Orthopedic surgeons’ view for the prevention of osteoporotic secondary fractures: a survey

Gungor, Harun R.; Ök, Nusret; Akkaya, Semih; Kiter, Esat

doi:10.5606/ehc.2014.31

Eklem Hastalik Cerrahisi

2014

DOI: 10.5606/ehc.2014.31

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Orthopedic surgeons’ view for the prevention of osteoporotic secondary fractures: a survey

Harun R. Gungor

Nusret Ök

Semih Akkaya

et al.

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Cited by 4 publications

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“…[1] In Turkey, the majority of patients presenting with osteoporotic hip and vertebra fractures are underevaluated and undertreated for the prevention of secondary fractures. [2] The cumulative incidence of secondary hip fractures has been reported to be 9% in the Netherlands. [3] The relatively high risk of sustaining secondary hip fractures highlights the importance of secondary prevention in patients with a prior wrist or vertebral fracture.…”

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confidence: 99%

Has the awareness of orthopedic surgeons on osteoporosis been increased in the past decade?

Os¹

2015

Eklem Hastalik Cerrahisi

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mentioning

confidence: 99%

Has the awareness of orthopedic surgeons on osteoporosis been increased in the past decade?

Os¹

2015

Eklem Hastalik Cerrahisi

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Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association

Lee,

Mitchell,

Ang

et al. 2024

Arch Osteoporos

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Evaluation of overactive bladder and nocturia as a risk factor for hip fracture in climacteric women: a matched pair case control study

Karabulut

Simavlı

Demirtaş

et al. 2017

Journal of Obstetrics and Gynaecology

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The aim of this study was to investigate whether overactive bladder (OAB) influences hip fractures in climacteric women by comparing the frequency of OAB and nocturia symptoms in patients with hip fractures and their age-matched controls in pre-fracture period. A total of 30 climacteric patients with a history of hip fracture were compared to a control group of 51 women in terms of OAB, nocturia and nocturia-QoL. A questionnaire composed of structured questions and Turkish validated versions of the specific questionnaires for OAB, OAB-Quality of Life (OAB-q) and nocturia-QoL was directed to the two groups. We did not detect statistically relevant differences between the groups for the presence or severity of OAB and OAB-q (p > .05). However, Nocturia-QoL was worse in the group with hip fracture (p = .022). Overactive bladder has no contribution to the overall risk of hip fracture, whereas, the severity of nocturia seems to play a role as a risk factor in the formation of hip fracture. Impact statement What is already known on this subject: Hip fracture is associated with high morbidity, mortality and the cost. Prevention of hip fracture is a high priority for the patients, physicians and the public health. Several studies and consensus opinions have investigated the risk factors for the hip fractures. What the results of this study add: Although urinary symptoms were not evaluated in previous studies as a risk factor, desire of urination makes people stand up and move to their toilet, and may put them in a hurry if it is sudden and uncontrollable one. Therefore, we hypothesised that overactive bladder (OAB) and nocturia may be a risk factor in the formation of hip fractures. Our study showed that Nocturia Quality of Life is worse in patients with the hip fracture. Therefore, overactive bladder may not have a role on the overall risk of hip fracture, but the severity of nocturia seems as a risk factor in the fracture process. What the implications are of these findings for clinical practice and/or further research: The getting up from the bed would probably be harder than getting up from a chair in elderly, and life style modifications such as illumination bedroom and organisation of living place may be helpful to minimise the risks.

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Orthopedic surgeons’ view for the prevention of osteoporotic secondary fractures: a survey

Cited by 4 publications

References 12 publications

Has the awareness of orthopedic surgeons on osteoporosis been increased in the past decade?

Has the awareness of orthopedic surgeons on osteoporosis been increased in the past decade?

Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association

Evaluation of overactive bladder and nocturia as a risk factor for hip fracture in climacteric women: a matched pair case control study

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