Post hip fracture orthogeriatric care-a Canadian position paper addressing challenges in care and strategies to meet quality indicators

Aliya A Khan; Hajar AbuAlrob; Hatim Al-Alwani; Dalal S Ali; Khulod Almonaei; Farah Alsarraf; Earl Bogoch; Karel Dandurand; Aaron Gazendam; Angela G Juby; Wasim Mansoor; Sharon Marr; Emmett Morgante; Frank Myslik; Emil Schemitsch; Prism Schneider; Jenny Thain; Alexandra Papaioannou; Paul Zalzal

doi:10.1007/s00198-022-06640-3

Post hip fracture orthogeriatric care-a Canadian position paper addressing challenges in care and strategies to meet quality indicators

Osteoporos Int. 2023 Jun;34(6):1011-1035. doi: 10.1007/s00198-022-06640-3. Epub 2023 Apr 4.

Authors

Aliya A Khan¹, Hajar AbuAlrob^{2

3}, Hatim Al-Alwani⁴, Dalal S Ali⁴, Khulod Almonaei⁴, Farah Alsarraf⁴, Earl Bogoch⁵, Karel Dandurand⁴, Aaron Gazendam⁶, Angela G Juby⁷, Wasim Mansoor⁸, Sharon Marr³, Emmett Morgante⁹, Frank Myslik¹⁰, Emil Schemitsch¹¹, Prism Schneider¹², Jenny Thain¹³, Alexandra Papaioannou^{2

3}, Paul Zalzal⁶

Affiliations

¹ Department of Medicine, Division of Endocrinology and Metabolism and Geriatrics, McMaster University, Hamilton, ON, Canada. [email protected].
² Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
³ Department of Medicine, Division of Geriatric Medicine, McMaster University, Hamilton, ON, Canada.
⁴ Department of Medicine, Division of Endocrinology and Metabolism and Geriatrics, McMaster University, Hamilton, ON, Canada.
⁵ Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, ON, Canada.
⁶ Department of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada.
⁷ Department of Medicine, Division of Geriatric Medicine, University of Alberta, Edmonton, AB, Canada.
⁸ Trillium Health Partners, University of Toronto, Toronto, ON, Canada.
⁹ Bone Research and Education Center Patient Support Program and Education Coordinator, Oakville, ON, Canada.
¹⁰ Division of Emergency Medicine, Western University, London, ON, Canada.
¹¹ Department of Surgery, Division of Orthopaedic Surgery, Western University, London, ON, Canada.
¹² Department of Surgery, Division of Orthopaedic Surgery, University of Calgary, Calgary, AB, Canada.
¹³ Department of Medicine, Division of Geriatric Medicine, Western University, London, ON, Canada.

Abstract

Introduction: Osteoporosis is a major disease state associated with significant morbidity, mortality, and health care costs. Less than half of the individuals sustaining a low energy hip fracture are diagnosed and treated for the underlying osteoporosis.

Objective: A multidisciplinary Canadian hip fracture working group has developed practical recommendations to meet Canadian quality indicators in post hip fracture care.

Methods: A comprehensive narrative review was conducted to identify and synthesize key articles on post hip fracture orthogeriatric care for each of the individual sections and develop recommendations. These recommendations are based on the best evidence available today.

Conclusion: Recommendations are anticipated to reduce recurrent fractures, improve mobility and healthcare outcomes post hip fracture, and reduce healthcare costs. Key messages to enhance postoperative care are also provided.

Keywords: Clinical guidelines; Hip fracture; Orthogeriatric care; Quality indicators.

Publication types

Review

MeSH terms

Canada / epidemiology
Hip Fractures* / complications
Hip Fractures* / surgery
Humans
Osteoporosis* / complications
Osteoporosis* / therapy
Quality Indicators, Health Care
Treatment Outcome