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Hip fractures represent the most severe complication of osteoporosis from the perspectives of the patient, carer, health care system and society. Given the strong association with age, numbers are set to rise significantly in the next few decades despite evidence that the age adjusted rates in some countries are either plateauing or falling. Given the almost invariable need for inpatient admission, hospital administrative data for hip fractures remain a robust measure of number of hip fractures in the community and can be extrapolated to determine the total expected number of clinical fragility fractures from the same population. Both process and outcome standards have now been developed to benchmark clinical quality in the care of patients with hip fractures and fragility fractures at other sites.

Type

Journal article

Journal

Best practice & research. Clinical rheumatology

Publication Date

12/2013

Volume

27

Pages

711 - 715

Addresses

Oxford NIHR Musculoskeletal BRU, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK; Nuffield Orthopaedic Centre, Oxford University Hospitals Trust, UK. Electronic address: kassim.javaid@ndorms.ox.ac.uk.

Keywords

Humans, Osteoporosis, Hip Fractures, Economics, Medical, Benchmarking, Medical Audit, Osteoporotic Fractures