Treatment of osteoporosis after hip fracture

Abstract

 The treatment of osteoporosis after a hip fracture is important for preventing secondary fractures. In the 2022 medical fee revision in Japan, a new fee was introduced for continued management of secondary fracture prevention. For patients undergoing surgery for primary fractures during the acute phase of hospitalization and receive osteoporosis treatment, Management Fee 1 is calculated. If osteoporosis treatment is continued at a rehabilitation facility, Management Fee 2 will be applied, followed by Management Fee 3 if the treatment is continued in an outpatient clinic.

 Therefore, initiating osteoporosis treatment in acute-phase hospitals for patients with hip fractures is essential. Information regarding the initiation of osteoporosis treatment should be communicated to ensure continuation in rehabilitation facilities or outpatient clinics. Therefore, it is vital for all facilities in the regional medical community to have a common understanding of osteoporosis treatment for patients with hip fractures.