Osteoporosis, bone & mineral

Assessing endocrinology referral rates and osteoporosis directed-care after upper extremity fragility fractures

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

Most UEFF patients lacked timely osteoporosis evaluation, with males disproportionately affected.

Study context

Population
Patients ≥50 years with distal radius or proximal humerus fragility fractures (2013–2023) at a US level III trauma center85 distal radius, 14 proximal humerus
Participants
99 patients
Exposure
Males vs Females
Outcome
Endocrinology referral rate after UEFF
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Endocrinology referral

Referred to endocrinology

25%

Observational data: associations, not effects.

Further findings

DXA scan by sex

P = 0.028

Seen by endocrinology

Seen by endocrinology
21%

DXA scan after index fracture

Received DXA scan
51%
Median time to DXA, days (IQR 124-552)
301
DXA within 6 months
17 (34%)

Pharmacotherapy initiation

Initiated on pharmacotherapy
20%

Original publication

Assessing endocrinology referral rates and osteoporosis directed-care after upper extremity fragility fractures. Osteoporos Int. Published 27 August 2025. doi:10.1007/s00198-025-07665-0

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