Undertreatment of osteoporosis in men with hip fracture
Undertreatment of osteoporosis in men with hip fracture
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DOI：
10.1001/archinte.162.19.2217
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发表时间：
2002-10-28
影响因子：
--
通讯作者：
Heggeness, MH
中科院分区：
文献类型：
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作者：
Kiebzak, GM;Beinart, GA;Heggeness, MH
背景：女性髋部骨折后骨质疏松症没有积极治疗；男性髋部骨折的治疗现状尚未得到广泛的研究。目的：评价男性髋部骨折的预后及治疗现状。方法：收集1996年1月1日至2000年12月31日在St Luke’s Episcopal医院收治的年龄在50岁及以上的非外伤性（低能量）髋部骨折患者363例（男性110例，女性253例）的病历资料。调查问卷邮寄给幸存的病人。主要结局变量为出院时的骨质疏松治疗（抗骨吸收或钙和维生素D）、1- 5年随访期间的骨质疏松治疗、骨密度测试、死亡率、目前的残疾和生活安排（家庭或机构）。结果：男性平均年龄80岁，女性平均年龄81岁。大多数骨折（89%的男性和93%的女性）是由站立高度跌落造成的。出院时，4.5%的男性（n = 5）接受过骨质疏松症治疗，而27%的女性（n = 69）接受过骨质疏松症治疗
Background: Women are not aggressively treated for osteoporosis after hip fracture; the treatment status of men with hip fracture has not been extensively studied.Objective: To evaluate the outcome and treatment status of men with hip fracture.Methods: Data from medical records were obtained for 363 patients (110 men and 253 women) aged 50 years and older with atraumatic (low-energy) hip fracture who were admitted to St Luke's Episcopal Hospital between January 1, 1996, and December 31, 2000. Surveys were mailed to surviving patients. Main outcome variables were osteoporosis treatments (antiresorptive or calcium and vitamin D) at hospital discharge, current osteoporosis treatments at 1- to 5-year follow-up, bone mineral density testing, mortality, current disability, and living arrangements (home or institution).Results: The mean age for men was 80 years vs 81 years for women. Most fractures (89% for men and 93% for women) resulted from falls from a standing height. At hospital discharge, 4.5% of men (n = 5) had treatment of any kind for osteoporosis, compared with 27% of women (n = 69) (P