5
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Missed opportunities in patients with osteoporosis and distal radius fractures.

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Low-energy wrist (distal radius) fractures are hallmarks of osteoporosis. Prompt diagnosis and treatment of osteoporosis reduce refracture rates. We retrospectively determined the type and frequency of osteoporosis-related interventions rendered to patients 50 years and older in the year after a wrist fragility fracture. In addition, we compared the rates of intervention between men and women. Data were collected from the computerized medical record of one military healthcare system. We identified 111 patients who sustained wrist fragility fractures between July and December 2002. Endocrinology referrals, dual-energy xray absorptiometry scans, and osteoporosis medication prescriptions in the year after their fracture were recorded. Overall, 28 patients (25%) were referred to endocrinology, 22 patients (20%) had a dual-energy xray absorptiometry scan, 33 patients (30%) were prescribed an approved medication for treatment of osteoporosis, and 52 patients (47%) were prescribed one of these medications and/or vitamin D and calcium. Sixty percent of patients received at least one intervention. All diagnostic and medical interventions were more likely ordered for women than men. Orthopaedic surgeons continue to miss opportunities to initiate diagnostic and therapeutic interventions for patients, especially men, presenting with fragility fractures.

          Related collections

          Author and article information

          Journal
          Clin Orthop Relat Res
          Clinical orthopaedics and related research
          Ovid Technologies (Wolters Kluwer Health)
          0009-921X
          0009-921X
          Jan 2007
          : 454
          Affiliations
          [1 ] Department of Orthopaedics and Rehabilitation, Walter Reed Army Medical Center, Washington, DC, USA. brettfreedman@yahoo.com
          Article
          10.1097/01.blo.0000238866.15228.c4
          17006362
          553b9946-0605-48f7-bc3f-478975ec691d
          History

          Comments

          Comment on this article