The Inpatient Consultation Approach to Osteoporosis Treatment in Patients with a Fracture<sbt aid="1119816">Is Automatic Consultation Needed?</sbt>

Abstract

Therapeutic Level III.

Orthopedic surgeon's awareness can improve osteoporosis treatment following hip fracture. A prospective cohort study

“…Our study also showed an improved medication rate of osteoporosis from 15% to 32%. However, the osteoporosis treatment rate 6 months after hip fracture was still lower than those reported in other intervention studies (22,23,27). In addition, even after the educational program, the physician's detection rate and treatment rate of osteoporosis did not increase in seven (32%) out of the 22 orthopedic surgeons, who participated in this study.…”

“…The other possible reason concerns differences between intervention modalities. In the current study, orthopedic surgeons only underwent education sessions, whereas previous studies have involved multimodal approaches, including nurse management programs, standardized algorithms, and monitoring of adherence to treatment (20,22,23). Finally, the propor- tion of patients in whom antiresorptive therapy is contraindicated also could have affected results (28).…”

“…Interventions targeting clinicians with a view toward increasing treatment rates have been studied (22,26,27) (Table 2). Comparative studies conducted on orthopedic surgeon and physician-based interventions for improving osteoporosis management after hip fracture show awareness of orthopedic surgeon has a greater effect on osteoporosis management rates after hip fracture (20,23). In particular, Miki et al (22) reported the effects of osteoporosis management initiated by an orthopedic team and by primary care physicians (22).…”

“…This shows that improving the awareness of orthopedic surgeons concerning the importance of identifying patients with osteoporosis is beneficial (25). Two intervention studies after hip fracture have reported improved osteoporosis treatment rates (17,23). Intervention methods can be classified as a nationwide medical system, patient education, and doctor awareness.…”

“…Nonetheless, some orthopedic surgeons believe osteoporosis management after a hip fracture is not their responsibility (18)(19)(20). However, recent studies showed that active participation of orthopedic surgeons in the management of osteoporosis after a hip fracture improves treatment rates (21)(22)(23).…”