Prof. Gustavo Duque MD, PhD, FRACP is a geriatrician and a clinical and biomedical researcher with special interest in the mechanisms and treatment of osteoporosis, sarcopenia and frailty in older persons.
His initial training included Internal Medicine at Javeriana University (Colombia) and Geriatric Medicine, which he completed at McGill University in Montreal (Canada). Subsequently, he obtained his PhD at McGill University in 2003 with a thesis entitled ‘Molecular Changes of the Aging Osteoblast’ under the supervision of Dr. Richard Kremer. He is also Macy Scholar in Medical Education from Harvard University.
Between 2003 and November 2007, he joined the faculty at McGill University Medical School as a member of the Division of Geriatric Medicine and as Researcher at the Lady Davis Institute for Medical Research. In November 2007, he moved to Australia to join the Faculty as Associate Professor and Head of the Division of Geriatric Medicine and Director of the Musculoskeletal Ageing Research Program at Sydney Medical School Nepean -University of Sydney. In 2012, he was promoted to Professor of Medicine at the University of Sydney. In 2015, Professor Duque moved to Melbourne to assume new positions as Chair of Medicine and Director of the Australian Institute for Musculoskeletal Science (AIMSS) at the University of Melbourne, and as Staff Specialist at Western Health.
With more than 100 peer-reviewed publications, Prof. Duque's major research interests include the elucidation of the mechanisms and potential new treatments for age-related bone loss, osteoporosis, sarcopenia and frailty. He is also looking at the effect of vitamin D, exercise and proteins on bone and muscle mass. He is the Director of the Fracture Care and Prevention Program at Western Health. As part of this Program, Prof. Duque recently implemented a Falls and Fractures clinic at Sunshine Hospital where patients are assessed for falls and fractures risk in a comprehensive manner.
The Orothogeriatrics Model: Testing The Effectiveness Of An Integrated Model Of Care In Older Patients With Femur Fracture
At the end of this session the participants will be able to:
- Understand the principles of the orthogeriatrics model of care
- Improve their clinical practice by learning the most important aspects (clinical and surgical) of treating older persons after a hip fracture
- Treat the pre- and post- operative periods in hip fracture patients, prevent the most common complications and develop interventions to prevent further falls and fractures in this population
Content and Methodology:
The natural history of hip fracture is well understood. Without surgical treatment patients with hip fracture have a 70% one-year mortality and 80% of the survivors are severely disabled. With surgical treatment, there is a 30% one year mortality and 40% of survivors are severely disabled.
Since the mid 1980s a number of randomised trials of orthogeriatrics care have been published. The Cochrane Collaboration Review of Coordinated Multidisciplinary Inpatient Rehabilitation after Hip Fracture has conducted several meta-analyses of these randomized trials. In parallel with studies specifically dealing with orthogeriatrics care, studies of geriatric assessment have been published. A review of the randomised trials in this area has concluded that orthopaedics care combined with a comprehensive geriatric assessment with control over medical recommendations and extended follow-up, were likely to be more effective than usual care. In addition, patients’ seen by the orthogeriatrics team are more likely to receive osteoporosis treatment and thus benefit of appropriate secondary prevention of osteoporotic fractures. In this symposium, the basic principles of orthogeriatrics care will be discussed. The session will be divided in three lectures. The first lecture will review the main components of the pre-operative assessment in post-hip fracture patients. The second lecture will review the orthopaedic surgeon considerations in these particular set of patients (i.e. time of surgery, weight bearing, etc.). The third lecture will review the current evidence on hip fracture prevention in older persons from non-pharmacological to pharmacological interventions, including practical guidelines to improve functionality and decrease mortality in the long-term.
Call for Abstracts open: 25th October 2016
Registration Opens: 18th November 2016
Call for Abstracts Closes: 24th February 2017
Notification of Abstracts: 20th March 2017
Close of Early Registration: 31st March 2017
Conference: 10th May 2017
Australian and New Zealand Society for Geriatric Medicine (ANZSGM)
145 Macquarie Street
Sydney NSW 2000, Australia
Tel: +61 2 9256 5460
Fax: +61 2 9241 3458