RT Generic
T1 Understanding the pathogenesis of hip fracture in the elderly, osteoporotic theory is not reflected in the outcome of prevention programmes
A1 Guerado, Enrique
A1 Sandalio, Rosa M.
A1 Caracuel, Zaira
A1 Caso, Enrique
K1 Hip fracture
K1 Osteoporosis
K1 Overtreatment
K1 Social medicine
K1 Political economy
K1 Political actions
K1 Conflict of interest
K1 Genome
K1 Transcriptome
K1 Meta-bolome
K1 Bone-mineral density
K1 Hr-mas spectroscopy
K1 Femoral-neck
K1 Nmr-spectroscopy
K1 Big pharma
K1 Disease
K1 Tissue
K1 Risk
K1 Metabolomics
K1 Falls
AB Hip fractures are an acute and worsening public health problem. They mainly affect elderly people, a population group that is highly vulnerable to disease and accidents, and to falls in particular. Although it has been suggested that osteoporosis is the cause of hip fractures, they mainly occur after a fall has been suffered. The underlying causes of a fall are not related to osteoporosis, although pharmaceutical companies have coined the term "osteoporotic fracture" for hip fractures in the elderly. Drug treatments for osteoporosis have not diminished the frequency of these injuries, nor have they prevented the occurrence of a subsequent fracture. Since pharmaceutical interests require osteoporosis to be considered a disease, rather than a normal condition of senescence, they go further by assuming that treatment for osteoporosis is essential, and that this policy will diminish the incidence of hip fractures. On the other hand, the origin and treatment of conditions that may be conducive to provoking falls are very difficult to elucidate. In this paper, we consider some of the medical and social problems that arise in this area, as well as conflicts of interest regarding the aetiopathogenesis and prevention of hip fracture, and propose a new paradigm for the prevention of falls.
PB Baishideng publishing group inc
SN 2218-5836
YR 2016
FD 2016-04-18
LK http://hdl.handle.net/10668/19375
UL http://hdl.handle.net/10668/19375
LA en
DS RISalud
RD Apr 7, 2025