A multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures: a cluster randomized trial

Abstract

A multifaceted intervention significantly improved rates of osteoporosis treatment and BMD testing in postmenopausal women with wrist fractures.

A review of lifestyle, smoking and other modifiable risk factors for osteoporotic fractures

“…The education approaches only had a significant impact on Ca and vitamin D supplement consumption. Few other studies have also assessed the utility of simple educational interventions on preventive behaviors for osteoporosis among women who sustained a fragility fracture, [84][85][86] all reached similar results. Another approach in the attempt to get patients to change the habits of the modifiable risk factors could be the use of risk assessment tools in communicating risk of osteoporosis or fracture.…”

Closing the gap in postfracture care at the population level: a randomized controlled trial

“…9 In the Canadian context, the use of dedicated case managers after a hip fracture was both effective and economical, and projected to be cost-saving. 19 A multi faceted intervention was also effective following an acute fracture of the forearm, 20,21 and a recent study showed even greater benefit with a nurse in the role of case manager. 22 Even higher success rates have been reported when coordinated postfracture education about osteoporosis is used in combination with a treatment program, but such a program required a dedicated coordinator and the full cooperation of orthopaedic surgeons and residents, orthopaedic technologists, allied health care professionals and administrative staff.…”

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

“…Our study also highlights the importance of the orthopedic surgeon's role as a first-line healthcare provider for patients with osteoporosis who have a fracture, because these patients regularly attend scheduled visits for radiologic and clinical evaluations after surgery. 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).…”