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March 15th, 2010
05:00 PM ET
Hip fractures more deadly to menBy Saundra Young Editor's note: In a previous version of this post, the form of zoledronic acid that reduced death rates by 28 percent over a three-year period was inaccurately identified. The correct form of the drug is Reclast Hip fractures. They're breaks in the upper part of the femur or thigh bone, most often caused by a fall. People 65 and older are most vulnerable, and according to the American Academy of Orthopedic Surgeons, women have two to three times as many fractures as men. But a new study in the Annals of Internal Medicine says men are at greater risk of dying because of it. [cnn-photo-caption image= Researchers looked at 39 studies involving nearly 600,000 women and 155,000 men over the age of 50, with hip fracture. They found that while older women are nearly six times more likely to die after a fracture than a woman without a break, older men are about eight times as likely to die in the first three months after their injury. "Hip fractures are associated with a substantially increased risk of death for both men and women which lasts for at least 10 years after the fracture," said Dr. Cathleen Colon-Emeric, one of the study authors at Duke University Medical Center in Durham, North Carolina. "This highlights the importance of interventions which reduce operative complications and the physical decline that frequently results from a hip fracture." Researchers are not quite sure why the risk of death increases. But Colon-Emeric says hip fracture is a major blow to your body. "People with hip fractures tend to be more frail. Many have underlying medical problems that put them at higher risk of death, like stroke, Parkinson's disease and dementia." Earlier studies found that after a hip fracture men are more likely than women to die of infectious conditions such as sepsis and pneumonia. Only 25 percent of these fractures occur in men. Dr. Jay Magaziner, chairman of the Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland in Baltimore, and a study co-author, says if you project forward to 2050, there will be as many hip fractures in men as there are currently in women today. "We know that men who fracture their hip are generally a bit sicker. They have more medical conditions at the time of their fracture than women. One of the reasons that we believe that is the case, is the natural process of aging post-menopausally in women." Magaziner says the combination of falling and weak bones will create a hip fracture. He says women lose a little bit of bone each year after menopause, but men don't lose bone naturally. In fact, in order for men to lose enough bone to have a break when they fall, they generally have to have an underlying medical condition. "Women who fracture don't have these other medical problems, so that may be one of the reasons that we're seeing a higher mortality rate in men than women." Dr. Sandra Fryhofer, an Atlanta, Georgia, internist and past president of the American College of Physicians, says the study is a wake-up call that men can get osteoporosis too. "It stresses the importance of prevention, making sure people are getting calcium, vitamin D and weight-bearing exercises like walking. Anything that puts weight on the bones, because that stimulates new bone formation." Because men have not received a lot of attention on hip fracture and osteoporosis, Magaziner is working on new research to try to better understand the disparities. "If we can understand the differences in the way men and women respond to having a hip fracture then we can tailor our treatments to these differences and the way people recover," he said. "We want to individualize the way we treat patients." Colon-Emeric says one treatment has proved to reduce mortality after fracture, an osteoporosis drug zoledronic acid or Reclast. It's made by pharmaceutical giant Novartis and new data show it reduced death rates by 28 percent over a three-year period. It's given once a year intravenously in a doctor’s office and it reduced the chance of additional fractures by 20 percent in a two-year period. Promising, because statistics show one in five will re-fracture their hip. Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation. |
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love. |
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10BILLION a year as fraud becomes normal crime
Fraud is now the actual crime in Britain (video: Getty)Sign up to FREE email alerts from Mirror daily newsSubscribeWe will use your email address contact info to send you newsletters. Please see ourPrivacy Noticefor more information about how we use your data and your data protection rights.
we appreciate subscribingWe have more newslettersShow meSee ourprivacy noticeMillions of Brits are being fleeced of 10billion a year by callous conmen, A study has explained.
in the most areas, Victims are reporting up to two scams a day but experts say it is only the tip of the iceberg.
Figures from the town Association (LGA) Show fraud is now reasons for type of crime, marketing for 3.6 million cases in England and Wales last year.
But it estimates that only 5% of scams such as fake online dating services and sham diamond investment companies are reaching trading standards offices.
And another punter informed a 50,000 loss to tricksters who were flogging pink diamonds as a longterm invest in.
One hard hearted fraudster from Essex was sued by National Trading Standards after ripping off 102 disabled people for Blue Badge parking permits for 49 each when the council issued them for just 10.
Simon Blackburn, Chairman of the LGA's Safer and more effective Communities Board, considered that: "Councils charmdate.com are receiving reports of scams every day from victims whose self-assurance and trust in people has been shattered, Leaving them anxious and fearful of being targeted and harassed again.
OAP on benefits was actually marathon running fraud who claimed 38,000 in disability benefits payments
"Fraud not only leaves victims broke, It also creates significant costs for taxpayers as elderly victims specifically often require more care and support after being scammed.
"It's important that victims don't suffer in silence or feel embarrassed. Riots were prompted after an Arab Muslim youth was hit by an unmarked police car
Man with Down's syndrome given 24 hours to live hugs mum after beating coronavirusCoronavirusBen McCafferty, 34, Defied the odds and survived the killer bug after a bi weekly battle at Bradford Royal Infirmary in West Yorkshire, along with his parents paying tribute to the "incredible" workers
Pubs 'could remain closed until at least Christmas' in 'massive blow' for tradeCoronavirusA pub trade insider has admitted boozers may not survive cons kept locked down until the winter, Having already lost 'millions' with Euro 2020 postponed until next year
Thug who battered policewoman even as she pleaded with him to stop is jailedCrimeKadeer Hussain set upon two law enforcement officers in the steets of Handsworth, Birmingham who responded to a 999 call that ended in the vicious bloody attack.
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