oa Journal of Endocrinology, Metabolism and Diabetes in South Africa - Acute and long-term medical management of osteoporotic hip fractures : correspondence
Cassim et al are to be commended on their detailed and clear recommendations for the acute and long-term medical management of osteoporotic hip fractures, published in a recent issue of JEMDSA. This publication, a position paper of the National Osteoporosis Foundation of South Africa (NOFSA) and the South African Geriatrics Society, comes at a most opportune time, as it coincides with the launch of the Capture the Fracture campaign of the International Osteoporosis Foundation (IOF) and the 2 Million 2 Many initiative of the American Society for Bone and Mineral Research (ASBMR). Both of these programmes aim to emphasise the fact that a mere one in every 10 patients with hip fractures is afforded proper prophylactic therapy to prevent subsequent fractures. This is particularly unfortunate, given the fact that hip fractures carry high mortality (20-36%) and morbidity (less than 50% of patients with hip fractures are capable of leading an independent existence following a hip fracture), yet are very amenable to preventive therapy (a 30-50% reduction in fracture risk).
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