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The article discusses a study which demonstrated that a hospital-based case manager could increase rates of appropriate osteoporosis treatment to 51 percent compared with 22 percent for usual care. Compared with usual care, it found that using a case manager for patients with hip fractures increased rates of appropriate osteoporosis treatment. The intervention dominated usual care and it suggests that systems implementing an intervention similar to ours should expect to see a reduction in fractures, gains in life expectancy and substantial cost savings.

This article presents a study regarding the use of case manager to enhance osteoporosis treatment after hip fracture. Patients who endure hip fracture are at high risk of recurrent fractures, but osteoporosis treatment rates 1 year after sustaining a fracture are less than 10 percent to 20 percent. An osteoporosis case manager intervention was developed. For a low cost, a case manager was able to considerably increase rates of osteoporosis treatment in a vulnerable elderly population at high risk of future fractures.