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Schedule a follow-up appointment with the patients primary care physician to initiate therapy
4%
90/2300
Order a physical therapy consult and initiate an exercise plan
1%
29/2300
Have the patient meet with a nutritionist to increase her calcium and vitamin D intake
2%
41/2300
Start bisphosphonates, and have the patient follow-up with her primary care physician
11%
252/2300
Perform a metabolic work-up as an inpatient, and set-up an appointment in an osteoporosis clinic
82%
1879/2300
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The initiation of appropriate osteoporosis treatment following hip fractures occurs at a surprisingly low rate. Physical therapy and dietary changes are not appropriate initial treatments for osteoporosis, and bisphosphonate therapy should be prescribed by the physician who will be following and managing the patient's osteoporosis. Miki et al performed a prospective randomized trial where they compared the rates of osteoporosis treatment initiation. The percentage of patients who were on pharmacologic treatment at 6 months post-injury was 58% in the group whose treatment was directed by the orthopedic surgeon and osteoporosis clinic, and 29% when managed by the primary care physician alone.
2.7
(45)
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