukinori Tsukuda

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  1. Shun Shimodan
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Correspondence to Tomohiro Shimizu.

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Conflict of interest

Shun Shimodan, Dai Sato, Kaname Takahashi, Ryosuke Hishimura, Masahiro Ota, Hirokazu Shimizu, Yuichi Hasegawa, Toshiya Chubachi, Takeru Tsujimoto, Yukinori Tsukuda, Tsuyoshi Asano, Daisuke Takahashi, Masahiko Takahata, Norimasa Iwasaki, Tomohiro Shimizu declare that they have no conflict of interest.

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Shun Shimodan and Dai Sato are first authors.

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Shimodan, S., Sato, D., Takahashi, K. et al. Ten years change in post-fracture care for hip fracture patients. J Bone Miner Metab 38, 222–229 (2020). https://doi.org/10.1007/s00774-019-01047-3

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  • DOI: https://doi.org/10.1007/s00774-019-01047-3

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