Health
Risk of a second fracture after a fracture
In other countries and within some US medical networks, including the Kaiser Permanente system in California, there are coordinated services to ensure proper post-fracture follow-up. In 2013, the International Osteoporosis Foundation Capture the fracture To ensure that “patients with vulnerable fractures receive appropriate assessments and interventions to reduce the risk of future fractures,” such organized precautions remain rare in the United States.
Establishing a fracture contact service, as they are called, faces major obstacles in this country. There is no mechanism to pay the person who coordinates care between the orthopedist and the practitioner. Medicare does not cover the cost of the coordinator, Dr. Siris said. “Therefore, there is no incentive to bring the patient into the medical hands after the fracture. Many GPs do not even know that the patient has a broken hip.”
Given the astronomical costs of Medicare for hip fractures, Dr. Khosla called the inability to cover the cost of service adjustments to prevent a second fracture “pennywise and pound idiot.” (Of course, this is just one of many economically questionable limitations of Medicare. For example, consider the inability to cover hearing aids. Without hearing aids, the risk of dementia increases, falls, and Medicare There are many other expensive medical problems that the company does. Pay for it.)
The 13 Consensus Group recommendations for preventing fractures include banning smoking and tobacco use, limiting alcohol consumption to two glasses a day for men and one for women, and supporting weight. This includes exercising regularly at least three times a week. Exercise for muscle strengthening, balance and posture. Physicians are required to discuss both the benefits and possible risks of drugs that help prevent fractures.
By paying attention to the rare risk of atypical femoral fractures and jaw collapse when taking bisphosphonates such as Fosamax, which helps maintain bone strength, Dr. Khosla said. Many patients said they were overly afraid.
“If the drug is used correctly for 3-5 years, then there is a drug holiday and attention is paid to warning symptoms such as leg and tooth pain, the benefits of treatment outweigh the risks,” he said. ..
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