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Osteoporosis International
Published in: Osteoporosis International 9/2005

01-09-2005 | Original Article

Improving osteoporosis management in patients with fractures

Authors: S. L. Johnson, V. I. Petkov, M. I. Williams, P. S. Via, Robert A. Adler

Published in: Osteoporosis International | Issue 9/2005

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Abstract

A history of fracture is an independent risk factor for future fractures, but patients who have sustained a fracture are rarely evaluated for osteoporosis (OP). The objective of this study was to determine if a simple intervention in a general orthopedic clinic would lead to more fracture patients receiving evaluation and treatment for OP. Patients with a history of fracture visiting a weekly orthopedic clinic during a 6-month intervention period were educated about OP, and a bone mineral density (BMD) test was offered. The number of BMD tests performed and other OP-specific actions taken as a result of the intervention were compared with a 6-month pre-intervention period. The prevalence of OP in those who underwent BMD testing was examined. In the pre-intervention period, only 12.7% (16 of 126) had a BMD test as compared with 62.5% of the 136 intervention-period subjects (odds ratio [OR] 11.5, 95% confidence interval [CI] 6.1, 21.4). Based on BMD test results, 11.9% of the pre-intervention patients, and 41.9% of the intervention patients received OP-specific recommendations (OR 5.3, 95% CI 2.8, 10.1). The intervention led to more patients being treated for low bone mass (9.5% vs 23.5%); OR 2.9, 95% CI 1.4, 5.9. Low bone mass was common among all types of fracture patients: 20% had osteoporosis and 41%, osteopenia. BMD testing in patients with fractures should identify those at risk for future fractures, leading to appropriate treatment.
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Metadata
Title
Improving osteoporosis management in patients with fractures
Authors
S. L. Johnson
V. I. Petkov
M. I. Williams
P. S. Via
Robert A. Adler
Publication date
01-09-2005
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 9/2005
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-004-1814-z

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