Secondary Fracture Prevention

Secondary Fracture Prevention
Author: Markus J. Seibel,Paul Mitchell
Publsiher: Academic Press
Total Pages: 208
Release: 2018-10-08
ISBN: 0128131373
Category: Medical
Language: EN, FR, DE, ES & NL

Secondary Fracture Prevention Book Excerpt:

Secondary Fracture Prevention: An International Perspective presents practitioners and academic clinicians with a better understanding of secondary fracture prevention and models of care from a variety of settings and countries. This must-have guide provides practitioners and academic clinicians with essential information about this broad clinical and research topic that extends across the globe. Preventing secondary fractures starts with assessing what works and what does not work, reviewing major society guidelines, and what workup and management is necessary. This book reviews these topics and provides the rationale for pursuing a workup to prevent fractures in this patient population. Provides an international perspective, giving health professionals in different parts of the world essential information to establish country-specific, secondary fracture prevention programs Summarizes existing literature on secondary fractures and includes a description of the risks and how they can be prevented Highlights secondary fracture prevention and models of care

Fragility Fracture Nursing

Fragility Fracture Nursing
Author: Karen Hertz,Julie Santy-Tomlinson
Publsiher: Springer
Total Pages: 158
Release: 2018-06-15
ISBN: 3319766813
Category: Medical
Language: EN, FR, DE, ES & NL

Fragility Fracture Nursing Book Excerpt:

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Models of Care for the Delivery of Secondary Fracture

Models of Care for the Delivery of Secondary Fracture
Author: Anonim
Publsiher: Unknown
Total Pages: 135
Release: 2016
ISBN: 1928374650XXX
Category: Electronic Book
Language: EN, FR, DE, ES & NL

Models of Care for the Delivery of Secondary Fracture Book Excerpt:

Fragility Fracture Nursing

Fragility Fracture Nursing
Author: Karen Hertz,Julie Santy-Tomlinson
Publsiher: Springer
Total Pages: 158
Release: 2019-01-24
ISBN: 9783030095536
Category: Medical
Language: EN, FR, DE, ES & NL

Fragility Fracture Nursing Book Excerpt:

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Fragility Fractures An Issue of Clinics in Geriatric Medicine

Fragility Fractures  An Issue of Clinics in Geriatric Medicine
Author: Daniel A Mendelson
Publsiher: Elsevier Health Sciences
Total Pages: 236
Release: 2014-04-16
ISBN: 0323266576
Category: Medical
Language: EN, FR, DE, ES & NL

Fragility Fractures An Issue of Clinics in Geriatric Medicine Book Excerpt:

This issue of Clinics in Geriatric Medicine is centered on the management of the geriatric fragility fracture patient. This issue features expert clinical reviews on topics such as Principles of comanagement, Lean business model and implementation of a Geriatric Fracture Center, Preoperative optimization and risk assessment, Preoperative reversal and management of anticoagulation and antiplatelet agents, Classification and surgical approach to hip fractures for non-surgeons, Special anesthetic consideration for the fragility fracture patient, Non-surgical management and palliation of fragility fractures, and Management of post-operative complications including Delerium, Anemia, Venous thromboembolism, and Cardiovascular disease and volume management. Also included are articles on Transitions in care and rehabilitation, Osteoporosis related secondary fracture prevention, Post-operative assessment of falls risk and prevention, and Fragility fractures requiring special consideration.

Fragility Fracture Nursing

Fragility Fracture Nursing
Author: Julie Santy-Tomlinson,Karen Hertz
Publsiher: Unknown
Total Pages: 168
Release: 2020-10-08
ISBN: 9781013273711
Category: Medical
Language: EN, FR, DE, ES & NL

Fragility Fracture Nursing Book Excerpt:

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.; Provides a comprehensive discussion of nursing the frail older person with a fragility fracture across Europe Based on a two-day workshop of like-minded specialist and advanced nurses from over 20 countries Acts as the course text/reader for a Europe-wide education programme in all relevant settings (Emergency Department, Fracture Clinic, Trauma Unit, Orthopaedic Ward, Rehabilitation setting) Open Access This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.

An Examination of Fragility Fractures that Occur in Ontario Workplaces

An Examination of Fragility Fractures that Occur in Ontario Workplaces
Author: Chamila Adhihetty
Publsiher: Unknown
Total Pages: 135
Release: 2017
ISBN: 1928374650XXX
Category: Electronic Book
Language: EN, FR, DE, ES & NL

An Examination of Fragility Fractures that Occur in Ontario Workplaces Book Excerpt:

Due to the aging population and increasing labour participation of older individuals, many workers are at risk for fragility fractures. Evidence is required to determine where prevention efforts should be targeted. The objective of this thesis was to examine fragility fractures (or fractures resulting from same-level falls) that occur in the workplace with respect to the characteristics of the workers who sustain these fractures, and the circumstances leading to fracture. Methods included descriptive quantitative analyses and open card sorting with stakeholders to develop prevention recommendations. Phase I examined workersâ compensation data on same-level falls to compare fracture and non-fracture injuries among workers 20-80 years (Study-1). Subsequently, same-level fall fractures among workers 50-80 years were categorized as potential fragility fractures and other fractures, and compared (Study-2). Phase II used survey data on working fragility fracture patients 50 years and older to compare fragility fractures occurring at work and elsewhere (Study-3). Lastly, workplace fragility fractures were examined to develop prevention recommendations (Study-4). Many occupational sectors appear suitable targets for prevention, and tailoring may increase the appropriateness of an intervention. Based on fracture volumes, it may be prudent to focus on forearm fractures and workers aged 50-64 years for secondary fracture prevention initiatives. The workplace setting may provide opportunities to reach men. However, there is an overall lack of awareness among fragility fracture patients regarding their risk for fractures. Stakeholders recommended improving worker-environment interactions to limit exposure to potential fracture hazards, and increasing awareness of hazards, osteoporosis and fracture risk. These recommendations could be addressed by leveraging existing workplace slip, trip and fall prevention programs and employing a workplace-based chronic disease management program to prevent osteoporosis and fragility fractures. These findings could inform a future knowledge translation intervention to prevent workplace fragility fractures which may enhance the health and productivity of older workers.

Cost effectiveness of Intravenous 5 Mg Zoledronic Acid to Prevent Subsequent Clinical Fractures in Postmenopausal Women After Hip Fracture

Cost effectiveness of Intravenous 5 Mg Zoledronic Acid to Prevent Subsequent Clinical Fractures in Postmenopausal Women After Hip Fracture
Author: Florian Christian Bleibler,Hans-Helmut König
Publsiher: Unknown
Total Pages: 135
Release: 2016
ISBN: 1928374650XXX
Category: Electronic Book
Language: EN, FR, DE, ES & NL

Cost effectiveness of Intravenous 5 Mg Zoledronic Acid to Prevent Subsequent Clinical Fractures in Postmenopausal Women After Hip Fracture Book Excerpt:

Fractures are associated with high economic costs, increased mortality and loss of health related quality of life. Studies have shown that individuals with prior fractures have an increased risk of experiencing subsequent fractures. Therefore secondary fracture prevention appears useful to reduce further fractures in high risk individuals, e.g., in individuals with a prior hip fracture. A clinical trial (HORIZON-RFT) showed that a yearly dose of 5mg intravenous zoledronic acid (IZA) had a fracture-reducing effect in individuals with a prior hip fracture. As to our knowledge no evidence about the cost-effectiveness of IZA is available, the objective of this study is to evaluate the cost-effectiveness of 5mg IZA in women with a previous hip fracture in comparison to no intervention. For this reason a previously published discrete event simulation model which simulates the natural occurrences of different fractures was enhanced. The main enhancements of the model were the inclusion of medication persistence and potential residual treatment effects of IZA. Model input data in terms of epidemiologic, economic and medication effectiveness data was taken from multiple sources. Quality adjusted life years (QALY) were used as effect measure. Costs were considered from a societal perspective for the year 2009. Costs and QALYs were discounted by 3%. As main outcome we calculated the incremental cost-effectiveness ratio (€/QALY) and constructed cost-effectiveness acceptability curve (CEAC) to represent the parameter uncertainty around our results. In the base-case analysis the model showed an ICER of 11,602 €/QALY with incremental costs and QALYs of 21.8€ and 0.0018762 QALYs, respectively. At ICER thresholds of 12,500 €/QALY and 80,000€/QALY the CEAC showed a probability for cost-effectiveness of 48% and 93%, respectively. The result of the model suggest that yearly 5 mg intravenous zoledronic acid is a cost-effective intervention in postmenopausal women after a hip fracture.

Osteoporosis

Osteoporosis
Author: Sics Editore
Publsiher: SICS Editore
Total Pages: 135
Release: 2014-10-01
ISBN: 8869304191
Category: Medical
Language: EN, FR, DE, ES & NL

Osteoporosis Book Excerpt:

The aim in the prevention and treatment of osteoporosis is to prevent fractures.In prevention of osteoporosis on the population level it is essential to ensure sufficient intake of calcium and vitamin D and to advise proper exercise habits as well as cessation of smoking. Diagnosis of osteoporosis is the responsibility of primary care. Bone density measurements should be targeted at risk groups (see table ). General, non-targeted DXA-screening is not indicated . Bone density measurements targeted at persons with increased risk are cost-effective and should be a part of the public health care. The treatment yields most benefit for those patients who already have a history of a low energy fracture, usually after a fall on flat ground. Patients who have experienced such a fracture should be referred to bone density measurement or directly to treatment. They have a 2–4-fold risk of refracture. Causes of secondary osteoporosis should be identified and treated accordingly (e.g. hyperparathyroidism, hyperthyroidism, Cushing's syndrome, hypogonadism, uraemia, coeliac disease, myeloma, glucocorticoid therapy, rheumatoid arthritis). Bisphosphonates are the first line drugs in the treatment and prevention. Oestrogen therapy is suitable also in the prevention and treatment of osteoporosis in women who have postmenopausal symptoms that require treatment and who have no arterial disease. The success of pharmacological treatment is assessed by bone density measurements and, on the population level, by the decrease in complications.

A Markov Model of Secondary Prevention of Osteoporotic Hip Fractures

A Markov Model of Secondary Prevention of Osteoporotic Hip Fractures
Author: Stephanie Tapp
Publsiher: Unknown
Total Pages: 94
Release: 2003
ISBN: 1928374650XXX
Category: Hip joint
Language: EN, FR, DE, ES & NL

A Markov Model of Secondary Prevention of Osteoporotic Hip Fractures Book Excerpt:

Low-trauma fractures of older women are a major public health burden. Fractures of the hip and spine are some of the primary causes of chronic pain, functional impairment, and disability among the elderly [1]. The underlying cause of these fractures is osteoporosis. Although the disease is common, only a small proportion (15%-20%) of women at risk currently receive preventative treatment [2]. We have focussed our attention to white postmenopausal women who have sustained a fracture of the distal radius. We developed a Markov model using probabilities obtained from recent literature in order to evaluated the effects of three hypothetical interventions targeted towards women after presenting with a wrist fracture. We analyzed this model using Monte Carlo simulations. Our results indicate that if an intervention can be developed for this population, then mean survival can be increased and the number of subsequent hip fractures can be decreased.

The Clinical Effectiveness and Cost effectiveness of Strontium Ranelate for the Prevention of Osteoporotic Fragility Fractures in Postmenopausal Women

The Clinical Effectiveness and Cost effectiveness of Strontium Ranelate for the Prevention of Osteoporotic Fragility Fractures in Postmenopausal Women
Author: Matt Stevenson,National Co-ordinating Centre for HTA (Great Britain),National Health Service. Research and Development Health Technology Assessment Programme,NHS R & D HTA Programme (Great Britain),National Coordinating Centre for Health Technology Assessment
Publsiher: Unknown
Total Pages: 134
Release: 2007
ISBN: 1928374650XXX
Category: Osteoporosis in women
Language: EN, FR, DE, ES & NL

The Clinical Effectiveness and Cost effectiveness of Strontium Ranelate for the Prevention of Osteoporotic Fragility Fractures in Postmenopausal Women Book Excerpt:

"Objectives: to estimate the clinical effectiveness and cost-effectiveness of strontium ranelate for the prevention of osteoporotic fractures in postmenopausal women, at different levels of absolute fracture risk. This considers secondary prevention in women who have sustained a previous fracture and primary prevention in those women without a previous fracture, as women with osteoporosis are asymptomatic until a fracture is sustained." (Abstract, page iv).

Oxford Textbook of Geriatric Medicine

Oxford Textbook of Geriatric Medicine
Author: Jean-Pierre Michel,Jeremy D. Walston
Publsiher: Oxford University Press
Total Pages: 1432
Release: 2017-12-14
ISBN: 0198701594
Category: Electronic Book
Language: EN, FR, DE, ES & NL

Oxford Textbook of Geriatric Medicine Book Excerpt:

Over the past two decades there has been a marked change in global age demographics, with the number of over-60s increasing by 82% and the number of centenarians by 715%. This new-found longevity is testament to the success of recent advances in medicine, but poses significant challenges to multiple areas of health care concerning older patients. Building upon its predecessor's reputation as the definitive resource on the subject, this new edition of the Oxford Textbook of Geriatric Medicine offers a comprehensive and multinational examination of the field. Fully revised to reflect the current state of geriatric medicine, it examines the medical and scientific basis of clinical issues, as well as the ethical, legal, and socio-economic concerns for healthcare policy and systems. Over 170 chapters are broken up into 16 key sections, covering topics ranging from policy and key concepts through to infection, cancer, palliative medicine, and healthy ageing. New material includes focus on the evolving concepts of malnutrition, sarcopenia, frailty, and related geriatric syndromes and integration of geriatric principles from public health, primary and specialized care, and transitional stages from home to emergency, medicine and surgery, rehabilitation, and long term care. The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.

Dynamics of Bone and Cartilage Metabolism

Dynamics of Bone and Cartilage Metabolism
Author: Markus J. Seibel,Simon P. Robins,John P. Bilezikian
Publsiher: Elsevier
Total Pages: 920
Release: 2006-07-24
ISBN: 9780080456263
Category: Medical
Language: EN, FR, DE, ES & NL

Dynamics of Bone and Cartilage Metabolism Book Excerpt:

This updated edition is a comprehensive treatise that spans the complete range of basic biochemistry of bone and cartilage components to the clinical evaluation of disease markers in bone and joint disorders. With contributions from over 75 international experts, Dynamics of Bone and Cartilage Metabolism, Second Edition, is indispensable reading for those involved in skeletal research as well as for rheumatologists, endocrinologists, clinical biochemists, and other clinical disciplines participating in the management of patients with bone and cartilage diseases. Part I provides an up-to-date account of current knowledge of the structure, biosynthesis and molecular biology of the major tissue components Part II covers the organizational structure and cellular metabolism of bone and cartilage Part III deals with the utility of components specific to bone and cartilage as biomarkers of health and disease

Implementing NICE guidelines for primary and secondary prevention of osteoporotic fragility fracture

Implementing NICE guidelines for primary and secondary prevention of osteoporotic fragility fracture
Author: Louise Spoors
Publsiher: Unknown
Total Pages: 135
Release: 2010
ISBN: 1928374650XXX
Category: Electronic Book
Language: EN, FR, DE, ES & NL

Implementing NICE guidelines for primary and secondary prevention of osteoporotic fragility fracture Book Excerpt:

Osteoporosis in Older Persons

Osteoporosis in Older Persons
Author: Gustavo Duque,Douglas P. Kiel
Publsiher: Springer
Total Pages: 282
Release: 2016-07-11
ISBN: 3319259768
Category: Medical
Language: EN, FR, DE, ES & NL

Osteoporosis in Older Persons Book Excerpt:

This new edition includes the most up-to-date information about the pathophysiology and new therapeutic alternatives for osteoporosis of advanced age. It is written by investigators (clinicians and basic scientists) in the field of aging bone research. It was just recently that a new syndrome, osteoporosis of advanced age, was recognized as a new entity with its own pathophysiology and potential treatments. Unfortunately, and despite the fact that hip fractures are mostly a consequence of this process, and apart from the first edition of this book, there are few publications about this subject. The first edition of this book demonstrated that there is a need to understand the particular features of osteoporosis in older persons, which is the main aim of this book. The institutions where the authors are affiliated are highly recognized as the main centers in aging bone research. As an innovation, the second edition includes some aspects of muscle and bone interaction focusing of the impact of age-related muscle loss (sarcopenia) on the pathogenesis of falls and fractures in older persons. As in the previous edition, this book is expected to be the reference guide for geriatricians, gerontologists, and bone biologists as well as medical trainees in order to understand the mechanisms of senile osteoporosis with a practical approach to the treatment of its consequences.

Osteoporotic Fracture and Systemic Skeletal Disorders

Osteoporotic Fracture and Systemic Skeletal Disorders
Author: Hideaki E. Takahashi
Publsiher: Springer Nature
Total Pages: 135
Release: 2022
ISBN: 9811656134
Category: Electronic Book
Language: EN, FR, DE, ES & NL

Osteoporotic Fracture and Systemic Skeletal Disorders Book Excerpt:

New Horizons in Osteoporosis Management

New Horizons in Osteoporosis Management
Author: Yasser El Miedany
Publsiher: Springer Nature
Total Pages: 135
Release: 2022
ISBN: 303087950X
Category: Electronic books
Language: EN, FR, DE, ES & NL

New Horizons in Osteoporosis Management Book Excerpt:

This book provides a review of the most recent data on osteoporosis and bone health, presenting a vision of diagnosis and management for the year 2021 and beyond. It covers all pertinent aspects of bone health including diagnosis, fracture prevention, optimized practice, impaired orthostasis, and falls. The book examines recent developments in therapeutics, including goal-directed therapy, individualizing therapy, sequential and combined therapies, pharmaceuticals, and anabolic vs. antiresorptive therapy. In addition, it provides an in-depth overview of osteoporosis and bone health in complex patients, covering Duchene dystrophy, renal failure, periodontal diseases, and steroid-induced osteoporosis as well as considerations for pediatric populations and men. New Horizons in Osteoporosis Management is an essential resource for physicians and related professionals, residents, fellows, graduate students and nurses in rheumatology, endocrinology, radiology, pediatrics, primary care, and internal medicine. .

Osteoporosis Treatment

Osteoporosis Treatment
Author: Elaine Dennison
Publsiher: Springer Nature
Total Pages: 225
Release: 2021-08-16
ISBN: 3030781283
Category: Medical
Language: EN, FR, DE, ES & NL

Osteoporosis Treatment Book Excerpt:

This book provides a practical overview of osteoporosis for the wide spectrum of clinicians that might encounter the osteoporotic patient. Concise and well-structured chapters examine the public health importance of the condition, the current treatment gap, how to identify individuals who would benefit from treatment, bone turnover and how this can be modified by osteoporosis therapies, adjuvant lifestyle modification, the calcium and vitamin D story, antiresorptive therapies, anabolic therapies, emerging therapies, adherence and compliance with therapy and the perception of fracture risk. Osteoporosis Treatment: A Clinical Overview meets the need for a book that improves awareness of this major public health problem and possible therapeutic approaches. Primary care physicians, endocrinologists, rheumatologists, orthopaedic surgeons and those providing specialist care for the elderly will all benefit from this highly accessible and informative guide to treating osteoporosis.

Orthogeriatrics

Orthogeriatrics
Author: Paolo Falaschi,David R. Marsh
Publsiher: Springer
Total Pages: 211
Release: 2016-09-19
ISBN: 3319432494
Category: Medical
Language: EN, FR, DE, ES & NL

Orthogeriatrics Book Excerpt:

This book focuses on orthogeriatrics, a topic that has received little attention in the literature to date. As active members of the Fragility Fracture Network (FFN), the editors and most of the authors of this book have gathered all essential expertise on hip fracture management in a single volume. The 14 chapters provide a complete overview of how to approach fractures in elderly patients, starting with the epidemiology of hip fractures and subsequently addressing osteoporosis, surgery, anesthesia, medical management of frailty, and peri-operative complications. Attention is also given to rehabilitation and nursing, as well as to the psychological evaluation of the patient and the caregivers, thus emphasizing the importance of a multidisciplinary approach. Thanks to its clinical and practice-oriented nature, the book will especially be of interest to residents and young geriatricians, as well as orthopaedic surgeons, anesthesiologists and nurses dealing with elderly fracture patients in all parts of the world.

Knee Fractures

Knee Fractures
Author: Marc Hanschen
Publsiher: Springer Nature
Total Pages: 135
Release: 2022
ISBN: 3030817768
Category: Electronic Book
Language: EN, FR, DE, ES & NL

Knee Fractures Book Excerpt: