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Less than 3 percent of hip fracture patients prescribed enough Vitamin D to make a difference (Malta in this case) – July 2021

Hip Fractures in Malta: Are we Missing an Opportunity?

Surg J (N Y). 2021 Jul 22;7(3):e184-e190. doi: 10.1055/s-0041-1731635
Mark Bugeja 1, Arthur Curmi 1, Daniel Desira 1, Gregory Apap Bologna 1, Francesco Galea 1, Ivan Esposito 1


Probably less than 10% of all Vitamin D prescriptions are large enough to be of a benefit

Suspect that 50% of hip fractures could be avoided by proactively getting enough vitamin D, exercise, etc

Falls and Fractures category contains the following



Bone - Health category starts with the following

301 items in Bone - Health category
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Introduction Osteoporosis is a bone disease that is both preventable and treatable. It usually becomes evident when a fragility fracture occurs. Unfortunately, most studies show that only a small percentage of individuals at increased risk of fracture are assessed and treated, even following a fragility fracture.

Objective The aim of this study was to determine whether patients suffering from a low-energy hip fractures in the Maltese Islands are given osteoporosis treatment. Method All patients older than 50 years presenting to the acute care hospitals in Malta and Gozo with a fragility hip fracture during December 1, 2015 and November 30, 2016 were included. Data on mortality, other fragility fractures, prescription of calcium, vitamin D, and antiresorptive therapy were collected.

Results Calcium with vitamin D supplements were prescribed to 40% of patients; however, only 2.64% of patients were given pharmacological therapy. Following a hip fracture, the mortality rate was 18.5% at 1 year and 26.21% at 2 years. Apart from a high mortality rate, 28.19% of individuals sustained another fragility fracture before or after the hip fracture.

Conclusion There should be increased osteoporosis awareness in Malta and a national bone mineral density screening program should be set up. An active role of the orthogeriatrics team in the management and treatment of osteoporosis following a fragility fracture might improve treatment rate and decrease refracture and mortality rates.

Created by admin. Last Modification: Monday July 26, 2021 20:25:57 GMT-0000 by admin. (Version 6)

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15975 Malta pharacological dosing is rare - hip fractures.pdf PDF 2021 admin 26 Jul, 2021 20:19 214.01 Kb 264