Are Hospitalized Patients With Fragile Fractures Managed Properly in Relation to Underlying Osteoporosis?
JCR: Journal of Clinical Rheumatology, 04/12/2012
Mehrpour SR et al. – The authors believe that the majority of the orthopedic surgeons lacked sufficient training in osteoporosis; therefore, engaging other providers in their healthcare system can create a pathway for the assessment and treatment of osteoporosis, to guarantee the patient the best care.
The authors performed a survey of 515 patients with osteoporotic fractures who were admitted to 3 level I trauma hospitals in Tehran, Iran.
Patients were evaluated with a questionnaire to determine whether orthopedic surgeons informed their patients about aspects of osteoporosis other than their fracture, and if appropriate, evaluation and treatment for osteoporosis were initiated.
The questionnaires were completed in 2 years (mean) from their admissions.
Only 10.5% patients reported that they had been told by an orthopedic surgeon that they had osteoporosis.
Only 3.3% had bone mineral density appointments.
Few had received treatment for osteoporosis–only 8.2% of patients had been treated with calcium and vitamin D, and 3.5% with a bisphosphonate.
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