ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2007
Successful direct intervention for osteoporosis in patients with minimal trauma fractures.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Models of care for the secondary prevention of osteoporotic fractures: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Pooled it
- A review of patient-centred post-fracture interventions in the context of theories of health behaviour change.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Pooled it
- Systematic review on interventions to improve osteoporosis investigation and treatment in fragility fracture patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Pooled it
- Coordinator-based systems for secondary prevention in fragility fracture patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Pooled it
- Exploring barriers and opportunities to improve osteoporosis care across the acute-to-primary care interface: a qualitative study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Article
- What is the Role of Coordinators in the Secondary Fracture Prevention Program?Journal of bone metabolism · 2020Article
- Secondary prevention of fragility fractures in Asia Pacific: an educational initiative.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Review
- The Effect of Insurance Type on Fragility Fracture Patient Access to Endocrinology Under the Affordable Care Act.Geriatric orthopaedic surgery & rehabilitation · 2017Article
- Fracture liaison services: improving outcomes for patients with osteoporosis.Clinical interventions in aging · 2017Review
- The NYU Osteoporosis Model of Care Experience.Geriatric orthopaedic surgery & rehabilitation · 2015Article
- Bone mineral density testing after fragility fracture: Informative test results likely.Canadian family physician Medecin de famille canadien · 2013Review
- Capture the Fracture: a Best Practice Framework and global campaign to break the fragility fracture cycle.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- Treatment for older men with fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012Article
- Bone quality: educational tools for patients, physicians, and educators.Clinical orthopaedics and related research · 2011Article
- Management of osteoporosis in fracture liaison service associated with long-term adherence to treatment.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Article
- Primary-care prescribing of anti-osteoporotic-type medications following hospitalisation for fractures.European journal of clinical pharmacology · 2011Article
- Targeted intervention reduces refracture rates in patients with incident non-vertebral osteoporotic fractures: a 4-year prospective controlled study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Article
- Quality health care gaps in osteoporosis: how can patients, providers, and the health system do a better job?Current osteoporosis reports · 2009Review
- Improving quality of care in osteoporosis: opportunities and challenges.Current rheumatology reports · 2008Review
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledIn this study, we offered osteoporosis investigation and treatment directly to patients at out-patient fracture clinics shortly after they sustained minimal trauma fractures. We achieved long-term compliance to the recommended investigation and treatment in 80% of patients. This approach is much more successful than previous interventions.
introductionOsteoporosis remains under-treated in minimal-trauma fracture subjects. The aim of this study was to determine if direct intervention at orthopaedic fracture clinics would improve post-fracture management in these subjects.
methodsFrom March 2004 to March 2006, 155 consecutive minimal-trauma fracture subjects (mean age 64.0 +/- 17.6) attending fracture clinics at St. Vincent's Hospital, Sydney, had a specific medical assessment, following which they were recommended BMD and laboratory testing. Treatment recommendations were given after review of investigations with further follow-up at a median of 8.6 months following therapy. Comparison of outcomes was made with a similar group of patients given written information 2 years prior.
resultsAt baseline, 47% of patients had prior fractures, but only 26% had had BMD screening. Twenty-one percent were on anti-resorptive therapy, and 15% were on calcium/vitamin D. Following intervention, 83% had a BMD and of these, 68% had a T-score < -1.0. Of treatment naïve patients, 44% were recommended anti-resorptive therapy and 56% were recommended calcium/vitamin D. Compliance was 80% for anti-resorptive and 76% for calcium/vitamin D. Female gender and lower BMD were predictors of compliance.
conclusionCompared with information-based intervention, direct intervention improved management two to fivefold, maintaining long-term treatment in 90% of osteoporotic and 73% of osteopenic subjects requiring therapy.
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