 |
|
Nation's hip fracture rate could drop 25 percent with aggressive osteoporosis prevention
November 02, 2009Aggressively managing patients at risk for osteoporosis could reduce the hip fracture rate in the United States by 25 percent, according to a Kaiser Permanente study published in the November issue of the Journal of Bone & Joint Surgery. The first step must be a more active role by orthopedic surgeons in osteoporosis disease management, researchers say.
This study, the largest to look at osteoporosis management in men and women over 50 years old, followed 650,000 men and women in Kaiser Permanente's osteoporosis management program and found hip fractures dropped by 38 percent, preventing 970 hip fractures in 2007.
The prospective observational study examined the effectiveness of the Kaiser Permanente Southern California's Healthy Bones Program from 2002 to 2007. Kaiser Permanente HealthConnect®, the world's largest civilian electronic health record database, was used to collect data on patients that included anti-osteoporosis medication usage, bone density scans and fragility fractures.
A recent report showed that Kaiser Permanente in Southern California leads the nation for effective osteoporosis disease management. The National Committee on Quality Assurance, a private, non-profit organization dedicated to improving health care quality, recently released the results in its Quality Compass® study of reporting health plans for 2008. Of the 10 million Americans who have osteoporosis, 80 percent are women.
"Currently in the United States, the rate of treatment after a fragility fracture is only 20 percent. Treatment after a fragility fracture at Kaiser Permanente in Southern California is now 68 percent. Health care would be drastically improved if this model of osteoporosis care were adapted for the rest of America," said the study's lead author Richard M. Dell, MD, an orthopedic surgeon at Kaiser Permanente in Downey, California.
The Healthy Bones Program aggressively targets people at risk for hip fractures by identifying them through KP HealthConnect to ensure they get the bone density screenings and medications they need. The multidisciplinary team includes orthopedic surgeons and providers from endocrinology, family practice, internal medicine, rheumatology, gynecology, physical therapy, disease/care management, radiology, and nursing education.
In this study, researchers found that annual bone density screening rates increased by 263 percent from 2002 to 2007. In 2002 there were 21,557 scans a year. In 2007, there were 78,262 scans. The number of people on anti-osteoporosis medications increased by 153 percent from 33,208 in 2002 to 84,155 a year in 2007.
"The most important thing an orthopedic surgeon should know about osteoporosis/fracture prevention is that we can take action that helps to prevent hip and other fragility fractures," Dell said. "Simple steps like suggesting calcium and vitamin D for all your patients and bone mineral density testing in patients at higher risk for osteoporosis should be considered part of your daily practice."
More than 300,000 hip fractures are reported annually in the United States. Twenty-four percent of people who experience a hip fracture end up in a nursing home, 50 percent never reach their functional capacity, and 25 percent of patients over 65 years of age with a hip fracture die in the first year after the incident.
"After a fracture, you need treatment, and in America, most people are not getting the treatment they need," Dell said. "The lesson here is if you are over 50 years old and have a fragility fracture, ask your doctor about getting a bone density scan, and if needed, osteoporosis treatment."
Dr. Dell further states that understanding the pathophysiology of osteoporosis and fragility fractures helps to develop a treatment strategy for your patients. The medical management of osteoporosis is not always complex and can be done by most practicing orthopedic surgeons.
Kaiser Permanente
A recent report showed that Kaiser Permanente in Southern California leads the nation for effective osteoporosis disease management. The National Committee on Quality Assurance, a private, non-profit organization dedicated to improving health care quality, recently released the results in its Quality Compass® study of reporting health plans for 2008. Of the 10 million Americans who have osteoporosis, 80 percent are women.
"Currently in the United States, the rate of treatment after a fragility fracture is only 20 percent. Treatment after a fragility fracture at Kaiser Permanente in Southern California is now 68 percent. Health care would be drastically improved if this model of osteoporosis care were adapted for the rest of America," said the study's lead author Richard M. Dell, MD, an orthopedic surgeon at Kaiser Permanente in Downey, California.
The Healthy Bones Program aggressively targets people at risk for hip fractures by identifying them through KP HealthConnect to ensure they get the bone density screenings and medications they need. The multidisciplinary team includes orthopedic surgeons and providers from endocrinology, family practice, internal medicine, rheumatology, gynecology, physical therapy, disease/care management, radiology, and nursing education.
In this study, researchers found that annual bone density screening rates increased by 263 percent from 2002 to 2007. In 2002 there were 21,557 scans a year. In 2007, there were 78,262 scans. The number of people on anti-osteoporosis medications increased by 153 percent from 33,208 in 2002 to 84,155 a year in 2007.
"The most important thing an orthopedic surgeon should know about osteoporosis/fracture prevention is that we can take action that helps to prevent hip and other fragility fractures," Dell said. "Simple steps like suggesting calcium and vitamin D for all your patients and bone mineral density testing in patients at higher risk for osteoporosis should be considered part of your daily practice."
More than 300,000 hip fractures are reported annually in the United States. Twenty-four percent of people who experience a hip fracture end up in a nursing home, 50 percent never reach their functional capacity, and 25 percent of patients over 65 years of age with a hip fracture die in the first year after the incident.
"After a fracture, you need treatment, and in America, most people are not getting the treatment they need," Dell said. "The lesson here is if you are over 50 years old and have a fragility fracture, ask your doctor about getting a bone density scan, and if needed, osteoporosis treatment."
Dr. Dell further states that understanding the pathophysiology of osteoporosis and fragility fractures helps to develop a treatment strategy for your patients. The medical management of osteoporosis is not always complex and can be done by most practicing orthopedic surgeons.
Kaiser Permanente
Osteoporosis Current Events and Osteoporosis News RSSHeart and bone damage from low vitamin D tied to declines in sex hormones
Researchers at Johns Hopkins are reporting what is believed to be the first conclusive evidence in men that the long-term ill effects of vitamin D deficiency are amplified by lower levels of the key sex hormone estrogen, but not testosterone.
Connection between depression and osteoporosis detailed by Hebrew University researchers
Research carried out among thousands of people has shown a clear connection between depression and a loss of bone mass, leading to osteoporosis and fractures.
Fabled 'vegetable lamb' plant contains potential treatment for osteoporosis
The "vegetable lamb" plant - once believed to bear fruit that ripened into a living baby sheep - produces substances that show promise in laboratory experiments as new treatments for osteoporosis, the bone-thinning disease.
New data: Hospital imaging centers poised to pull back, hitting patients hardest in rural areas
Survivors and patients with cancers and heart disease, along with patient advocate organizations and physicians, today urged policymakers to enhance early diagnosis of deadly diseases by preserving access to advanced imaging, such as MRI and CT scans, in final health care reform legislation.
New approach for growing bone comes from Duke preclinical research
The natural cycle of building bone to maintain skeletal strength and then breaking it down for the body's calcium needs is delicately balanced, but diseases like osteoporosis break down too much bone without adequate bone replacement, leading to bone fractures.
New link found between osteoporosis and coeliac disease
People with coeliac disease may develop osteoporosis because their immune system attacks their bone tissue, a new study has shown.
National report shines light on lupus 50-year treatment drought
Today, The Lewin Group, a national health care consulting firm, issued recommendations on ways to overcome the barriers that have obstructed lupus drug development resulting in no new drug approval for this disease in more than 50 years - since the Eisenhower Administration.
Breast milk should be drunk at the same time of day that it is expressed
The levels of the components in breast milk change every 24 hours in response to the needs of the baby. A new study published in the journal Nutritional Neuroscience shows, for example, how this milk could help newborn babies to sleep.
Wrist fracture patients less likely to be evaluated for osteoporosis
A study published in the October 2009 issue of the Journal of Bone and Joint Surgery suggests a disconnect between the way wrist-fracture patients and those with a spine or hip fracture are managed and evaluated.
Researchers identify new brain pathway for regulating weight and bone mass
Contrary to the prevailing view, the hormone leptin, which is critical for normal food intake and metabolism, appears to regulate bone mass and suppress appetite by acting mainly through serotonin pathways in the brain.
More Osteoporosis Current Events and Osteoporosis News Articles
 |
The Whole-Body Approach to Osteoporosis: How to Improve Bone Strength and Reduce Your Fracture Risk by R. Keith Mccormick (Author) No pill will cure you of osteoporosis. While medication can sometimes help, it won't fully address the underlying causes of your osteoporosis or osteopenia. To restore bone health, you'll need a targeted program combining the best bone-building strategies from traditional and holistic medicine. The Whole-Body Approach to Osteoporosis distills these complex strategies into a whole-body plan you can begin today to dramatically improve your bone strength and overall vitality. This comprehensive guide includes information on: What to eat for stronger bones Choosing bone-building supplements and osteoporosis medications Foods and medications that may be contributing to bone loss Signs and symptoms that can help you monitor your bone health How lab tests can help you personalize your... |
 |
Osteoporosis: An Exercise Guide by Margie Bissinger (Author), Margie Bissinger (Editor), Cecil Byk (Editor) One of the most practical exercise guides written to help fight against osteoporosis and low bone mass. Ms. Bissinger utilizes her years of experience teaching and treat patients to create an easy to use, simple exercise guide. Beautifully illustrated, the exercises offer an effective program to improve strength, balance, and posture. Thanks to her years as a physicial therapist, she has provided an unique section illustrating safe ways to perform many activities one performs on a daily basis. Safe ways to perform simple acts such as sitting, lifting, and sneezing are demonstrated in her section on "activities of Daily Living". |
 |
The Myth of Osteoporosis by Gillian Sanson (Author) "Gill Sanson's book is a well-researched breath of fresh air that will help women everywhere better trust the wisdom of their bodies." -- Christiane Northrup, M.D. The Myth of Osteoporosis is a research-based work that provides clear insight into the myths of osteoporosis. These myths motivate both patient and physician into a lifetime of unnecessary testing and drug therapy — therapy that can in fact be life-threatening. Gillian Sanson's well-documented explanation of these myths can spare women great anxiety. She takes the fear out of aging and restores women's sense of control over their bodies. She gives women good reasons for challenging the common way that osteoporosis is handled in the United States and in many other industrialized nations. |
 |
Building Bone Vitality: A Revolutionary Diet Plan to Prevent Bone Loss and Reverse Osteoporosis--Without Dairy Foods, Calcium, Estrogen, or Drugs by Amy Lanou (Author), Michael Castleman (Author) Calcium pills don't work. Dairy products don't strengthen bones. Drugs may be dangerous. For years, doctors have been telling us to drink milk, eat dairy products, and take calcium pills to improve our bone vitality. The problem is, they’re wrong. This groundbreaking guide uses the latest clinical studies and the most upto- date medical information to help you strengthen your bones, reduce the risk of fractures, and prevent osteoporosis. You’ll learn why there’s no proof of calcium’s effectiveness, despite what doctors say, and why a low-acid diet is the only effective way to prevent bone loss. "This clear, convincing explanation of osteoporosis will change the way the world thinks about bone health. Lanou and Castleman prove beyond... |
 |
Skeletal Fitness by Mirabai Holland - Osteoporosis Prevention Bone Loading and Strength Training Exercises:A Workout For Bones Starring: MFA Mirabai Holland Directed By: F. Sebastian Marino Skeletal Fitness by Mirabai Holland® is a 1 hour Bone Loading video to help combat osteoporosis by leading exercise expert, Mirabai Holland, M.F.A. Bones are living tissue and become more dense with exercise. Studies show that tennis players, through repeated practice, will develop thicker, stronger bones in their racquet arm than in their other arm. This process is called bone loading. Skeletal Fitness™is a comprehensive bone loading program for the whole body, with special emphasis on the areas at risk for osteoporotic fracture: the spine, thigh bone at the hip, and forearm at the wrist. Skeletal Fitness™ video includes: A one-on-one bone loading workout divided into 6 color coded sections making it easy for beginners to stop and go, or fast forward to any section that needs... |
 |
Preventing and Reversing Osteoporosis : What You Can Do About Bone Loss--A Leading Expert's Natural Approach to Increasing Bone Mass by Alan Gaby (Author) You Can Fight—and Even Reverse—Bone Loss How strong are your bones? At 35, a woman's battle against bone loss begins. And, it intensifies with menopause and beyond. Conventional medicine has offered such controversial therapies as estrogen replacement, a treatment that is potentially dangerous and only partially effective. Now, Dr. Gaby, one of the foremost authorities on nutritional and natural medicine, offers practical advice on osteoporosis that substantially increases a woman's chances for maintainting and even regaining normal bone mass. Inside you'll learn: ·How diet can help or hurt your bones ·How food allergies contribute to osteoporosis ·Which types of exercise are beneficial ·Why vitamin K is as important for bones as calcium ·And much more!... |
 |
Osteoporosis For Dummies (For Dummies (Health & Fitness)) by Carolyn Riester O'Connor (Author), Sharon Perkins RN (Author) Facts and advice to help people understand and prevent osteoporosis There are an estimated 55 million Americans over the age of 50 who have low bone mass. This easy-to-understand guide helps readers assess their risk and find a practical approach to the diagnosis, treatment, and prevention of osteoporosis. It covers bone density tests and a wide range of treatment options for osteoporosis-from hormone replacement therapy and acupuncture to calcium-rich foods, supplements, and exercise-and offers pointers on preventing broken hips and other common fractures. |
 |
Better Bones, Better Body : Beyond Estrogen and Calcium by Susan Brown (Author), Susan E. Brown PhD (Author), Russell Jaffe MD (Author) Challenging traditional assumptions that estrogen and calcium deficiencies are the only causes of osteoporosis, this book explores the disorder from a wider perspective that includes lifestyle and exercise. This newly revised second edition features a personal osteoporosis risk assessment questionnaire and a step-by-step program for strengthening bones and improving overall health and well-being. |
 |
OsteoPeak Natural Personalized Bone Care Solution, 180 Capsules by OsteoPeak OsteoPeak® Natural is a new dietary supplement for increasing bone mineral density without any hormonal ingredients. OsteoPeak® Natural contains OPB¿ (OsteoPeak Proprietary Blend), a patented herbal blend of Rehmannia glutinosa Libosch and Eleutherococcus senticosus Max. One ingredient of the blend stimulates the activity of bone-forming cells while another inhibits the activity of bone-destroying cells. OsteoPeak® Natural brings superior benefits for strong healthy bones that other supplements alone cannot bring. |
 |
What Your Doctor May Not Tell You About Osteoporosis: Help Prevent--and Even Reverse--the Disease that Burdens Millions of Women by Felicia Cosman (Author) With over 10 million Americanscurrently suffering from osteoporosis-and millions more at risk-awareness of the disease has been brought to the forefront. Many women try everything from calcium pills to lifting weights in hopes of increasing bone density to prevent this devastating condition. Dr. Felicia Cosman, who has specialized in osteoporosis for 15 years, asserts that every woman should be following a universal prevention plan.This comprehensive guide to a lifelong strategy covers everything women need to know, from the architecture of the condition, to methods for reducing risk factors, to preventative nutrition, exercise, supplements, and vitamins-and the latest findings about estrogen and hormone replacement therapy. But prevention may not be enough-bone density testing is also a... |
| © 2009 BrightSurf.com |