Management of fragility fractures in Switzerland: results of a nationwide survey.

Détails

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Etat: Serval
Version: Final published version
ID Serval
serval:BIB_93AD67111BCA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Management of fragility fractures in Switzerland: results of a nationwide survey.
Périodique
Swiss medical weekly
Auteur(s)
Suhm N., Lamy O., Lippuner K.
Collaborateur(s)
OsteoCare study group
Contributeur(s)
Reto B., Marc-Antoine K., Olivier L., Kurt L., Norbert S., Maurice W., Pascal Z.
ISSN
1424-7860 (Print)
ISSN-L
0036-7672
Statut éditorial
Publié
Date de publication
15/11/2008
Peer-reviewed
Oui
Volume
138
Numéro
45-46
Pages
674-683
Langue
anglais
Notes
Publication types: Comparative Study ; Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
A nationwide survey was conducted in Switzerland to assess the quality level of osteoporosis management in patients aged 50 years or older presenting with a fragility fracture to the emergency ward of the participating hospitals. Eight centres recruited 4966 consecutive patients who presented with one or more fractures between 2004 and 2006. Of these, 3667 (2797 women, 73.8 years old and 870 men, 73.0 years old in average) were considered as having a fragility fracture and included in the survey. Included patients presented with a fracture of the upper limbs (30.7%), lower limbs (26.4%), axial skeleton (19.5%) or another localisation, including malleolar fractures (23.4%). Thirty-two percent reported one or more previous fractures during adulthood. Of the 2941 (80.2%) hospitalised women and men, only half returned home after discharge. During diagnostic workup, dual x-ray absorptiometry (DXA) measurement was performed in 31.4% of the patients only. Of those 46.0% had a T-score < or =-2.5 SD and 81.1% < or =-1.0 SD. Osteoporosis treatment rate increased from 26.3% before fracture to 46.9% after fracture in women and from 13.0% to 30.3% in men. However, only 24.0% of the women and 13.8% of the men were finally adequately treated with a bone active substance, generally an oral bisphosphonate, with or without calcium / vitamin D supplements. A positive history of previous fracture vs none increased the likelihood of getting treatment with a bone active substance (36.6 vs 17.9%, ? 18.7%, 95% CI 15.1 to 22.3, and 22.6 vs 9.9%, ? 12.7%, CI 7.3 to 18.5, in women and men, respectively). In Switzerland, osteoporosis remains underdiagnosed and undertreated in patients aged 50 years and older presenting with a fragility fracture.

Mots-clé
Absorptiometry, Photon, Acute Disease, Administration, Oral, Age Factors, Aged, Aged, 80 and over, Calcium/administration & dosage, Calcium/therapeutic use, Confidence Intervals, Data Interpretation, Statistical, Dietary Supplements, Diphosphonates/administration & dosage, Diphosphonates/therapeutic use, Female, Fractures, Bone/epidemiology, Fractures, Bone/etiology, Health Care Surveys, Humans, Male, Middle Aged, Osteoporosis/complications, Osteoporosis/diagnosis, Osteoporosis/drug therapy, Sex Factors, Switzerland, Vitamin D/administration & dosage, Vitamin D/therapeutic use
Pubmed
Web of science
Création de la notice
03/03/2009 13:31
Dernière modification de la notice
03/03/2018 19:35
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