Improving Osteoporosis Assessment in the Fracture Clinic

Overview

Journal Ann R Coll Surg Engl

Specialty General Surgery

Date 2009 Jun 30

PMID 19558771

Citations 7

Authors

C P Charalambous

C Mosey

E Johnstone

P Akimau

T K Gullett

I Siddique

R A Wilkes

Affiliations

Soon will be listed here.

Abstract

Introduction: The aim of this study was to compare the effectiveness of different ways of referring patients to an osteoporosis assessment service at an orthopaedic fracture clinic of a hospital in the UK.

Patients And Methods: Three methods of identifying and referring to an osteoporosis assessment service were evaluated.

Results: Relying on doctors for such a referral gave a catchment rate of only 1.6%. Involving patients themselves, asking them to self-refer, increased the catchment rate to 63% (P < 0.0001). Having a specialist osteoporosis and fracture liaison nurse present in clinic and reviewing the notes of patients checking in, to see if they match criteria for osteoporosis assessment, further increased catchment to 77% (P = 0.036).

Conclusions: Simply having an osteoporosis assessment service and strict criteria to identify which patients should be referred to such a service will not necessarily increase catchment rate for osteoporosis patients. A nurse physically present in the clinic provided the best result, and supports the need of investing in an osteoporosis and fracture liaison nurse.

Citing Articles

Evaluation of a "Just-in-Time" Nurse Consultation on Bone Health: A Pilot Randomized Controlled Trial.

Roblin D, Zelman D, Plummer S, Robinson B, Lou Y, Edmonds S Perm J. 2017; 21:16-112.

PMID: 28746019 PMC: 5528825. DOI: 10.7812/TPP/16-112.

Improving Osteoporosis Management in Primary Care: An Audit of the Impact of a Community Based Fracture Liaison Nurse.

Chan T, de Lusignan S, Cooper A, Elliott M PLoS One. 2015; 10(8):e0132146.

PMID: 26313924 PMC: 4552550. DOI: 10.1371/journal.pone.0132146.

High-risk osteoporosis clinic (HiROC): improving osteoporosis and postfracture care with an organized, programmatic approach.

Olenginski T, Maloney-Saxon G, Matzko C, Mackiewicz K, Kirchner H, Bengier A Osteoporos Int. 2014; 26(2):801-10.

PMID: 25398432 DOI: 10.1007/s00198-014-2967-z.

Fracture liaison services: promoting enhanced bone health care.

Aizer J, Bolster M Curr Rheumatol Rep. 2014; 16(11):455.

PMID: 25240684 DOI: 10.1007/s11926-014-0455-2.

Osteoporosis medication use after hip fracture in U.S. patients between 2002 and 2011.

Solomon D, Johnston S, Boytsov N, McMorrow D, Lane J, Krohn K J Bone Miner Res. 2014; 29(9):1929-37.

PMID: 24535775 PMC: 4258070. DOI: 10.1002/jbmr.2202.

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