Tijdschrift voor Geneeskunde vol:67 issue:5 pages:205-214
Hip fractures are considered the most devastating complication of osteoporosis, due to their significant impact on morbidity and mortality and the burden placed on health care systems. Hip fracture patients typically have a high absolute risk of medical complications and recurrent fractures. In these patients, osteoporosis treatment (given as an annual infusion of zoledronic acid) was shown to reduce subsequent fracture risk and even mortality. In addition to receiving osteoporotic therapy, older patients with recent hip fracture should be thoroughly assessed for fall risk and underlying comorbidities. It is never too late to treat osteoporosis, not even in frail and elderly patients. Care pathways are one of the management tools which can be used to organize and follow-up this complex process of care in daily practice.