{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T08:49:22Z","timestamp":1770886162659,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100010875","name":"Amgen Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010875","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Osteoporos"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Summary<\/jats:title>\n                <jats:p>Fragility fractures (i.e., low-energy fractures) account for most fractures among older Canadians and are associated with significant increases in morbidity and mortality. Study results suggest that low-energy fracture rates (associated with surgical intervention and outcomes) declined slightly, but largely remained stable in the first few months of the COVID-19 pandemic.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Purpose\/introduction<\/jats:title>\n                <jats:p>This study describes rates of low-energy fractures, time-to-surgery, complications, and deaths post-surgery in patients with fractures during the coronavirus disease (COVID-19) pandemic in Alberta, Canada, compared to the three years prior.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A repeated cross-sectional study was conducted using provincial-level administrative health data. Outcomes were assessed in 3-month periods in the 3\u00a0years preceding the COVID-19 pandemic and in the first two 3-month periods after restrictions were implemented. Patterns of fracture- and hospital-related outcomes over the control years (2017\u20132019) and COVID-19 restrictions periods (2020) were calculated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Relative to the average from the control periods, there was a slight decrease in the absolute number of low-energy fractures (<jats:italic>n<\/jats:italic>\u2009=\u20094733 versus <jats:italic>n<\/jats:italic>\u2009=\u20094308) during the first COVID-19 period, followed by a slight rise in the second COVID-19 period (<jats:italic>n<\/jats:italic>\u2009=\u20094520 versus <jats:italic>n<\/jats:italic>\u2009=\u20094831). While the absolute number of patients with low-energy fractures receiving surgery within the same episode of care decreased slightly during the COVID-19 periods, the proportion receiving surgery and the proportion receiving surgery within 24\u00a0h of admission remained stable. Across all periods, hip fractures accounted for the majority of patients with low-energy fractures receiving surgery (range: 58.9\u201364.2%). Patients with complications following surgery and in-hospital deaths following fracture repair decreased slightly during the COVID-19 periods.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>These results suggest that low-energy fracture rates, associated surgeries, and surgical outcomes declined slightly, but largely remained stable in the first few months of the pandemic. Further investigation is warranted to explore patterns during subsequent COVID-19 waves when the healthcare system experienced severe strain.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11657-022-01114-9","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T12:02:48Z","timestamp":1659528168000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Trends in osteoporotic fracture and related in-hospital complications during the COVID-19 pandemic in Alberta, Canada"],"prefix":"10.1007","volume":"17","author":[{"given":"T.","family":"Oliveira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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Amgen Canada was the study sponsor. TO, RW, MP, and SA are employed by Amgen Canada and hold Amgen stock. DLK reports research support from Amgen, Radius Pharma, and Eli Lilly; consulting fees from Amgen, Eli Lilly, and Paladin Pharma and Pfizer; and is on the speakers\u2019 bureau for Amgen and Eli Lilly. JPB reports research support from Mereo BioPharma, Radius Health, and Servier; consulting fees from Amgen, Paladin Labs Inc., Pfizer, and Servier; and is on the speakers\u2019 bureau for Amgen. PS reports research support from Johnson & Johnson, Smith & Nephew, and DePuy Synthes; and has participated in Advisory Boards for Amgen. AGJ has participated in Advisory Boards for Amgen Canada and Paladin Labs Inc; has received no funding for this study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}],"article-number":"109"}}