Comparison of two osteoporotic fracture management pathways: experience at 1 year
Details
Serval ID
serval:BIB_04F9609DE73D
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Poster: Summary – with images – on one page of the results of a researche project. The summaries of the poster must be entered in "Abstract" and not "Poster".
Collection
Publications
Institution
Title
Comparison of two osteoporotic fracture management pathways: experience at 1 year
Title of the conference
Annual Meeting of the Swiss Society of Rheumatology
Address
Fribourg, Switzerland, September 8-10, 2010
ISBN
1424-3997
Publication state
Published
Issued date
2010
Peer-reviewed
Oui
Volume
140
Series
Swiss Medical Weekly
Pages
8S
Language
english
Abstract
Introduction: Osteoporosis presenting as low-impact fractures to
traumatology units is often undiagnosed and under-treated. Results
from the Osteocare study in Lausanne (a nurse based intervention,
passive pathway) showed that only 19% of patients received
management for osteoporosis, and in the literature [1], the rate is
between 10-25%. We have evaluated a different management
concept, based on the systematic assessment of patients with
osteoporotic fractures during and after hospitalization (active pathway).
Methods: Inpatients admitted to the Department of Musculoskeletal
Medicine for a fragility fracture were identified by a nurse according to
a predefined questionnaire and were then clinically evaluated by a
doctor. Based on the results, a management plan was proposed to the
patients. Patients could choose between follow up either by their GP
or by the Centre of Bone Disease of the CHUV. For patients who
chose follow-up in our Centre, we assessed their adherence to
medical follow-up 1 year inclusion. The results of patients who had
been evaluated in our cohort between the 1 November 2008 and the
1 December 2009 were analysed.
Results: 573 inpatients received specific management of their
osteoporotic fracture over 18 months. The mean age was 77 y
(31-99), 81% were women (203 hip fractures, 40 pelvis fractures, 101
arm fractures, 57 vertebral fractures, 63 ankle fractures, and 25 others
sites). During the study period, 303 patients received a proposition of a
specific treatment. 39 (13%) chose a follow up with the GP, 19 (6%)
dead and 245 (81%) preferred a follow up in our Centre. After 1 year,
166 (67%) patients are under follow up in our outpatient clinic.
Conclusion: With an active clinical pathway that starts during the
hospitalization, consisting on a nursing evaluation followed by a
medical consultation by an expert in osteoporosis, the adherence
increased from 19% to 67% in terms of follow up. These results lead
us to propose a consultation with a doctor experienced in osteoporosis
after all osteoporotic fractures.
traumatology units is often undiagnosed and under-treated. Results
from the Osteocare study in Lausanne (a nurse based intervention,
passive pathway) showed that only 19% of patients received
management for osteoporosis, and in the literature [1], the rate is
between 10-25%. We have evaluated a different management
concept, based on the systematic assessment of patients with
osteoporotic fractures during and after hospitalization (active pathway).
Methods: Inpatients admitted to the Department of Musculoskeletal
Medicine for a fragility fracture were identified by a nurse according to
a predefined questionnaire and were then clinically evaluated by a
doctor. Based on the results, a management plan was proposed to the
patients. Patients could choose between follow up either by their GP
or by the Centre of Bone Disease of the CHUV. For patients who
chose follow-up in our Centre, we assessed their adherence to
medical follow-up 1 year inclusion. The results of patients who had
been evaluated in our cohort between the 1 November 2008 and the
1 December 2009 were analysed.
Results: 573 inpatients received specific management of their
osteoporotic fracture over 18 months. The mean age was 77 y
(31-99), 81% were women (203 hip fractures, 40 pelvis fractures, 101
arm fractures, 57 vertebral fractures, 63 ankle fractures, and 25 others
sites). During the study period, 303 patients received a proposition of a
specific treatment. 39 (13%) chose a follow up with the GP, 19 (6%)
dead and 245 (81%) preferred a follow up in our Centre. After 1 year,
166 (67%) patients are under follow up in our outpatient clinic.
Conclusion: With an active clinical pathway that starts during the
hospitalization, consisting on a nursing evaluation followed by a
medical consultation by an expert in osteoporosis, the adherence
increased from 19% to 67% in terms of follow up. These results lead
us to propose a consultation with a doctor experienced in osteoporosis
after all osteoporotic fractures.
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Create date
07/03/2011 15:13
Last modification date
20/08/2019 12:26
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