Patterns of underlying healthissues linked to poorer outcomes after fractures in olderadults jamanetworkopen
," says Professor Jacqueline Center, Head of the Clinical Studies and Epidemiology lab and lead author of the study."It can potentially be a new way of thinking about how we view people with fractures, considering the site of fracture in light of their specific underlying health conditions."or diabetes is considered in terms of the individual disease.
Visiting scientist Robert Blank adds,"It is not good enough to count other illnesses. Their severity and their combinations must also be taken into account. Many patients with a history of prior cancers, for example, were not in what we call the cancer cluster, but the cancer cluster included virtually all those who had evidence of advanced cancer. The same kind of sorting by severity was observed in the other clusters as well.
The presence of specific clusters of health conditions in people compounded the chance of death following these fractures, much greater than either fractures or health conditions alone. For instance, the mortality rate followingamongst men in the cancer cluster was 41% higher than similarly aged men in the general community. And diabetes in otherwise healthy people was not associated with increased mortality risk, but diabetes in combination with heart, vascular or kidney disease was.
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