Calcium and vitamin D supplements are essential to help manage osteoporosis, especially after a broken hip.

LAS VEGAS, March 12, 2019 / PRNewswire / – A new study presented at the annual meeting of the American Academy of Orthopedic Surgeons (AAOS) in 2019 revealed that the majority of people with osteoporosis did not take supplements in calcium and vitamin D risk of fractures related to osteoporosis. In addition, only 14% of patients with osteoporosis who have already had a hip fracture receive adequate calcium and vitamin D supplementation.

According to several studies, osteoporosis is expected to increase as our population is living longer. Fragility fractures linked to osteoporosis can lead to increased morbidity, mortality and health care expenses. Calcium and vitamin D supplementation has proven effective in maintaining bone health and reducing badociated fractures. In addition, this supplementation correlates with better clinical and functional outcomes in postoperative hip fracture patients.

Does the retrospective study "Do patients with osteoporosis who have a history of hip fracture receive adequate calcium and vitamin D supplementation?", With Evan D. Nigh, fourth year medical student and author -presentator Spencer Summers, MD and Sheila Conway, MD at the Miller School of Medicine at the University of Miami, badyzed six years of NHANES (National Health and Nutrition Examination Survey) data to identify individuals who self-report their osteoporosis diagnosis.

The team reviewed 1,065 patients with osteoporosis for calcium and vitamin D supplementation, bone mineral density in the femoral neck (a strong predictor of hip fracture susceptibility) ) and the previous incidence of hip fractures. They found that 861 patients with osteoporosis (80.8%) were not treated properly with calcium and vitamin D and that 58% of patients had a history of osteoporosis and osteoporosis. fracture of the hip.

Of the patients studied, 924 patients (87%) were women aged 67 on average. Research findings also showed that Caucasian women were more likely to receive adequate supplementation, while non-Caucasian minorities were less likely to receive adequate supplementation. Specifically, among Americans of Mexican origin, there was an independent risk factor of decreased chances of receiving adequate treatment.

"This study has highlighted many opportunities to improve the treatment of osteoporosis and additional efforts are needed to identify specific strategies to address the observed racial disparity," said Dr. Conway, a professor. Associate of orthopedic surgery.

"In general, patients with osteoporosis are largely undertreated and are not adequately managed with prescription drugs or nutrient supplementation," Nigh said. "We hypothesized that patients with a history of hip fracture would have higher supplementation rates because they were actively consulting their GPs and orthopedic surgeons for follow-up appointments, and that they would personally motivated to prevent future fractures because of higher risk, but the rate of compliance among this subgroup of patients with osteoporosis was surprisingly low. "

Given the high rates of morbidity and mortality in elderly patients with hip fractures,¹ and that calcium and vitamin D are inexpensive and readily available to help manage osteoporosis, the authors hope that a continuing education of the patient, especially among underserved people, and an increased role of Orthopedic surgeons to help with the intervention, can help bridge the gap and increase awareness compliance.

"This document should encourage orthopedic surgeons to take action to ensure that our patient population with osteoporotic hip fractures receives adequate medical treatment to optimize their postoperative recovery," said Dr. Summers.

Statement of Disclosure of the Annual Meeting of the AAOS 2019

About the AAOS
The American Academy of Orthopedic Surgeons, which has more than 39,000 members, is the largest medical badociation of musculoskeletal specialists in the world. The AAOS is the trusted leader in promoting musculoskeletal health. It provides the highest quality and most comprehensive education to help orthopedic surgeons and healthcare professionals at all career levels best treat patients in their daily practice. The AAOS is the source of information on bone and joint diseases, treatments and related musculoskeletal health problems. He leads discussions on health care on quality improvement.

¹ https://healthdocbox.com/Orthopedics/76503511-Evaluation-de-le-mortality-rate-un-year-after-hip-fracture- and-factors-relating-to-diminished-survival-among-elderly-people. html

SOURCE American Academy of Orthopedic Surgeons

Related Links

http://www.aaos.org