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Co-managed Care: The Gold Standard for Geriatric Fracture Care

  • Management of Osteoporotic Fractures (EG Meinberg, Section Editor)
  • Published:
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Abstract

With a worldwide aging population, the incidence and consequences of geriatric fractures are assuming an increasing importance to health care providers and institutions. Studies have shown that optimal efficient management ensures the best outcome for the patient, at the least cost to the institution. A review of the recent literature was performed to establish the current best evidence ie, gold standard, for geriatric fracture care. Given the complexities of the subject, randomized controlled trials are difficult and confounded by the multiple medical issues of the population being studied. RCT’s are best suited to study individual questions, rather than systems of care. Hence, the importance of peer-reviewed models of care, as well as prospective population registries is established in defining what the gold standard of care should be for this vulnerable population.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Disclosure

N.T. O’Malley has reported no potential conflicts of interest relevant to this article; S.L. Kates has disclosed receiving compensation as a consultant from Intramed Education and Surgical Excellence; as a journal Editor for Sage Publications; grants/grants pending for NIH, OREF, AOTrauma, and AHRQ; as a lecturer for Medimmune; for the development of educational presentations for Intramed; and travel for Medimmune.

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Authors and Affiliations

  1. Department of Orthopaedics, University of Rochester Medical Center, Rochester, NY, 14642, USA

    Natasha T. O’Malley & Stephen L. Kates

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  1. Natasha T. O’Malley
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  2. Stephen L. Kates
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Correspondence to Stephen L. Kates.

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O’Malley, N.T., Kates, S.L. Co-managed Care: The Gold Standard for Geriatric Fracture Care. Curr Osteoporos Rep 10, 312–316 (2012). https://doi.org/10.1007/s11914-012-0123-2

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