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Personal and psychosocial impacts of clinical fracture in men

Otmar, Renee, Kotowicz, Mark A., Brennan, Sharon L, Bucki-Smith, Gosia, Korn, Sam and Pasco, Julie A. 2013, Personal and psychosocial impacts of clinical fracture in men, Journal of men's health, vol. 10, no. 1, pp. 22-27, doi: 10.1016/j.jomh.2012.10.006.

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Title Personal and psychosocial impacts of clinical fracture in men
Author(s) Otmar, Renee
Kotowicz, Mark A.ORCID iD for Kotowicz, Mark A. orcid.org/0000-0002-8094-1411
Brennan, Sharon L
Bucki-Smith, Gosia
Korn, Sam
Pasco, Julie A.ORCID iD for Pasco, Julie A. orcid.org/0000-0002-8968-4714
Journal name Journal of men's health
Volume number 10
Issue number 1
Start page 22
End page 27
Total pages 6
Publisher Elsevier B V
Place of publication Amsterdam, The Netherlands
Publication date 2013
ISSN 1875-6867
Keyword(s) fracture
men
epidemiological study
health impact
Summary Background : Little is known about the personal burden of fracture across the age spectrum, particularly in men. This study aimed to document the impact of clinical fracture on men's participation in employment, sports and outdoor recreation, mobility, handiwork, activities of daily living, home modification, and utilisation of community and health services.

Methods : This prospective study followed 196 men with incident fracture identified from radiology reports at the Geelong Hospital during the period July 2006 to December 2007 and examined personal and psychosocial impacts 12 months post-fracture, using a self-report questionnaire.

Results : Of all men identified with fracture, 40% took time off work. All fractures, except those to the upper limbs, had considerable impact on mobility. Inability to drive was associated with all fractures, but was most common with ankle fractures and most prolonged with hip fractures. Loss of confidence was reported by over one-third of all fracture cases, even 12 months after the fracture event. All fractures affected activities of daily living, and this was generally most prolonged for fractures of the hip. Similarly, all men with fracture utilised community and health services, even for the relatively minor fractures of the finger/thumb.

Conclusions : This study supports previous reports of the personal impact of hip fracture, and presents data about the consequences of upper and lower limb fractures and the generally poorly described sequelae of fractures of the finger/thumb and foot/toe. These observations have important implications for post-fracture care and rehabilitation in men.
Language eng
DOI 10.1016/j.jomh.2012.10.006
Field of Research 111706 Epidemiology
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
Grant ID NHMRC 628582
Persistent URL http://hdl.handle.net/10536/DRO/DU:30054933

Document type: Journal Article
Collection: School of Medicine
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Created: Wed, 14 Aug 2013, 12:41:13 EST by Barb Lavelle

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