Secondary prevention of osteoporosis following fragility fractures of the distal radius in a large health maintenance organization
Summary A retrospective study evaluated a large health maintenance organization for secondary prevention of osteoporosis following fragility fractures of the distal radius. Our population remained undiagnosed and untreated despite the ability of the system to provide adequate care. These patients sp...
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| Veröffentlicht in: | Archives of osteoporosis 2016-12, Vol.11 (1), p.20-20, Article 20 |
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| creator | Benzvi, Lior Gershon, Adam Lavi, Idit Wollstein, Ronit |
| description | Summary
A retrospective study evaluated a large health maintenance organization for secondary prevention of osteoporosis following fragility fractures of the distal radius. Our population remained undiagnosed and untreated despite the ability of the system to provide adequate care. These patients specifically should be targeted for a comprehensive multidisciplinary effort at prevention.
Purpose
Osteoporotic wrist fractures carry a high risk for subsequent fragility fractures. Despite therapeutic options and systems that can provide secondary prevention, patients are not always treated appropriately. Our purpose was to evaluate the treatment afforded following a distal radius fragility fracture in our health system.
Methods
A retrospective review of fractures following surgery was performed. Radiographs and mechanism of injury defined fragility fractures. Demographic data, other fractures, and secondary prevention measures were documented.
Results
Eighty-two patients were evaluated. The average age was 64 (10.2) years. The follow-up period following the index fracture was 25.2 months (SD = 4.6). Twenty-eight percent of patients had a second fragility fracture. Seven sustained a subsequent fracture within the follow-up period (8.5 %), and 16 (19.5 %) fractured prior to the index fracture. Mean time from primary to index fracture was 50 (42) months. Forty-seven percent of patients with an additional fracture carried the chart diagnosis of osteoporosis or osteopenia while 24.6 % of patients without an additional fracture carried this diagnosis (
p
= 0.049). No patients were referred for prevention or an endocrinologist at discharge. Twenty-one percent of patients were treated for osteoporosis at any point.
Conclusions
Patients were unlikely to receive appropriate evaluation and treatment for secondary prevention of fragility fractures in our system. A system-based treatment plan for the prevention of osteoporosis should be implemented. Since distal radius fractures occur early in osteoporosis, these fractures should be targeted for secondary prevention. |
| doi_str_mv | 10.1007/s11657-016-0275-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1787094928</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1787094928</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-d392ab6d58dac1e3690621cd368e15b199daf3307f59fdc958e2579100dd02b3</originalsourceid><addsrcrecordid>eNp9kD9PHDEQxS1EBOSSD5Amckmzif-svesSIUgiIaUIveWzZ_eMfPZhe4NImU-OV0coU81I894bvR9Cnyj5QgkZvhZKpRg6QmVH2CA6doIu6ChZxwXtT992xs7R-1IeCJGECnmGztlAezZydoH-_gKbojP5GR8y_IZYfYo4TTiVCumQciq-4CmFkJ58nPGUzeyDr8_rZuuSoazqugPsfKkm4GycXwr2ERscTJ4B78CEusN742OFaKIFnPJsov9j1m8f0LvJhAIfX-cG3d_e3F9_7-5-fvtxfXXXWd73tXNcMbOVTozOWApcKiIZtY7LEajYUqWcmTgnwyTU5KwSIzAxqAbKOcK2fIMuj7GHnB4XKFXvfbEQgomQlqLpMA5E9apx2SB6lNpWv2SY9CH7fWOkKdEreX0krxt5vZLXrHk-v8Yv2z24N8c_1E3AjoLSTnGGrB_SkmNr_J_UF1D3kY4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1787094928</pqid></control><display><type>article</type><title>Secondary prevention of osteoporosis following fragility fractures of the distal radius in a large health maintenance organization</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Benzvi, Lior ; Gershon, Adam ; Lavi, Idit ; Wollstein, Ronit</creator><creatorcontrib>Benzvi, Lior ; Gershon, Adam ; Lavi, Idit ; Wollstein, Ronit</creatorcontrib><description>Summary
A retrospective study evaluated a large health maintenance organization for secondary prevention of osteoporosis following fragility fractures of the distal radius. Our population remained undiagnosed and untreated despite the ability of the system to provide adequate care. These patients specifically should be targeted for a comprehensive multidisciplinary effort at prevention.
Purpose
Osteoporotic wrist fractures carry a high risk for subsequent fragility fractures. Despite therapeutic options and systems that can provide secondary prevention, patients are not always treated appropriately. Our purpose was to evaluate the treatment afforded following a distal radius fragility fracture in our health system.
Methods
A retrospective review of fractures following surgery was performed. Radiographs and mechanism of injury defined fragility fractures. Demographic data, other fractures, and secondary prevention measures were documented.
Results
Eighty-two patients were evaluated. The average age was 64 (10.2) years. The follow-up period following the index fracture was 25.2 months (SD = 4.6). Twenty-eight percent of patients had a second fragility fracture. Seven sustained a subsequent fracture within the follow-up period (8.5 %), and 16 (19.5 %) fractured prior to the index fracture. Mean time from primary to index fracture was 50 (42) months. Forty-seven percent of patients with an additional fracture carried the chart diagnosis of osteoporosis or osteopenia while 24.6 % of patients without an additional fracture carried this diagnosis (
p
= 0.049). No patients were referred for prevention or an endocrinologist at discharge. Twenty-one percent of patients were treated for osteoporosis at any point.
Conclusions
Patients were unlikely to receive appropriate evaluation and treatment for secondary prevention of fragility fractures in our system. A system-based treatment plan for the prevention of osteoporosis should be implemented. Since distal radius fractures occur early in osteoporosis, these fractures should be targeted for secondary prevention.</description><identifier>ISSN: 1862-3522</identifier><identifier>EISSN: 1862-3514</identifier><identifier>DOI: 10.1007/s11657-016-0275-2</identifier><identifier>PMID: 27142832</identifier><language>eng</language><publisher>London: Springer London</publisher><subject><![CDATA[Aged ; Bone Density Conservation Agents - therapeutic use ; Endocrinology ; Female ; Health Maintenance Organizations - statistics & numerical data ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoporosis - complications ; Osteoporosis - drug therapy ; Osteoporotic Fractures - diagnostic imaging ; Osteoporotic Fractures - etiology ; Osteoporotic Fractures - prevention & control ; Radiography ; Radius Fractures - diagnostic imaging ; Radius Fractures - etiology ; Radius Fractures - prevention & control ; Referral and Consultation - statistics & numerical data ; Retrospective Studies ; Secondary Prevention - methods ; Secondary Prevention - statistics & numerical data ; Short Communication ; Time Factors]]></subject><ispartof>Archives of osteoporosis, 2016-12, Vol.11 (1), p.20-20, Article 20</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-d392ab6d58dac1e3690621cd368e15b199daf3307f59fdc958e2579100dd02b3</citedby><cites>FETCH-LOGICAL-c344t-d392ab6d58dac1e3690621cd368e15b199daf3307f59fdc958e2579100dd02b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11657-016-0275-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11657-016-0275-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27142832$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benzvi, Lior</creatorcontrib><creatorcontrib>Gershon, Adam</creatorcontrib><creatorcontrib>Lavi, Idit</creatorcontrib><creatorcontrib>Wollstein, Ronit</creatorcontrib><title>Secondary prevention of osteoporosis following fragility fractures of the distal radius in a large health maintenance organization</title><title>Archives of osteoporosis</title><addtitle>Arch Osteoporos</addtitle><addtitle>Arch Osteoporos</addtitle><description>Summary
A retrospective study evaluated a large health maintenance organization for secondary prevention of osteoporosis following fragility fractures of the distal radius. Our population remained undiagnosed and untreated despite the ability of the system to provide adequate care. These patients specifically should be targeted for a comprehensive multidisciplinary effort at prevention.
Purpose
Osteoporotic wrist fractures carry a high risk for subsequent fragility fractures. Despite therapeutic options and systems that can provide secondary prevention, patients are not always treated appropriately. Our purpose was to evaluate the treatment afforded following a distal radius fragility fracture in our health system.
Methods
A retrospective review of fractures following surgery was performed. Radiographs and mechanism of injury defined fragility fractures. Demographic data, other fractures, and secondary prevention measures were documented.
Results
Eighty-two patients were evaluated. The average age was 64 (10.2) years. The follow-up period following the index fracture was 25.2 months (SD = 4.6). Twenty-eight percent of patients had a second fragility fracture. Seven sustained a subsequent fracture within the follow-up period (8.5 %), and 16 (19.5 %) fractured prior to the index fracture. Mean time from primary to index fracture was 50 (42) months. Forty-seven percent of patients with an additional fracture carried the chart diagnosis of osteoporosis or osteopenia while 24.6 % of patients without an additional fracture carried this diagnosis (
p
= 0.049). No patients were referred for prevention or an endocrinologist at discharge. Twenty-one percent of patients were treated for osteoporosis at any point.
Conclusions
Patients were unlikely to receive appropriate evaluation and treatment for secondary prevention of fragility fractures in our system. A system-based treatment plan for the prevention of osteoporosis should be implemented. Since distal radius fractures occur early in osteoporosis, these fractures should be targeted for secondary prevention.</description><subject>Aged</subject><subject>Bone Density Conservation Agents - therapeutic use</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Health Maintenance Organizations - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - drug therapy</subject><subject>Osteoporotic Fractures - diagnostic imaging</subject><subject>Osteoporotic Fractures - etiology</subject><subject>Osteoporotic Fractures - prevention & control</subject><subject>Radiography</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Radius Fractures - etiology</subject><subject>Radius Fractures - prevention & control</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Secondary Prevention - methods</subject><subject>Secondary Prevention - statistics & numerical data</subject><subject>Short Communication</subject><subject>Time Factors</subject><issn>1862-3522</issn><issn>1862-3514</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD9PHDEQxS1EBOSSD5Amckmzif-svesSIUgiIaUIveWzZ_eMfPZhe4NImU-OV0coU81I894bvR9Cnyj5QgkZvhZKpRg6QmVH2CA6doIu6ChZxwXtT992xs7R-1IeCJGECnmGztlAezZydoH-_gKbojP5GR8y_IZYfYo4TTiVCumQciq-4CmFkJ58nPGUzeyDr8_rZuuSoazqugPsfKkm4GycXwr2ERscTJ4B78CEusN742OFaKIFnPJsov9j1m8f0LvJhAIfX-cG3d_e3F9_7-5-fvtxfXXXWd73tXNcMbOVTozOWApcKiIZtY7LEajYUqWcmTgnwyTU5KwSIzAxqAbKOcK2fIMuj7GHnB4XKFXvfbEQgomQlqLpMA5E9apx2SB6lNpWv2SY9CH7fWOkKdEreX0krxt5vZLXrHk-v8Yv2z24N8c_1E3AjoLSTnGGrB_SkmNr_J_UF1D3kY4</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Benzvi, Lior</creator><creator>Gershon, Adam</creator><creator>Lavi, Idit</creator><creator>Wollstein, Ronit</creator><general>Springer London</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161201</creationdate><title>Secondary prevention of osteoporosis following fragility fractures of the distal radius in a large health maintenance organization</title><author>Benzvi, Lior ; Gershon, Adam ; Lavi, Idit ; Wollstein, Ronit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-d392ab6d58dac1e3690621cd368e15b199daf3307f59fdc958e2579100dd02b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Bone Density Conservation Agents - therapeutic use</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Health Maintenance Organizations - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - drug therapy</topic><topic>Osteoporotic Fractures - diagnostic imaging</topic><topic>Osteoporotic Fractures - etiology</topic><topic>Osteoporotic Fractures - prevention & control</topic><topic>Radiography</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Radius Fractures - etiology</topic><topic>Radius Fractures - prevention & control</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Secondary Prevention - methods</topic><topic>Secondary Prevention - statistics & numerical data</topic><topic>Short Communication</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benzvi, Lior</creatorcontrib><creatorcontrib>Gershon, Adam</creatorcontrib><creatorcontrib>Lavi, Idit</creatorcontrib><creatorcontrib>Wollstein, Ronit</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of osteoporosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benzvi, Lior</au><au>Gershon, Adam</au><au>Lavi, Idit</au><au>Wollstein, Ronit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Secondary prevention of osteoporosis following fragility fractures of the distal radius in a large health maintenance organization</atitle><jtitle>Archives of osteoporosis</jtitle><stitle>Arch Osteoporos</stitle><addtitle>Arch Osteoporos</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>11</volume><issue>1</issue><spage>20</spage><epage>20</epage><pages>20-20</pages><artnum>20</artnum><issn>1862-3522</issn><eissn>1862-3514</eissn><abstract>Summary
A retrospective study evaluated a large health maintenance organization for secondary prevention of osteoporosis following fragility fractures of the distal radius. Our population remained undiagnosed and untreated despite the ability of the system to provide adequate care. These patients specifically should be targeted for a comprehensive multidisciplinary effort at prevention.
Purpose
Osteoporotic wrist fractures carry a high risk for subsequent fragility fractures. Despite therapeutic options and systems that can provide secondary prevention, patients are not always treated appropriately. Our purpose was to evaluate the treatment afforded following a distal radius fragility fracture in our health system.
Methods
A retrospective review of fractures following surgery was performed. Radiographs and mechanism of injury defined fragility fractures. Demographic data, other fractures, and secondary prevention measures were documented.
Results
Eighty-two patients were evaluated. The average age was 64 (10.2) years. The follow-up period following the index fracture was 25.2 months (SD = 4.6). Twenty-eight percent of patients had a second fragility fracture. Seven sustained a subsequent fracture within the follow-up period (8.5 %), and 16 (19.5 %) fractured prior to the index fracture. Mean time from primary to index fracture was 50 (42) months. Forty-seven percent of patients with an additional fracture carried the chart diagnosis of osteoporosis or osteopenia while 24.6 % of patients without an additional fracture carried this diagnosis (
p
= 0.049). No patients were referred for prevention or an endocrinologist at discharge. Twenty-one percent of patients were treated for osteoporosis at any point.
Conclusions
Patients were unlikely to receive appropriate evaluation and treatment for secondary prevention of fragility fractures in our system. A system-based treatment plan for the prevention of osteoporosis should be implemented. Since distal radius fractures occur early in osteoporosis, these fractures should be targeted for secondary prevention.</abstract><cop>London</cop><pub>Springer London</pub><pmid>27142832</pmid><doi>10.1007/s11657-016-0275-2</doi><tpages>1</tpages></addata></record> |
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| subjects | Aged Bone Density Conservation Agents - therapeutic use Endocrinology Female Health Maintenance Organizations - statistics & numerical data Humans Male Medicine Medicine & Public Health Middle Aged Orthopedics Osteoporosis - complications Osteoporosis - drug therapy Osteoporotic Fractures - diagnostic imaging Osteoporotic Fractures - etiology Osteoporotic Fractures - prevention & control Radiography Radius Fractures - diagnostic imaging Radius Fractures - etiology Radius Fractures - prevention & control Referral and Consultation - statistics & numerical data Retrospective Studies Secondary Prevention - methods Secondary Prevention - statistics & numerical data Short Communication Time Factors |
| title | Secondary prevention of osteoporosis following fragility fractures of the distal radius in a large health maintenance organization |
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