Healthy bones program reduces hip fractures by 37 percent

Nov 04, 2008

Proactive measures can reduce hip fracture rates by an average of 37.2 percent -- and as much as 50 percent -- among those at risk, according to a study conducted by Kaiser Permanente Southern California. The study was published online on November 3 by The Journal of Bone & Joint Surgery, a peer-reviewed journal.

The largest study of its kind, the five-year study tracked more than 625,000 male and female patients over the age of 50 in Southern California who had specific risk factors for osteoporosis and/or hip fractures. The implementation of a number of initiatives in the Kaiser Permanente Southern California Healthy Bones Program reduced the hip fracture rates beyond the goal rate of 25 percent.

"One-half of all women and one-third of all men will sustain a fragility fracture in their lifetime. The mortality rate due to osteoporosis-related fractures is greater than the rates for breast cancer and cervical cancer combined," said study lead author Richard M. Dell, MD, an orthopedic surgeon at the Kaiser Permanente Bellflower Medical Center. "Yet it's a misconception that nothing can be done to prevent or treat osteoporosis. It is possible to achieve at least a 25 percent reduction in the hip fracture rate in the United States if a more active role is taken by all orthopedic surgeons in osteoporosis disease management."

The National Osteoporosis Foundation reports that although osteoporosis can affect people of all ages, the problem of osteoporosis has reached epidemic proportions with the rapidly aging population. Of the 10 million Americans who have osteoporosis, 80 percent are women. More than 300,000 hip fractures are reported annually in the United States. Twenty-four percent end up in a nursing home, 50 percent never reach their functional capacity, and 25 percent of patients with a hip fracture die in the first year after the incident.

Participating physicians in the study implemented a number of initiatives including increasing the use of bone density test (DXA scans) and anti-osteoporosis medications; adding osteoporosis education and home health programs; and standardizing the practice guidelines for osteoporosis management. The full article is found at www.ejbjs.org/cgi/content/abstract/90/Supplement_4/188.

"Significant improvements in hip fracture rates are achievable wherever orthopedic surgeons and treatment teams are willing to take a more active role in osteoporosis disease management," Dell said.

Source: Kaiser Permanente

Explore further: Researchers investigate best living arrangements for abused or neglected children

add to favorites email to friend print save as pdf

Related Stories

Natural occurring protein leaves clues for osteoporosis

Feb 16, 2011

A naturally occurring protein may hold the key to treatments for osteoporosis, University of Sydney researchers have reported in this month's Journal of Bone and Mineral Research, the official journal of the American Soc ...

Elderly can blame fractures and falls on low sodium

Nov 20, 2010

Older adults with even mildly decreased levels of sodium in the blood (hyponatremia) experience increased rates of fractures and falls, according to a study presented at the American Society of Nephrology's 43rd Annual Meeting ...

Recommended for you

High-calorie and low-nutrient foods in kids' TV

just added

Fruits and vegetables are often displayed in the popular Swedish children's TV show Bolibompa, but there are also plenty of high-sugar foods. A new study from the University of Gothenburg explores how food is portrayed in ...

Chemical companies shore up supplement science

3 minutes ago

As evidence mounts showing the potential health benefits of probiotics, antioxidants and other nutritional compounds, more and more people are taking supplements. And the chemical industry is getting in on the action. But ...

More Americans in their golden years are going hungry

11 minutes ago

In a country as wealthy as the United States, it may come as a surprise that one in 12 seniors do not have access to adequate food due to lack of money or other financial resources. They are food insecure.

Researchers compare hip width and sexual behavior

1 hour ago

In a new study, women who were more inclined to have one-night stands had wider hips, reveals Colin A. Hendrie of the University of Leeds in the UK. He is the lead author of a study into how a woman's build influences her ...

User comments : 0

More news stories

Deliberation is staunchest ally of selfishness

(Medical Xpress)—Over the last two years, Yale psychologist David Rand and colleagues have investigated what makes people willing to help each other. Their latest research shows that while initial reactions ...

Researchers compare hip width and sexual behavior

In a new study, women who were more inclined to have one-night stands had wider hips, reveals Colin A. Hendrie of the University of Leeds in the UK. He is the lead author of a study into how a woman's build influences her ...

How many moons does Venus have?

There are dozens upon dozens of moons in the Solar System, ranging from airless worlds like Earth's Moon to those with an atmosphere (most notably, Saturn's Titan). Jupiter and Saturn have many moons each, ...