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Published in: Irish Journal of Medical Science (1971 -) 4/2012

01-12-2012 | Original Article

Patient profile in a bone health and osteoporosis prevention service in Ireland

Authors: B. McGowan, K. Bennett, J. Marry, J. B. Walsh, M. C. Casey

Published in: Irish Journal of Medical Science (1971 -) | Issue 4/2012

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Abstract

Objectives

To (1) characterise a cohort of patients attending a major osteoporosis clinic in Ireland and (2) examine the prescribing of preventative therapies amongst these patients.

Methods

Data were taken from 2006–2007 on patients attending the Osteoporosis Clinic at St. James’s Hospital, Dublin. Information gathered included age, gender, fracture history, past medical and surgical history, co-morbidities, the results of the first DXA scans, anti-resorptive therapies along with other medications prescribed.

Results

Of all patients 87.6% were female and the mean age was 68 years (SD = 14.31). In total 166 (74%) patients had osteoporosis, 40 (17.8%) had osteopenia and 18 patients (8%) had normal T-score values, 163 (72.7%) had a history of a fracture. Only 13.7% of the patients did not have a documented history of other co-morbidities.

Conclusion

Comprehensive services such as the Osteoporosis Clinic at St. James’s Hospital can provide the necessary screening, monitoring and prescribing of appropriate osteoporosis medications with additional follow-up if required to this at risk group reducing the unnecessarily traumatic effects of the disease on patients.
Literature
1.
go back to reference Kanis JA, Johnell O, De Laet C et al (2004) A meta-analysis of previous fracture and subsequent fracture risk. Bone 35:375–382PubMedCrossRef Kanis JA, Johnell O, De Laet C et al (2004) A meta-analysis of previous fracture and subsequent fracture risk. Bone 35:375–382PubMedCrossRef
2.
go back to reference Cuddihy M-T, Gabriel SE, Crowson CS et al (2002) Osteoporosis intervention folllowing distal forearm fractures- a missed opportunity? Arch Intern Med 162:421–426PubMedCrossRef Cuddihy M-T, Gabriel SE, Crowson CS et al (2002) Osteoporosis intervention folllowing distal forearm fractures- a missed opportunity? Arch Intern Med 162:421–426PubMedCrossRef
3.
go back to reference Khan SA, de Geus C, Russell AS (2001) Osteoporosis follow-up after wrist fractures following minor trauma. Arch Intern Med 161:1309–1312PubMedCrossRef Khan SA, de Geus C, Russell AS (2001) Osteoporosis follow-up after wrist fractures following minor trauma. Arch Intern Med 161:1309–1312PubMedCrossRef
4.
go back to reference Smith MD, Ross W, Ahern MJ (2001) Missing a therapeutic window of opportunity: an audit of patients attending a tertiary teaching hospital with potentially osteoporotic hip and wrist fractures. J Rheumatology 28:2504–2508 Smith MD, Ross W, Ahern MJ (2001) Missing a therapeutic window of opportunity: an audit of patients attending a tertiary teaching hospital with potentially osteoporotic hip and wrist fractures. J Rheumatology 28:2504–2508
5.
go back to reference Bellantonia S, Fortinsky R, Prestwood K (2001) How well are community-living women treated for osteoporosis after hip fracture? J Am Geriatr Soc 49:1197–1204CrossRef Bellantonia S, Fortinsky R, Prestwood K (2001) How well are community-living women treated for osteoporosis after hip fracture? J Am Geriatr Soc 49:1197–1204CrossRef
6.
go back to reference McGowan B, Bennett K, Barry M, Canny M (2008) The utilisation and expenditure of medicines for the prophylaxis and treatment of osteoporosis. IMJ 101((Number 2)):38–41PubMed McGowan B, Bennett K, Barry M, Canny M (2008) The utilisation and expenditure of medicines for the prophylaxis and treatment of osteoporosis. IMJ 101((Number 2)):38–41PubMed
7.
go back to reference Cummings SR, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767PubMedCrossRef Cummings SR, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767PubMedCrossRef
8.
go back to reference (2008) Strategy to prevent falls and fractures in Ireland’s ageing population. Report of the National Steering Group on the Prevention of Falls in Older People and the Prevention and Management of Osteoporosis throughout Life (2008) Strategy to prevent falls and fractures in Ireland’s ageing population. Report of the National Steering Group on the Prevention of Falls in Older People and the Prevention and Management of Osteoporosis throughout Life
12.
go back to reference Cranney A, Guyatt G, Griffith L et al (2002) Summary of meta-analyses of therapies for postmenopausal osteoporosis. Endocrinology Rev 23:570–578CrossRef Cranney A, Guyatt G, Griffith L et al (2002) Summary of meta-analyses of therapies for postmenopausal osteoporosis. Endocrinology Rev 23:570–578CrossRef
13.
go back to reference Bone HG, Hoskings D, Devogelaer JP et al (2004) Ten years’ experience with alendronate for osteoporosis in postmenopausal women. N Engl J Med 350:1189–1199PubMedCrossRef Bone HG, Hoskings D, Devogelaer JP et al (2004) Ten years’ experience with alendronate for osteoporosis in postmenopausal women. N Engl J Med 350:1189–1199PubMedCrossRef
14.
go back to reference Pleiner-Duxneuner J, Zwettler E, Paschalis E et al (2009) Treatment of osteoporosis with parathyroid hormone and teriparatide. Calcif Tissue Int 84(3):159–170PubMedCrossRef Pleiner-Duxneuner J, Zwettler E, Paschalis E et al (2009) Treatment of osteoporosis with parathyroid hormone and teriparatide. Calcif Tissue Int 84(3):159–170PubMedCrossRef
15.
go back to reference Tournis S, Economopoulos D, Lyritis G (2006) Strontium ranelate: a novel treatment in postmenopausal osteoporosis. Ann N Y Acad Sci 1092:403–407PubMedCrossRef Tournis S, Economopoulos D, Lyritis G (2006) Strontium ranelate: a novel treatment in postmenopausal osteoporosis. Ann N Y Acad Sci 1092:403–407PubMedCrossRef
16.
go back to reference Lundkvist J, Johnell O, Cooper C et al (2006) Economic evaluation of parathyroid hormone (PTH) in the treatment of osteoporosis in postmenopausal women. Osteoporosis Int 17:201–211CrossRef Lundkvist J, Johnell O, Cooper C et al (2006) Economic evaluation of parathyroid hormone (PTH) in the treatment of osteoporosis in postmenopausal women. Osteoporosis Int 17:201–211CrossRef
Metadata
Title
Patient profile in a bone health and osteoporosis prevention service in Ireland
Authors
B. McGowan
K. Bennett
J. Marry
J. B. Walsh
M. C. Casey
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Irish Journal of Medical Science (1971 -) / Issue 4/2012
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-012-0806-9

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