Osteoporose - Ein Stiefkind der Orthopädie? Ergebnisse einer Befragung deutscher Orthopäden

Hube, Robert; Käfer, Wolfram; Klima, Stefan; Hein, Wayne R.; Puhl, W.; Ke, Dreinhöfer

doi:10.1055/s-2005-872469

Z Orthop Ihre Grenzgeb

2005

DOI: 10.1055/s-2005-872469

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Osteoporose - Ein Stiefkind der Orthopädie? Ergebnisse einer Befragung deutscher Orthopäden

Robert Hube¹,

Wolfram Käfer

Stefan Klima

et al.

Abstract: In order to satisfy the increasing need for adequate management of prevention, diagnosis, and therapy of osteoporosis and fragility fractures, structured educational opportunities have to be offered to the German orthopaedic community. In the mean time first steps have been initiated: training courses to qualify as "Osteologe DVO" and the "White Book Osteoporosis", which was initiated by BJD and IOF and developed by several German medical societies and patient organisations it is based on the German DVO guidel… Show more

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Cited by 6 publications

References 42 publications

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Metabolische Knochenerkrankungen

Jakob

2007

Internist

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Osteomalacia is caused by impaired vitamin D receptor (VDR) signaling, calcium deficiency, and altered bone mineralization. This can be due to insufficient sunlight exposure, malabsorption, reduced D hormone activation in chronic kidney disease, and rare alterations of VDR signaling and phosphate metabolism. Leading symptoms are bone pain, muscular cramps, and increased incidence of falls in the elderly. The adequate respective countermeasures are to optimize the daily intake of calcium and vitamin D3 and to replace active D hormone and phosphate if deficient. Osteoporosis is characterized by bone fragility fractures upon minor physical impact. Indications for diagnosis and treatment can be established by estimating the absolute fracture risk, taking into account bone mineral density, age, gender, and individual risk factors. Exercise, intervention programs to avoid falls, and specific drugs are capable of substantially reducing fracture risk even in the elderly. Secondary osteoporosis primarily requires both bone-altering medications and effective treatment of underlying diseases.

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Metabolische Knochenerkrankungen

Jakob

2007

Internist

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Versorgungswirklichkeit bei osteoporosebedingten Frakturen in der deutschen Unfallchirurgie

Vogel

Kampmann²,

Bürklein³

et al. 2008

Unfallchirurg

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The implementation of clinical pathways has a proven positive effect on the diagnostic workup and initiation of therapy in osteoporotic fracture patients. Unlike in most countries, fracture care in Germany is provided by so-called trauma surgeons. Therefore, it is essential to focus on the trauma surgeon for correct diagnostic workup and therapy initiation after a fragility fracture. A questionnaire was mailed to 409 departments of traumatology inquiring about the existence of a standardized clinical pathway for diagnosis and treatment of patients with fragility fractures. One of the central issues of the survey was whether those pathways comply with national guidelines. Only institutions that stated that they followed a clinical pathway were analyzed. 80% of institutions took part in our survey, 35% of which reported following a defined clinical pathway. Diagnostic workup is in concordance with the national guidelines in 30%, and therapy is guideline-based in 51%, with 12% basing both diagnostic workup and therapy on the guidelines. Thus, the vast majority of German traumatology departments do not follow national guidelines regarding osteoporosis diagnostics and therapy in patients with fragility fractures, leading to a great opportunity to improve fragility fracture care by means of both education and interdisciplinary cooperation.

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Compliance der medikamentösen Behandlung der Osteoporosepatienten nach Patientenschulung

2016

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Osteoporose - Ein Stiefkind der Orthopädie? Ergebnisse einer Befragung deutscher Orthopäden

Cited by 6 publications

References 42 publications

Metabolische Knochenerkrankungen

Metabolische Knochenerkrankungen

Versorgungswirklichkeit bei osteoporosebedingten Frakturen in der deutschen Unfallchirurgie

Compliance der medikamentösen Behandlung der Osteoporosepatienten nach Patientenschulung

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