Improving patients’ outcomes after osteoporotic fractures

Dimitriou, Rozalia; Calori, G.M.; Giannoudis, Peter V.

doi:10.2217/ijr.11.68

Cited by 11 publications

(2 citation statements)

References 117 publications

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“…Efforts and measures should be taken to prevent subsequent fractures as these are associated with a greater increase in mortality rates and a significantly higher cost. International guidelines for secondary prevention of fragility fractures are available, which include pharmacological therapy to treat osteoporosis and giving supplements to promote bone health [3]. Medications are now available for the prevention and treatment of osteoporosis.…”

Section: Introductionmentioning

confidence: 99%

Osteoporosis care gap following fragility fracture in a tertiary teaching hospital

2021

J COMM MED PUB HEALTH REP

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Introduction:Patients who sustain an osteoporotic fracture are at increased risk of sustaining another fracture hence efforts are directed towards secondary fracture prevention. The aim of this study was to identify the osteoporosis care gap in patients admitted with fragility fractures in University Kebangsaan Malaysia Medical Centre (UKMMC). Methods:Patients admitted to a tertiary care hospital with fragility fractures were identified from the admission registry from January 2016 to December 2016. The demographic data and drug prescriptions related to osteoporosis treatment were obtained upon discharge.Results: A total of 207 patients (85 male and 122 female) were identified with fragility fractures. Majority sustained hip fractures (n=141, 68.1 %), followed by vertebrae fractures (n=43, 20.8 %) and wrist fracture (n=23, 11.1%). Patients were prescribed calcium (n=113, 54.6 %) and vitamin D (n=89, 43.0 %). Only 40 (19.3 %) patients were given anti-osteoporotic drugs within 6 months of discharge. Conclusion:Persistent care gap exists for people suffering fragility fractures caused by osteoporosis. Greater awareness among doctors in managing osteoporosis among patients with fragility fracture to prevent secondary fracture. Improvement of fracture care can be achieved by implementing a Fracture Liaison Service program in the hospital setting.

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Section: Introductionmentioning

confidence: 99%

Osteoporosis care gap following fragility fracture in a tertiary teaching hospital

2021

J COMM MED PUB HEALTH REP

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“…In the days following the fracture, opioids have been used by more than 70% of people with and without dementia [15], but by fewer and at lower doses in those with dementia [8,15,17]. However, among older adults with a hip fracture, pain is still experienced by 42% until 4 months and by 13-25% until 1 year [20,21]. Among the population in general, opioid use can be frequent even a year after hip fracture surgery [22].…”

Section: Introductionmentioning

confidence: 99%

Opioid Use After Hospital Care due to Hip Fracture Among Community-Dwelling Persons With and Without Alzheimer’s Disease

et al. 2019

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Background Hip fractures are common among persons with Alzheimer's disease (AD), but problems in pain assessment may lead to insufficient analgesia after hospitalization. Objective We investigated the prevalence of opioid use in the 6 months after discharge from hospital care due to hip fracture among community-dwellers with and without AD. Setting and method The Medication use and Alzheimer's disease (MEDALZ) cohort was used for this study, consisting of all community-dwelling persons newly diagnosed with AD during 2005-2011 in Finland and their comparison persons without AD matched on age, sex, and region of residence at the time of AD diagnosis. Data were collected from nationwide healthcare registers. Main outcome measures We investigated opioid use versus non-use in persons with and without AD in the 6 months after discharge from hospital care due to hip fracture. Results Altogether 2342 persons with AD and 1615 persons without AD, discharged to community settings within ≤ 120 days after a hip fracture, were included. A higher percentage of persons with AD used opioids compared to those without AD, 39.5% [95% confidence interval (CI) 37.5-41.5] versus 31.2% (95% CI 28.9-33.5). Persons with AD used more frequently strong opioids during the first 3 months and buprenorphine during the 6-month period, and used weak opioids less frequently after the first month after discharge compared to those without AD. Conclusions Frequent opioid use after hospital care due to hip fracture may indicate increased attention to pain among persons with AD. Nevertheless, the benefits and harms of opioid use should be evaluated regularly in community-dwelling older persons.

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