Hip Fracture News and Research

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JAMA study: Higher spending = better quality in Canadian hospitals

Canadian hospitals that spent the most on patient care may be getting a bigger bang for their buck than their U.S. counterparts, researchers suggested. A study reported in the Journal of the American Medical Association compared patient results between Canadian hospitals that spent more on care, and those that spent less.

15 Mar 2012

Higher spending on effective procedures and services leads to better patient outcomes

Among hospitals in Ontario, Canada, those with higher levels of spending, which included higher intensity nursing and greater use of specialists and procedures, had an associated lower rate of deaths, hospital readmissions, and better quality of care for severely ill hospitalized patients, according to a study in the March 14 issue of JAMA.

14 Mar 2012

$Hip fracture patients should be screened for cervical myelopathy$

Hip fracture patients should be screened for cervical myelopathy

Hip fractures are a common cause of morbidity and mortality in elderly patients. Cervical myelopathy is a common neurological condition that can diminish balance and coordination. In new research presented today at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), investigators screened 28 hip fracture patients and 35 hip replacement patients for cervical myelopathy. Eighteen percent (five) of the hip fracture patients did indeed have cervical myelopathy. None of the hip replacement patients tested positive for the condition.

10 Feb 2012

$Heart burn drugs and hip fractures in postmenopausal women smokers: Study establishes link$

Heart burn drugs and hip fractures in postmenopausal women smokers: Study establishes link

A new study shows that postmenopausal women with a history of smoking who take heartburn drugs called proton pump inhibitors (PPIs) for two years or longer may be more likely to sustain a hip fracture. The risk rises with longer use say researchers. But the risk does disappear after women stop taking these drugs for two years. Further women who never smoked were not at increased risk for hip fracture even if they took PPIs regularly, the study showed. The new findings appear in the journal BMJ.

2 Feb 2012

SSRI use raises risk of fall among elderly with dementia: Study

A new study reveals that nursing home residents with dementia who use selective serotonin reuptake inhibitors (SSRIs) have an increased risk of having a fall that causes injury compared with those who do not use SSRIs. Additionally those using average doses have 3 times the risk compared with nonusers, the authors, led by Carolyn S. Sterke, from Erasmus University Medical Center, Rotterdam, the Netherlands, report. Authors write, “Even at low doses, SSRIs are associated with increased risk of an injurious fall in nursing home residents with dementia.”

22 Jan 2012

Testing for osteoporosis – how often?

A new study shows that many women who get screened for osteoporosis may not need it. It suggests that the current guidelines result in too many unnecessary tests, increasing costs and sometimes spurring unnecessary treatment.

19 Jan 2012

SSRIs increase risk of falling in nursing home residents with dementia

Nursing home residents with dementia who use average doses of selective serotonin reuptake inhibitors (SSRIs) are three times more likely to have an injurious fall than similar people who don't use these drugs. The association can be seen in people who use low doses of SSRIs and the risk increases as people take higher doses. The results are published in the British Journal of Clinical Pharmacology.

19 Jan 2012

$Coexisting comorbidities increase treatment costs for older adults with hip fractures$

Coexisting comorbidities increase treatment costs for older adults with hip fractures

More than 250,000 hip fractures occur every year in the U.S., often resulting in hospitalization, surgery, nursing-home admission, long-term disability, and/or extended periods of rehabilitation. Independent existing medical conditions significantly increase the treatment cost and length of hospitalization for older adults who have sustained a hip fracture, according to a new study recently published in the Journal of Bone and Joint Surgery.

19 Jan 2012

FRAX tool now available as version 3.5 in 18 languages

FRAX, which is available free online at http://www.shef.ac.uk/FRAX/, is being used by an increasing number of physicians around the world - the online version alone is used to calculate 10-year probability of fracture in approximately 2.8 million patients annually, with numbers growing steadily.

17 Jan 2012

$Patients with hip fractures should be operated on within 48 hours of admission$

Patients with hip fractures should be operated on within 48 hours of admission

All patients with hip fractures should be fast-tracked through hospital emergency departments and operated on within 48 hours of admission, according to new consensus guidelines developed by UK experts in anaesthesia, orthopaedics, geriatrics and emergency medicine and published in the January issue of Anaesthesia.

12 Jan 2012

Older women with significant height loss at increased risk for broken bones and death

Older women who have lost more than two inches in height face an increased risk of breaking bones and dying, according to a new study published in the January issue of the Journal of Bone and Mineral Research and funded by the National Institutes of Health.

11 Jan 2012

$Physician notification system can help prevent further fractures in osteoporotic patients$

Physician notification system can help prevent further fractures in osteoporotic patients

A simple physician notification system can help prevent further fractures in osteoporotic patients who have had already had fractures, according to a study in CMAJ.

20 Dec 2011

Patients need less blood after surgery than is widely thought

Patients need less blood after surgery than is widely thought. A new study comparing two plans for giving blood transfusions following surgery showed no ill effects from postponing transfusion until patients develop signs of anemia or their hemoglobin concentration falls below 8 g/dL.

16 Dec 2011

More than half of older patients with anemia do not need transfusions after hip surgery

More than half of the older, anemic patients in a New England Journal of Medicine study did not need blood transfusions as they recovered from hip surgery, according to new research co-authored by University of Maryland School of Medicine scientists.

15 Dec 2011

FDA clears Abbott's new ARCHITECT 25-OH Vitamin D assay

Abbott announced today it has received clearance from the U.S. Food and Drug Administration for a fully-automated 25-OH Vitamin D assay performed on its widely used ARCHITECT laboratory testing platform.

30 Nov 2011

Omega-3 linked with reduced joint pain and cognitive side effects of breast cancer therapy

"I know I need this medicine to help lower my chance of cancer recurrence, but it makes my joints ache and stiff. It makes me feel old and I am not sure I can take this medication much longer."

19 Nov 2011

Commercial disease management models do not reduce Medicare costs in America

At a time when everyone is looking for ways to reduce health care costs in America, using commercial disease management programs to reduce the fee-for-service Medicare costs associated with chronic conditions among senior citizens seems like a practical approach.

4 Nov 2011

$IOF report predicts major increase in osteoporosis fractures in the Middle East and Africa$

IOF report predicts major increase in osteoporosis fractures in the Middle East and Africa

A new audit report issued today by the International Osteoporosis Foundation (IOF) shows that osteoporosis is a serious and growing problem throughout the Middle East and parts of Africa.

22 Oct 2011

Hospitalization for an acute event can lead to long-term institutionalization

Confirming many elderly patients' worst fears, a national study has shown that being hospitalized for an acute event, such as a stroke or hip fracture, can lead to long-term institutionalization in a nursing home. Equally alarming, researchers found that direct discharge to a skilled nursing facility -- a common practice designed to reduce hospital stays -- put patients at "extremely high risk" of needing long-term nursing home care.

4 Oct 2011

$Hip fracture may increase short-term mortality for women ages 65 to 79 years$

Hip fracture may increase short-term mortality for women ages 65 to 79 years

Hip fracture is associated with an increase in short-term mortality (death within one year) for women ages 65 to 79 years and healthy women ages 80 years and older, although the risk returns to previous levels after one year for women ages 70 years and older, according to a report published Online First by Archives of Internal Medicine, one of the JAMA/Archives journals.

27 Sep 2011

Hip Fracture News and Research

JAMA study: Higher spending = better quality in Canadian hospitals

Higher spending on effective procedures and services leads to better patient outcomes

Hip fracture patients should be screened for cervical myelopathy

Heart burn drugs and hip fractures in postmenopausal women smokers: Study establishes link

SSRI use raises risk of fall among elderly with dementia: Study

Testing for osteoporosis – how often?

SSRIs increase risk of falling in nursing home residents with dementia

Coexisting comorbidities increase treatment costs for older adults with hip fractures

FRAX tool now available as version 3.5 in 18 languages

Patients with hip fractures should be operated on within 48 hours of admission

Older women with significant height loss at increased risk for broken bones and death

Physician notification system can help prevent further fractures in osteoporotic patients

Patients need less blood after surgery than is widely thought

More than half of older patients with anemia do not need transfusions after hip surgery

FDA clears Abbott's new ARCHITECT 25-OH Vitamin D assay

Omega-3 linked with reduced joint pain and cognitive side effects of breast cancer therapy

Commercial disease management models do not reduce Medicare costs in America

IOF report predicts major increase in osteoporosis fractures in the Middle East and Africa

Hospitalization for an acute event can lead to long-term institutionalization

Hip fracture may increase short-term mortality for women ages 65 to 79 years

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