Tag Archives: hip fracture

AN UNLIKELY BENEFIT FROM CATARACT SURGERY

How does getting your cataract fixed keep your hips strong? Well, it doesn’t….but it may help prevent you from falling and breaking a hip.
A recent analysis in the journal JAMA (Journal of the American Medical Association) reviewed data on over 1 million patients and found a reduced risk of fracture among those who had their cataracts repaired.

http://jama.jamanetwork.com/article.aspx?articleid=1273017
It’s an unexpected consequence of improved vision…but it makes sense.
As we have more and more data available via computers, we will gain increasing insights into little known connections, with benefits and risks being seen where none were noted previously.

PRILOSEC (PPI’S) INCREASED HIP FRACTURE RISK FOR WOMEN WHO SMOKE

Recently, there have been concerns that PPI (proton pump inhibitor) medications can lead to osteoporosis due to impairment of calcium absorption.
It is thought that these potent acid-suppressing medications, used for heartburn (GERD) and ulcer, need to be monitored more closely.
Although I am a fan of these medications, given the general safety record for the past 25 years and their broad need, given the massive number of people with upper digestive issues, still we should look at the smokers in this group and consider trying alternative therapies if available.
This British study demonstrated that current (and former) smokers are at increased risk for hip fracture if they are on PPI medications.
The good news is that this risk resolves after 2 years, if they stop the medicine.
So….don’t stop your PPI medication without discussing the alternatives with me.