title: [Prevalence and management of osteoporosis in trauma surgery. Implementation of national guidelines during inpatient fracture treatment].
abstract: BACKGROUND
  Osteoporosis-associated fractures represent a risk factor for developing further fragility fractures. Therefore, guideline-oriented osteoporosis intervention is of utmost importance during inpatient fracture treatment.
  
  
  METHODS
  Women >50 years and men >60 years with fractures of the lumbar or thoracic spine, proximal femur, proximal humerus and distal radius were included in a prospective study. We analyzed the initiation of diagnosis and treatment of osteoporosis during the inpatient stay.
  
  
  RESULTS
  A total of 455 patients were included and bone mineral density measurement (DXA) was carried out in 65.9 %. Women underwent DXA in 69.5 % and men significantly less frequently in 52.1 %. Osteoporosis was diagnosed in 56.6 %, where women were affected in 56.2 % and men in 59 % of cases. In 83.8 % osteoporosis had been previously unknown. Treatment according to the guidelines of the Organisation of German Scientific Osteology-related Societies (DVO) was initiated in 86.7 % and 77.1 % of women >70 years and men >80 years required anti-resorptive treatment after DXA.
  
  
  CONCLUSIONS
  The majority of elderly patients with fractures also suffer from osteoporosis, independent of gender. Even nowadays, osteoporosis is predominantly not diagnosed until the incidence of a fracture. Therefore, the trauma surgeon is in a key position to initiate diagnosis and treatment of osteoporosis.
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Klinikum der Universität München, Nussbaumstraße 20, 80336, München, Deutschland, Florian.Haasters@med.uni-muenchen.de.
authors.forename: F
authors.initials: F
authors.lastname: Haasters
authors.forename: W C
authors.initials: WC
authors.lastname: Prall
authors.forename: M
authors.initials: M
authors.lastname: Himmler
authors.forename: H
authors.initials: H
authors.lastname: Polzer
authors.forename: M
authors.initials: M
authors.lastname: Schieker
authors.forename: W
authors.initials: W
authors.lastname: Mutschler
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D015897:Comorbidity; D005260:Female; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D058866:Osteoporotic Fractures / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D017410:Practice Guidelines as Topic; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D017678:Sex Distribution; D016896:Treatment Outcome