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Abstracts and full texts were screened independently by multiple reviewers and critically appraised. Health outcomes, including refractures, follow\u2010up bone mineral density (BMD) scans and treatment adherence, were synthesised, and adverse effects were examined in relation to study characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 60 articles met the inclusion criteria, and 40% were retrospective cohort studies. The median sample size within the included studies was 775 patients, with a median age of 78.7\u2009years. Bisphosphonates (87%), anabolic agents (52%) and other antiresorptive agents (47%) were common pharmacological interventions. The average follow\u2010up duration was 12\u2009months. The cumulative refracture rate over 12\u2009months was 3%, with a median incidence rate of 8%. Among patients who did not receive pharmacological treatment, the average refracture rate was 10%, compared with 4% in those who did receive treatment. Only 13 studies (22%) reported follow\u2010up BMD. The implementation of fracture liaison services (FLS) was associated with an average of 44% increase in treatment initiation rates across four studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pharmacological treatment reduces refracture rates in older adults with hip fractures, especially when initiated through FLS. Although bisphosphonates are most commonly studied, anabolic and other antiresorptive agents also show benefits. Improved reporting on BMD follow\u2010up and adherence is needed to guide long\u2010term osteoporosis management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70139","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T18:08:47Z","timestamp":1770487727000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Systematic Review of Secondary Prevention Interventions and Approaches for Osteoporosis Management in Older People With Hip Fracture"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8885-1972","authenticated-orcid":false,"given":"Negar","family":"Hosseinzadeh","sequence":"first","affiliation":[{"name":"North Metropolitan Health Service  Nedlands Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1939-1761","authenticated-orcid":false,"given":"Rebecca J.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation Macquarie University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shalini","family":"Wijekulasuriya","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation Macquarie University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Kilshaw","sequence":"additional","affiliation":[{"name":"Bentley Health Service  Bentley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Seymour","sequence":"additional","affiliation":[{"name":"Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02821-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glt093"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59091528"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.4.387"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-024-07096-3"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-05177-x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-04833-6"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-021-05900-y"},{"key":"e_1_2_10_10_1","volume-title":"Osteoporosis: Assessing the Risk of Fragility Fracture","author":"National Clinical Guideline Centre for A, Chronic C, National Institute for H, Clinical E, Royal College of Physicians of L","year":"2012"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.5041\/RMMJ.10478"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-022-01061-5"},{"key":"e_1_2_10_13_1","unstructured":"The Royal Australian College of General Practitioners (RACGP) HBA \u201cOsteoporosis Management and Fracture Prevention in Postmenopausal Women and Men Over 50\u2009Years of Age 2024 \u201d."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-024-07052-1"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2015-3156"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n160"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2016.01.021"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12915-023-01686-z"},{"key":"e_1_2_10_19_1","volume-title":"EndNote 20 ed","author":"The EndNote Team","year":"2013"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1563"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4"},{"key":"e_1_2_10_22_1","unstructured":"\u201cCritical Appraisal Tools \u201d(2017) https:\/\/jbi.global\/critical\u2010appraisal\u2010tools."},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.08.035"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-019-0612-3"},{"issue":"22","key":"e_1_2_10_25_1","first-page":"1868","article-title":"Effects of Teriparatide Compared With Risedronate on Recovery After Pertrochanteric Hip Fracture: Results of a Randomized, Active\u2010Controlled, Double\u2010Blind Clinical Trial at 26\u2009Weeks","volume":"98","author":"Aspenberg P.","year":"2016","journal-title":"Journal of Bone and Joint Surgery. 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