{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:59:31Z","timestamp":1792483171404,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["AG070106"],"award-info":[{"award-number":["AG070106"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100023885","name":"All of Us Research Program","doi-asserted-by":"publisher","award":["5T35AG038027\u201012"],"award-info":[{"award-number":["5T35AG038027\u201012"]}],"id":[{"id":"10.13039\/100023885","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hip fractures are increasing as the U.S. population ages and result in significant morbidity, mortality, and cost. Despite guidelines recommending osteoporosis treatment after hip fracture, few patients receive treatment. To address this unmet need, our large, tertiary care, academic hospital initiated an inpatient osteoporosis treatment program with Zoledronic Acid (ZA) led by a single geriatrician co\u2010managing patients with hip fracture admitted to the orthopedic trauma service. This study describes the program's implementation and preliminary data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort of older adults (&gt;\/=\u200965\u2009years) with surgically repaired hip fractures at a single academic center were included from September 12th, 2022, through May 17th, 2024. The ZA program was initiated by geriatrics in collaboration with other specialties, including nursing and pharmacy. Co\u2010managed hip fracture patients were screened for ZA. Eligibility criteria included creatinine clearance &gt;\/=\u200935\u2009mL\/min and Vitamin D level &gt;\/=\u200920\u2009ng\/mL. The RE\u2010AIM framework was utilized to evaluate the program's implementation: Reach (number of patients admitted, screened and eligible), effectiveness (eligible patients who received ZA, reasons for ineligibility), adoption (time spent) and implementation (program cost).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During a twenty\u2010month period, 232 hip fracture patients with a mean age of 83.8\u2009years were admitted to co\u2010managed care, of which 74% were female. 148 patients were screened for ZA; 67 (45.3%) were eligible, and 58 (39.2%) received ZA prior to hospital discharge. The most common reasons for ineligibility were low vitamin D (32.1%), inadequate kidney function (21%) and previous or current osteoporosis treatment in the outpatient setting (29.6%). No adverse reactions or delays in discharge were noted among treated patients. On average, 30\u2009min were spent on screening and treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A co\u2010managed inpatient ZA program led by a single geriatrician appears to be a feasible strategy to treat osteoporosis among hospitalized patients with hip fracture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70060","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T12:45:23Z","timestamp":1756471523000},"page":"3555-3560","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Preliminary Data From a Geriatrician\u2010Led Program for Orthopedic Co\u2010Managed Hip Fracture Patients Using Zoledronic Acid"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8058-967X","authenticated-orcid":false,"given":"Karen","family":"Chahal","sequence":"first","affiliation":[{"name":"Beth Israel Deaconess Medical Center Department of Medicine, Division of Gerontology &amp; Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Nguyen","sequence":"additional","affiliation":[{"name":"University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diviya","family":"Rajesh","sequence":"additional","affiliation":[{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"McBroom","sequence":"additional","affiliation":[{"name":"Harvard Combined Orthopedic Residency Program Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katiri","family":"T. Wagner","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center Department of Orthopedic Surgery, Division of Orthopedic Trauma &amp; Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"McTague","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center Department of Orthopedic Surgery, Division of Orthopedic Trauma &amp; Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis","family":"Lipsitz","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center Department of Medicine, Division of Gerontology &amp; Harvard Medical School  Boston Massachusetts USA"},{"name":"Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine, Hebrew SeniorLife  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward 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