After a Broken Bone, the Risk of a Second Fracture – The New York Times

In other countries, and within some medical networks in the United States, including the Kaiser Permanente system in California, there are collaborated services to ensure appropriate post-fracture follow-up. In 2013, the International Osteoporosis Foundation introduced a project called Capture the Fracture to guarantee that “fragility fracture patients receive appropriate evaluation and intervention to minimize future fracture risk,” however such organized preventive procedures have actually stayed unusual in the United States.
Developing fracture liaison services, as they are called, deals with a significant stumbling block in this nation. Medicare does not cover the expense of a coordinator, Dr. Siris said, “so theres no incentive to get a post-fracture patient into medical hands.
Offered the huge expenses to Medicare of hip fractures, Dr. Khosla called the failure to cover the cost of coordinating services to prevent a second fracture “pound-foolish and penny-wise.” (Of course, this is but among numerous financially doubtful limitations of Medicare. Think about, for instance, its failure to cover hearing aids, the lack of which increases the risk of dementia, falls and a host of other costly medical issues that Medicare does spend for.).
The consensus groups 13 recommendations for preventing fractures include suggestions to not utilize or smoke tobacco, to restrict alcohol consumption to two drinks a day for men and one for females, and to work out routinely, a minimum of three times a week, including weight-bearing, muscle-strengthening and balance and postural exercises. Medical professionals are advised to talk about both the benefits and possible risks of medications that can help avoid fractures.
Many patients have been unduly frightened, Dr. Khosla stated, by the amount of attention provided to the unusual risks of an atypical thigh fracture or jaw decay when taking bisphosphonates like Fosamax that can assist maintain bone strength.
” When the drugs are utilized properly for 3 to five years, followed by a drug holiday, and attention is paid to alerting signs like leg or oral discomfort, the benefits of treatment method exceed the dangers,” he said.