Hip fracture as the tracer condition.
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.
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.
M
M
Kassim Javaid
Department of Rheumatology, Stoke Mandiville Hospital, Buckinghamshire Healthcare NHS Trust, UK.
Jasroop
J
Chana
Oxford NIHR Musculoskeletal BRU, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK; MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Cyrus
C
Cooper
D019985:Benchmarking; D004470:Economics, Medical; D006620:Hip Fractures / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008485:Medical Audit; D010024:Osteoporosis / Q000150:complications / Q000517:prevention & control; D058866:Osteoporotic Fractures / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control
Audit; Benchmarking; Health economics; Hip fracture; Secular trends