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Editor's Correspondence
February 22, 2010

Comanagement of Elderly Patients Admitted to a Hospital for Hip Fracture—Reply

Author Affiliations

Author Affiliations: Departments of Medicine (Drs Friedman and Mendelson and Ms Bingham) and Orthopedic Surgery (Dr Kates), University of Rochester, Rochester, New York.

Arch Intern Med. 2010;170(4):392-393. doi:10.1001/archinternmed.2010.10

In reply

We appreciate the comments of Rozzini and Trabucchi. We agree with their perspective on the importance of geriatric assessment in improving outcomes of frail older adults who are faced with a hip fracture and would like to make 2 additional observations. The first is that geriatric assessment programs with control over medical recommendations are more likely to produce successful outcomes.1 The availability of true comanagement, in which each discipline takes “ownership” of the patient and each may write orders, is critical to the success of the model.

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