Maximum Potential Preventive Effect of Hip Protectors

Schoor, Natasja M. van; Smit, Johannes H.; Bouter, Lex M.; Veenings, Bart; Asma, G.; Lips, Paul

doi:10.1111/j.1532-5415.2007.01145.x

Cited by 6 publications

(1 citation statement)

References 14 publications

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“…Many hip fractures occur in persons with a low risk for hip fractures or under circumstances that preclude the use of hip protectors. This may be the reason why the actual preventive effect of hip protectors is lower than its maximum potential preventive effect [57] . Cost-effectiveness analyses are inconsistent in that they report positive as well as negative results.…”

Section: Hip Protectorsmentioning

confidence: 99%

Osteoporosis: An Age-Related and Gender-Specific Disease – A Mini-Review

et al. 2008

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Osteoporosis, a classical age-related disease and known to be more common in women than in men, has been reported increasingly often in men during the past few years. Although men at all ages after puberty have larger bones than women, resulting in greater bending strength, mortality after a hip fracture, one of the major complications of osteoporosis, is more common in men than in women. Sex hormone deficiency is associated with unrestrained osteoclast activity and bone loss. Even though estrogen deficiency is more pronounced in women, it appears to be a major factor in the pathogenesis of osteoporosis in both genders. In contrast to osteoporosis in postmenopausal women, the treatment of osteoporosis in men has been scarcely reported. Nevertheless, some drugs commonly used for the treatment of osteoporosis in women also appear to be effective in men. The aim of this study is to review primary osteoporosis in the elderly with particular emphasis on gender-related aspects.

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Section: Hip Protectorsmentioning

confidence: 99%

Osteoporosis: An Age-Related and Gender-Specific Disease – A Mini-Review

et al. 2008

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Hip Protectors: Are They Worth it?

2015

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Hip fractures are one of the most serious conditions in frail elderly subjects, greatly increasing morbidity and mortality, and decreasing healthy life years. Since their first introduction on the market, hip protectors have been revealed to be a potential preventive measure for hip fractures, in addition to other well-known recognized medical interventions and rehabilitation procedures. However, randomized controlled trials have given contradictory results regarding their efficacy. Moreover, little data are available on the cost effectiveness of hip protectors. Adherence is a major problem in assessing the effectiveness of hip protectors in preventing fractures. Indeed, there is a lack of general consensus on a standard definition and quantitative objective estimation of adherence to hip protectors, along with still scarce evidence on specific interventions on how to ameliorate it. From what is known so far, it seems reasonable to advise the use of hip protectors in aged care facilities, since recent pooled analyses have suggested their efficacy in this setting. The introduction of sensors combined with hip protectors will probably address this issue, both for monitoring and optimizing compliance, especially in elderly people. In the meantime, new, well-designed studies following specific guidelines are strongly encouraged and needed. In particular, studies in community-dwelling elderly individuals at high risk of first or further fragility fractures are required. The optimization of the tested devices in a preclinical setting according to international standard biomechanical testing is necessary.

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