The impact of a simple fracture clinic intervention in improving the diagnosis and treatment of osteoporosis in fragility fracture patients

Osteoporosis International

Volumn 14, Issue 2, 2003, Pages 171-178

  Hawker, Gillian ^a,b   Ridout, Rowena ^a,b   Ricupero, Maria ^a   Jaglal, Susan ^a   Bogoch, Earl ^c  

^a UNIVERSITY OF TORONTO   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c ST MICHAEL'S HOSPITAL   (Canada)

Author keywords

Fracture clinic intervention; Fragility fractures; Osteoporosis; Pre post study

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; BONE DENSITY; BONE MINERAL; COMPARATIVE STUDY; CONSULTATION; DIAGNOSTIC APPROACH ROUTE; EDUCATION PROGRAM; FEMALE; FOLLOW UP; FRAGILITY FRACTURE; HEALTH CENTER; HUMAN; INTERVIEW; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; PATIENT COUNSELING; PATIENT EDUCATION; PATIENT MONITORING; PRIORITY JOURNAL; RISK ASSESSMENT; SECONDARY OSTEOPOROSIS; SEX RATIO; TREATMENT PLANNING;

AGED; BONE DENSITY; FEMALE; FRACTURES, SPONTANEOUS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; OSTEOPOROSIS; PHYSICIAN'S PRACTICE PATTERNS; PILOT PROJECTS; REFERRAL AND CONSULTATION;

EID: 4444346196     PISSN: 0937941X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00198-003-1377-4     Document Type: Article

References (29)

1. Goeree R, O'Brien B, Pettitt DB, et al. (1996) An assessment of the burden of illness due to osteoporosis in Canada. J Soc Obstet Gynecol Can 18:15-24
2. Greendale GA, Barrett-Connor E, Ingles S, et al. (1995) Late physical activity and functional effects of osteoporotic fracture: the Rancho Bernardo study. J Am Geriatr Soc 43:955-961
3. Cauley JA, Thompson DE, Ensrud KC, Scott JC, Black D (2000) Risk of mortality following clinical fractures. Osteoporos Int 11:556-561
4. Koval KJ, Zuckerman JD (1994) Functional recovery after fracture of the hip. J Bone Jt Surg Am 76:751-758
5. Cooper C (1997) The crippling consequences of fractures and their impact on quality of life. Am J Med 103:12S-17S
6. Papaidmitropoulos EA, Coyte PC, Josse RG, Greenwood CE (1997) Current and projected rates of hip fracture in Canada. Can Med Assoc J 158:870-871
7. Norris RJ (1992) Medical costs of osteoporosis. Bone 13:S11-S16
8. Writing Group for the Women's Health Initiative (2002) Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative randomized controlled trial. JAMA 288:321-333
9. Storm T, Thamsborg G, Steiniche T, Genant HK, Sorenson OH (1990) Effect of intermittent cyclical etidronate therapy on bone mass and fracture rate in women with postmenopausal osteoporosis. N Engl J Med 322:1265-1271
10. Black DM, Cummings SR, Karpf DB, et al. (1996) Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures. Fracture Intervention Trial Research Group. Lancet 348:1535-1541
11. Pols HA, Felsenberg D, Hanley DA, et al. (1999) Multinational, placebo-controlled randomized trial of the effects of alendronate on bone density and fracture risk in postmenopausal women with low bone mass: results of the FOSIT study. Fosamax International Trial Study Group. Osteoporos Int 9:461-468
12. Harris ST, Watts NB, Genant HK, et al. (1999) Effects of risedronate treatment on vertebral and nonvertebral fractures in women with postmenopausal osteoporosis: a randomized controlled trial. Vertebral Efficacy with Risedronate Therapy (VERT) Study Group. JAMA 282:1344-1352
13. Ettinger B, Black DM, Mitlak BH, et al. (1999) Reduction of vertebral fracture risk in postmenopausal women with osteoporosis treated with raloxifene: results from a 3-year randomized clinical trial. Multiple Outcomes of Raloxifene Evaluation (MORE) Investigators. JAMA 282:637-645
14. Chesnut CH, Silverman S, Andriano K, et al. (2000) A randomized trial of nasal spray calcitonin in postmenopausal women with established osteoporosis: The Prevent Recurrence of Osteoporotic Fractures Study. PROOF Study Group. Am J Med 109:267-276
15. Orwoll E, Ettinger M, Weiss S, et al. (2000) Alendronate for the treatment of osteoporosis in men. N Engl J Med 343:604-610
16. Bellantonio S, Fortinsky R, Prestwood K (2001) How well are community-living women treated for osteoporosis after hip fracture? J Am Geriatr Soc 49:1197-1204
17. Castel H, Bonneh DY, Sherf M, Liel Y (2001) Awareness of osteoporosis and compliance with management guidelines in patients with newly diagnosed low-impact fractures. Osteoporos Int 12:559-564
18. Khan SA, de Geus C, Russell AS (2001) Osteoporosis follow-up after wrist fractures following minor trauma. Arch Intern Med 161:1309-1312
19. Smith MD, Ross W, Ahern MJ (2001) Missing a therapeutic window of opportunity: an audit of patients attending a tertiary teaching hospital with potentially osteoporotic hip and wrist fractures. J Rheumatol 28:2504-2508
20. Cuddihy M-T, Gabriel SE, Crowson CS, et al. (2002) Osteoporosis intervention following distal forearm fractures - a missed opportunity? Arch Intern Med 162:421-426
21. Pal B (1999) Questionnaire survey of advice given to patients with fractures. BMJ 318:500-501
22. Torgerson DJ, Dolan P (1998) Prescribing by general practitioners after an osteoporotic fracture. Ann Rheum Dis 57:378-379
23. Hajcsar EE, Hawker G, Bogoch ER (2000) Investigation and treatment of osteoporosis in patients with fragility fractures. Can Med Assoc J 163:819-822
24. Kamel HK, Hussain MS, Tariq S, Perry HM III, Morley JE (2000) Failure to diagnose and treat osteoporosis in elderly patients hospitalized with hip fracture. Am J Med 109:326-328
25. Klotzbuecher C, Ross PD, Landsman PB, Abbott TA III, Berger M (2000) Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res 15:721-739
26. Hosmer DW, Lemeshow S (eds) (1989) Applied logistic regression. Wiley, New York, pp 140
27. McClung MR, Geusens P, Miller PD, et al. (2001) Effect of risedronate on the risk of hip fracture in elderly women. N Engl J Med 944:333-340
28. Ridout R, Hawker GA (2000) Use of bone densitometry by Ontario family physicians. Osteoporos Int 11:393-399
29. Jaglal S, Carroll J, Hawker GA, McIsaac WJ, Jaakkimainen L, Cadarette SM, Cameron C, Davis D (in press) Osteoporosis: a qualitative study of family physician's experiences and educational needs. Can Fam Physician