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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2019, Number 2

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Ortho-tips 2019; 15 (2)

Hip fracture treatment in Mexico: the role of multidisciplinary management and the Fragility Fracture Network

López CRE, Viveros JC, Quintero HS, Gómez AJM, Torres GJL, Marsh D

Language: Spanish
References: 45
Page: 96-104
PDF size: 102.29 Kb.


ABSTRACT

Introduction: The number of people over the age of 60, as well as life expectancy, are increasing every day, hence the number of hip fractures as well. In Mexico in 2005, it was estimated at 21,000 cases, but an increase of 431% is expected by 2050, reaching 110,055 National Guides cases. The key management points in the hip fracture patient are described in a synthesized manner according to our national clinical practice guidelines. Multidisciplinary Management and FFN. Through a tour of the world, reviewing the different multidisciplinary systems of treatment of hip fracture, we describe the advantages of multidisciplinary management, secondary prevention and FLS units (Fracture Liaison Services) in the treatment of this pathology, includes the participation of FFN (Fragility Fracture Network) in Mexico for the creation of a national alliance between medical societies of orthopedics, geriatrics, rehabilitation and nursing, in order to improve the standards of multidisciplinary treatment and change health policies in the patient with fragility fractures. Conclusion: The geriatric ortho units offer an important benefit for the patient with fragility fractures and should therefore be considered a priority in Mexico, with the common objective of achieving a decrease in mortality, morbidity and incidence of hip fractures in Mexico.


REFERENCES

  1. INEGI. Porcentaje de Población de 60 y Más Años- Instituto Nacional de Estadística y Censos; 2019. https://www.inegi.org.mx/app/buscador/default.html?q=poblacion+mayo+de+60+años#tabMCcollapse-Indicadores.

  2. Voeten SC, Krijnen P, Voeten DM, Hegeman JH, Wouters MWJM, Schipper IB. Quality indicators for hip fracture care, a systematic review. Osteoporos Int. 2018; 29 (9): 1963-1985. doi: 10.1007/s00198-018-4558-x.

  3. Clark P, Carlos F, Vázquez Martínez JL. Epidemiology, costs and burden of osteoporosis in Mexico. Arch Osteoporos. 2010; 5 (1-2): 9-17. doi:10.1007/s11657-010-0042-8.

  4. Carlos F, Clark P, Galindo-Suárez RM, Chico-Barba LG. Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico. Arch Osteoporos. 2013; 8: 125. doi:10.1007/s11657-013-0125-4.

  5. Clark P, Carlos F, Barrera C, et al. Direct costs of osteoporosis and hip fracture: An analysis for the Mexican healthcare system. Osteoporos Int. 2008; 19 (3): 269-276. doi:10.1007/s00198-007-0496-8.

  6. CENETEC. Manejo Médico Integral DE FRACTURA DE CADERA En el Adulto Mayor. Guía Práctica Clínica Gpc. 2014:22. http://www.cenetec.salud.gob.mx/descargas/gpc/CatalogoMaestro/236_GPC_Manejo_medico_integral_fractura_de_cadera_adulto_mayor/236GRR.pdf.

  7. Femúr TDE. Diagnóstico y tratamiento de las fracturas transtrocantéricas de fémur en pacientes mayores de 65 años.; 2010. Disponible en: http://www.cenetec-difusion.com/CMGPC/IMSS-267-10/ER.pdf.

  8. González AJ. Guía de Práctica Clínica GPC Tratamiento de Fractura Desplazada del Cuello Femoral con Artroplastia Total En Adultos Mayores de 65 años Evidencias y Recomendaciones Número de Registro: IMSS-573-12. :1-64. Disponible en: http://www.imss.gob.mx/sites/all/statics/guiasclinicas/573GER.pdf.

  9. General C de S. Guía de Referencia Rápida Tratamiento de fractura desplazada de cuello femoral con artroplastia en adultos mayores de 65 años Guía de Práctica Clínica GPC. Guia Pract Clin.:3.

  10. 201205-500 IOF. Latin America Regional Audit Mexico. Int Osteoporos Found. 201205-500. 2012.

  11. Harari D, Hopper A, Dhesi J, Babic-Illman G, Lockwood L, Martin F. Proactive care of older people undergoing surgery (“POPS”): Designing, embedding, evaluating and funding a comprehensive geriatric assessment service for older elective surgical patients. Age Ageing. 2007. doi: 10.1093/ageing/afl163.

  12. Devas, M. B. REI. The geriatric orthopaedic unit. A method of achieving return to independence in the elderly patient. Brit J Geriatr Pr. 1969; 6: 1969.

  13. Pioli G, Bendini C, Pignedoli P, Giusti A, Marsh D. Orthogeriatric co-management – managing frailty as well as fragility. Injury. 2018; 49 (8): 1398-1402.

  14. Hawley S, Kassim Javaid M, Prieto-Alhambra D, et al. Clinical effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: Population-based longitudinal study. Age Ageing. 2016; 45 (2): 236-242. doi: 10.1093/ageing/afv204.

  15. González MJ, Gotor PP, Martín VA, et al. La unidad de ortogeriatría de agudos. Evaluación de su efecto en el curso clínico de los pacientes con fractura de cadera y estimación de su impacto económico. Rev Esp Geriatr Gerontol. 2011; 46 (4): 193-199. doi: 10.1016/j.regg.2011.02.004.

  16. González-Montalvo JI, Mauleón JL, Gil-Garay E, Gotor P, Martín-Vega A. The orthogeriatric unit for acute patients: a new model of care that improves efficiency in the management of patients with hip fracture. HIP Int. 2010; 20 (2): 229-235.

  17. White SM, Foss NB, Griffiths R. Anaesthetic aspects in the treatment of fragility fracture patients. Injury. 2018; 49 (8): 1403-1408. doi: 10.1016/j.injury.2018.06.027.

  18. Van Waesberghe J, Stevanovic A, Rossaint R, Coburn M. General vs. neuraxial anaesthesia in hip fracture patients: A systematic review and meta-analysis. BMC Anesthesiol. 2017; 17: 87. doi: 10.1186/s12871-017-0380-9.

  19. Perracini MR, Kristensen MT, Cunningham C, Sherrington C. Physiotherapy following fragility fractures. Injury. 2018; 49 (8): 1413-1417.

  20. Brent L, Hommel A, Maher AB, Hertz K, Meehan AJ, Santy-Tomlinson J. Nursing care of fragility fracture patients. Injury. 2018; 49 (8): 1409-1412. doi: 10.1016/j.injury.2018.06.036.

  21. Neuburger J, Currie C, Wakeman R, et al. Increased orthogeriatrician involvement in hip fracture care and its impact on mortality in England. Age Ageing. 2017; 46 (2): 187-193. doi: 10.1093/ageing/afw201

  22. Saez P, González MJ, Alarcón AT, Gotor PP, Martín MI. ¿Es posible mejorar la atención al paciente con fractura de cadera? Aportaciones Del Programa Fonda. 3a Actual en Ortogeriatría Ávila. 2015, pp. 308.

  23. Grigoryan K V, Javedan H, Rudolph JL. Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis. J Orthop Trauma. 2014; 28 (3): e49-55. doi: 10.1097/BOT.0b013e3182a5a045.

  24. Cram P, Lix LM, Bohm E, et al. Hip fracture care in Manitoba, Canada and New York State, United States: an analysis of administrative data. C open. 2019; 7 (1): E55-E62. doi: 10.9778/cmajo.20180126.

  25. Cheng SY, Levy AR, Lefaivre KA, Guy P, Kuramoto L, Sobolev B. Geographic trends in incidence of hip fractures: a comprehensive literature review. Osteoporos Int. 2011; 22 (10): 2575-2586. doi:10.1007/s00198-011-1596-z.

  26. Cooper C, Cole ZA, Holroyd CR, et al. Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int. 2011; 22 (5): 1277-1288. doi: 10.1007/s00198-011-1601-6.

  27. Dreinhöfer KE, Mitchell PJ, Bégué T, et al. A global call to action to improve the care of people with fragility fractures. Injury. 2018; 49 (8): 1393-1397. doi: 10.1016/j.injury.2018.06.032.

  28. Suarez S, Pesantez RF, Diaz ME, et al. Impact on Hip Fracture Mortality After the Establishment of an Orthogeriatric Care Program in a Colombian Hospital. J Aging Health. 2017; 29 (3): 474-488. doi: 10.1177/0898264316636839.

  29. Wagner P, Fuentes P, Diaz A, et al. Comparison of complications and length of hospital stay between orthopedic and orthogeriatric treatment in elderly patients with a hip fracture. Geriatr Orthop Surg Rehabil. 2012; 3 (2): 55-58. doi:10.1177/2151458512450708.

  30. Viveros-García J. Ortogeriatría en México: un futuro posible. Med Int Méx. 2019; 35 (1): 150-153. doi: 10.24245/mim.

  31. Viveros-García JC, Torres-Gutiérrez JL, Alarcón-Alarcón T, Condorhuamán-Alvarado PY, Sánchez-Rábago CJ, Gil-Garay E G-MJ. Fractura de cadera por fragilidad en México: ¿En dónde estamos hoy? ¿Hacia dónde queremos ir? Acta Ortop Mex. 2018; 32 (6): 334-341.

  32. Viveros-García J. Mexican hip fracture audit (ReMexFC): objectives and methodology. 2019; 11 (3): 115-118. doi:10.15406/mojor.2019.11.00483.

  33. Åkesson K, Marsh D, Mitchell PJ, et al. Capture the fracture: a best practice framework and global campaign to break the fragility fracture cycle. Osteoporos Int. 2013; 24 (8): 2135-2152. doi:10.1007/s00198-013-2348-z.

  34. Judge A, Javaid MK, Leal J, et al. Models of care for the delivery of secondary fracture prevention after hip fracture: a health service cost, clinical outcomes and cost-effectiveness study within a region of England. Heal Serv Deliv Res. 2016; 4 (28): 1-170. doi:10.3310/hsdr04280.

  35. Drew S, Gooberman-Hill R, Farmer A, et al. Making the case for a fracture liaison service: a qualitative study of the experiences of clinicians and service managers. BMC Musculoskelet Disord. 2015; 16: 274. doi:10.1186/s12891-015-0722-z.

  36. International Osteoporosis Foundation. Capture The Fracture.

  37. Walters S, Khan T, Ong T, Sahota O. Fracture liaison services: Improving outcomes for patients with osteoporosis. Clin Interv Aging. 2017; 12: 117-127. doi: 10.2147/CIA.S85551.

  38. Nakayama A, Major G, Holliday E, Attia J, Bogduk N. Evidence of effectiveness of a fracture liaison service to reduce the re-fracture rate. Osteoporos Int. 2016; 27 (3): 873-879. doi: 10.1007/s00198-015-3443-0.

  39. Leal J, Gray AM, Hawley S, et al. Cost-effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: a population-based study. J Bone Miner Res. 2017; 32 (2): 203-211. doi:10.1002/jbmr.2995.

  40. Bogoch ER, Elliot-Gibson V, Beaton D, Sale J, Josse RG. Fracture prevention in the orthopaedic environment: outcomes of a coordinator-based fracture liaison service background: fracture liaison services focus on secondary fracture prevention by identifying patients at risk for future. J Bone Joint Surg Am. 2017; 99 (10): 820-831.

  41. Mitchell P, Åkesson K, Chandran M, Cooper C, Ganda K, Schneider M. Implementation of Models of Care for secondary osteoporotic fracture prevention and orthogeriatric Models of Care for osteoporotic hip fracture. Best Pract Res Clin Rheumatol. 2016; 30 (3): 536-558. doi: 10.1016/j.berh.2016.09.008.

  42. Fracture Liaison Service Database (FLS-DB) methodology | RCP London.

  43. Map of Best Practice | Capture The Fracture.

  44. Dreinhöfer KE, Mitchell PJ, Bégué T, et al. A global call to action to improve the care of people with fragility fractures. Injury. 2018; 49 (8): 1393-1397.

  45. Fragility Fracture Network. Guide to the formation of national Fragility Fracture Networks. 2018. Available in: https://www.fragilityfracturenetwork.org/wp-content/uploads/2019/07/National_FFN_Guide.pdf. Published 2018.




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