Osteoporosis, bone & mineral

Association of orthogeriatric co-management with the occurrence of secondary fragility fractures in patients with an initial hip fracture

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

The presence of an OGCM was associated with a small reduction in secondary fragility fractures in patients with an initial hip fracture.

Study context

Population
Hip fracture patients aged ≥ 80 years, nationwide health insurance data from Germany; 716 hospitals (71% with orthogeriatric co-management (OGCM))
Participants
97,976 patients716 hospitals
Exposure
Hospitals with OGCM vs hospitals without OGCM
Outcome
Secondary fragility fractures (humerus, forearm, hip, pelvis, spine) within different time periods after an initial hip fracture
Methodological detailsnationwide health insurance data
  • Nationwide health insurance data

Main finding

As reported in the abstract

Secondary fragility fractures · 1, 3 and 6 months

Lower incidence with OGCM than without OGCM; absolute risk reduction at 1, 3 and 6 months

0.1, 0.3 and 0.4%

Relative risk reduction at 1, 3 and 6 months

27, 14 and 8%

Observational data: associations, not effects.

Further findings

≥1 secondary fragility fracture within 12 months (all patients)

Patients with at least one secondary fragility fracture
5487 (5.6%)

Original publication

Association of orthogeriatric co-management with the occurrence of secondary fragility fractures in patients with an initial hip fracture. Osteoporos Int. Published 17 March 2026. doi:10.1007/s00198-026-07943-5

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