An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture
Patients with an osteoporotic fracture have at least a 2-fold risk for additional fracture and should benefit from targeted diagnostic and treatment procedures for osteoporosis. To address this issue, we set up an osteoporosis clinical pathway (OCP) for the medical management of patients with low-tr...
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Veröffentlicht in: | Osteoporosis international 2002-01, Vol.13 (6), p.450-455 |
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description | Patients with an osteoporotic fracture have at least a 2-fold risk for additional fracture and should benefit from targeted diagnostic and treatment procedures for osteoporosis. To address this issue, we set up an osteoporosis clinical pathway (OCP) for the medical management of patients with low-trauma fracture. Following acute management of the fracture by the orthopedic team, patients are enrolled in the pathway, which is based on an interaction between the OCP multidisciplinary team, orthopedic surgeons and/or primary care physicians. After collection of patient data, suggestions for additional diagnostic examinations with their interpretation, and treatment proposals are made. Patients and their families are also invited to attend a multidisciplinary interactive educational program on physical therapy, lifestyle habits and nutrition. During a 36-month period, 385 patients (311 women, 74 men; mean age +/- SD: 73.0 +/- 13.5 years; hip fracture 45%, ankle/tibia 24%, proximal humerus 8.6%, spine 5.5%, pelvis 3.9%, distal forearm 3.6%, other sites 17.4%) were enrolled in the OCP. An osteoporosis awareness questionnaire administered within 10 days of fracture showed that 73% of patients believed that their fracture was not related to the disease. Dual-energy X-ray absorptiometry, performed in 63% of patients, showed that 86% had low bone mass or osteoporosis. Specific antiosteoporotic therapy was proposed for 33% of patients in addition to calcium and vitamin D supplements, the latter suggested for 93%. A survey performed in 216 patients 6 months later, indicated that 63% of the suggested treatments had been prescribed and that 67% of this group were continuing treatment. Such a clinical pathway for the medical management of low-trauma fracture can help to identify patients with osteoporosis in a high-risk population, provide support to the orthopedic surgeon and/or the primary care physician for diagnostic and treatment procedures, and should significantly contribute to increase awareness of the disease in patients and their families. |
doi_str_mv | 10.1007/s001980200053 |
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To address this issue, we set up an osteoporosis clinical pathway (OCP) for the medical management of patients with low-trauma fracture. Following acute management of the fracture by the orthopedic team, patients are enrolled in the pathway, which is based on an interaction between the OCP multidisciplinary team, orthopedic surgeons and/or primary care physicians. After collection of patient data, suggestions for additional diagnostic examinations with their interpretation, and treatment proposals are made. Patients and their families are also invited to attend a multidisciplinary interactive educational program on physical therapy, lifestyle habits and nutrition. During a 36-month period, 385 patients (311 women, 74 men; mean age +/- SD: 73.0 +/- 13.5 years; hip fracture 45%, ankle/tibia 24%, proximal humerus 8.6%, spine 5.5%, pelvis 3.9%, distal forearm 3.6%, other sites 17.4%) were enrolled in the OCP. An osteoporosis awareness questionnaire administered within 10 days of fracture showed that 73% of patients believed that their fracture was not related to the disease. Dual-energy X-ray absorptiometry, performed in 63% of patients, showed that 86% had low bone mass or osteoporosis. Specific antiosteoporotic therapy was proposed for 33% of patients in addition to calcium and vitamin D supplements, the latter suggested for 93%. A survey performed in 216 patients 6 months later, indicated that 63% of the suggested treatments had been prescribed and that 67% of this group were continuing treatment. Such a clinical pathway for the medical management of low-trauma fracture can help to identify patients with osteoporosis in a high-risk population, provide support to the orthopedic surgeon and/or the primary care physician for diagnostic and treatment procedures, and should significantly contribute to increase awareness of the disease in patients and their families.</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s001980200053</identifier><identifier>PMID: 12107657</identifier><language>eng</language><publisher>London: Springer</publisher><subject>Accidental Falls ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Bone density ; Bone diseases ; Calcium - administration & dosage ; Diseases of the osteoarticular system ; Estrogen Replacement Therapy ; Female ; Follow-Up Studies ; Fractures ; Fractures, Bone - diagnosis ; Fractures, Bone - etiology ; Fractures, Bone - prevention & control ; Hip joint ; Humans ; Internal medicine ; Male ; Medical sciences ; Middle Aged ; Orthopedics ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - drug therapy ; Osteoporosis - psychology ; Osteoporosis. 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Paget disease ; Patient care planning ; Patient Compliance ; Patient Education as Topic ; Primary care ; Questionnaires ; Surgeons ; Trauma ; Vitamin D - administration & dosage</subject><ispartof>Osteoporosis international, 2002-01, Vol.13 (6), p.450-455</ispartof><rights>2002 INIST-CNRS</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-e908831c309609b44dcdde3f43ef738528635a2c0c02d4fbec7dfb4a2a58e4393</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13918505$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12107657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHEVALLEY, T</creatorcontrib><creatorcontrib>HOFFMEYER, P</creatorcontrib><creatorcontrib>BONJOUR, J.-P</creatorcontrib><creatorcontrib>RIZZOLI, R</creatorcontrib><title>An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><description>Patients with an osteoporotic fracture have at least a 2-fold risk for additional fracture and should benefit from targeted diagnostic and treatment procedures for osteoporosis. To address this issue, we set up an osteoporosis clinical pathway (OCP) for the medical management of patients with low-trauma fracture. Following acute management of the fracture by the orthopedic team, patients are enrolled in the pathway, which is based on an interaction between the OCP multidisciplinary team, orthopedic surgeons and/or primary care physicians. After collection of patient data, suggestions for additional diagnostic examinations with their interpretation, and treatment proposals are made. Patients and their families are also invited to attend a multidisciplinary interactive educational program on physical therapy, lifestyle habits and nutrition. During a 36-month period, 385 patients (311 women, 74 men; mean age +/- SD: 73.0 +/- 13.5 years; hip fracture 45%, ankle/tibia 24%, proximal humerus 8.6%, spine 5.5%, pelvis 3.9%, distal forearm 3.6%, other sites 17.4%) were enrolled in the OCP. An osteoporosis awareness questionnaire administered within 10 days of fracture showed that 73% of patients believed that their fracture was not related to the disease. Dual-energy X-ray absorptiometry, performed in 63% of patients, showed that 86% had low bone mass or osteoporosis. Specific antiosteoporotic therapy was proposed for 33% of patients in addition to calcium and vitamin D supplements, the latter suggested for 93%. A survey performed in 216 patients 6 months later, indicated that 63% of the suggested treatments had been prescribed and that 67% of this group were continuing treatment. Such a clinical pathway for the medical management of low-trauma fracture can help to identify patients with osteoporosis in a high-risk population, provide support to the orthopedic surgeon and/or the primary care physician for diagnostic and treatment procedures, and should significantly contribute to increase awareness of the disease in patients and their families.</description><subject>Accidental Falls</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bone density</subject><subject>Bone diseases</subject><subject>Calcium - administration & dosage</subject><subject>Diseases of the osteoarticular system</subject><subject>Estrogen Replacement Therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fractures</subject><subject>Fractures, Bone - diagnosis</subject><subject>Fractures, Bone - etiology</subject><subject>Fractures, Bone - prevention & control</subject><subject>Hip joint</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - drug therapy</subject><subject>Osteoporosis - psychology</subject><subject>Osteoporosis. Osteomalacia. Paget disease</subject><subject>Patient care planning</subject><subject>Patient Compliance</subject><subject>Patient Education as Topic</subject><subject>Primary care</subject><subject>Questionnaires</subject><subject>Surgeons</subject><subject>Trauma</subject><subject>Vitamin D - administration & dosage</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0c1LwzAYBvAgipsfR68SBL1V3zRpkxzH8AsELwreapYmrtI2M0kZ_vdGVxh68ZSX8OMleR6ETghcEgB-FQCIFJADQEF30JQwSrNclsUumoKkPJOMvEzQQQjviXAp-T6akJwALws-Ra-zHrsQjVs570ITsG6bvtGqxSsVl2v1ia3zOC4N7kz9c9-pXr2ZzvQRO_utmjQGvG7iErdunUWvhk5h65WOgzdHaM-qNpjj8TxEzzfXT_O77OHx9n4-e8g05TxmRoIQlGgKsgS5YKzWdW2oZdRYTkWRi5IWKtegIa-ZXRjNa7tgKleFMIxKeoguNntX3n0MJsSqa4I2bat644ZQcSJSGgz-hURwSkopEjz7A9_d4Pv0iSon6bGMlSShbIN0ii94Y6uVbzrlPysC1XdB1a-Ckj8dlw6LlOhWj40kcD4CFVLcKcZeN2HrqCSiSJu-ANDBmCA</recordid><startdate>20020101</startdate><enddate>20020101</enddate><creator>CHEVALLEY, T</creator><creator>HOFFMEYER, P</creator><creator>BONJOUR, J.-P</creator><creator>RIZZOLI, R</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20020101</creationdate><title>An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture</title><author>CHEVALLEY, T ; HOFFMEYER, P ; BONJOUR, J.-P ; RIZZOLI, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-e908831c309609b44dcdde3f43ef738528635a2c0c02d4fbec7dfb4a2a58e4393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Accidental Falls</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bone density</topic><topic>Bone diseases</topic><topic>Calcium - administration & dosage</topic><topic>Diseases of the osteoarticular system</topic><topic>Estrogen Replacement Therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fractures</topic><topic>Fractures, Bone - diagnosis</topic><topic>Fractures, Bone - etiology</topic><topic>Fractures, Bone - prevention & control</topic><topic>Hip joint</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoporosis</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - drug therapy</topic><topic>Osteoporosis - psychology</topic><topic>Osteoporosis. Osteomalacia. Paget disease</topic><topic>Patient care planning</topic><topic>Patient Compliance</topic><topic>Patient Education as Topic</topic><topic>Primary care</topic><topic>Questionnaires</topic><topic>Surgeons</topic><topic>Trauma</topic><topic>Vitamin D - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHEVALLEY, T</creatorcontrib><creatorcontrib>HOFFMEYER, P</creatorcontrib><creatorcontrib>BONJOUR, J.-P</creatorcontrib><creatorcontrib>RIZZOLI, R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHEVALLEY, T</au><au>HOFFMEYER, P</au><au>BONJOUR, J.-P</au><au>RIZZOLI, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture</atitle><jtitle>Osteoporosis international</jtitle><addtitle>Osteoporos Int</addtitle><date>2002-01-01</date><risdate>2002</risdate><volume>13</volume><issue>6</issue><spage>450</spage><epage>455</epage><pages>450-455</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Patients with an osteoporotic fracture have at least a 2-fold risk for additional fracture and should benefit from targeted diagnostic and treatment procedures for osteoporosis. To address this issue, we set up an osteoporosis clinical pathway (OCP) for the medical management of patients with low-trauma fracture. Following acute management of the fracture by the orthopedic team, patients are enrolled in the pathway, which is based on an interaction between the OCP multidisciplinary team, orthopedic surgeons and/or primary care physicians. After collection of patient data, suggestions for additional diagnostic examinations with their interpretation, and treatment proposals are made. Patients and their families are also invited to attend a multidisciplinary interactive educational program on physical therapy, lifestyle habits and nutrition. During a 36-month period, 385 patients (311 women, 74 men; mean age +/- SD: 73.0 +/- 13.5 years; hip fracture 45%, ankle/tibia 24%, proximal humerus 8.6%, spine 5.5%, pelvis 3.9%, distal forearm 3.6%, other sites 17.4%) were enrolled in the OCP. An osteoporosis awareness questionnaire administered within 10 days of fracture showed that 73% of patients believed that their fracture was not related to the disease. Dual-energy X-ray absorptiometry, performed in 63% of patients, showed that 86% had low bone mass or osteoporosis. Specific antiosteoporotic therapy was proposed for 33% of patients in addition to calcium and vitamin D supplements, the latter suggested for 93%. A survey performed in 216 patients 6 months later, indicated that 63% of the suggested treatments had been prescribed and that 67% of this group were continuing treatment. Such a clinical pathway for the medical management of low-trauma fracture can help to identify patients with osteoporosis in a high-risk population, provide support to the orthopedic surgeon and/or the primary care physician for diagnostic and treatment procedures, and should significantly contribute to increase awareness of the disease in patients and their families.</abstract><cop>London</cop><pub>Springer</pub><pmid>12107657</pmid><doi>10.1007/s001980200053</doi><tpages>6</tpages></addata></record> |
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subjects | Accidental Falls Aged Aged, 80 and over Biological and medical sciences Bone density Bone diseases Calcium - administration & dosage Diseases of the osteoarticular system Estrogen Replacement Therapy Female Follow-Up Studies Fractures Fractures, Bone - diagnosis Fractures, Bone - etiology Fractures, Bone - prevention & control Hip joint Humans Internal medicine Male Medical sciences Middle Aged Orthopedics Osteoporosis Osteoporosis - complications Osteoporosis - drug therapy Osteoporosis - psychology Osteoporosis. Osteomalacia. Paget disease Patient care planning Patient Compliance Patient Education as Topic Primary care Questionnaires Surgeons Trauma Vitamin D - administration & dosage |
title | An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture |
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