Osteoporosis in Orthopaedic Trauma Patients: A Diagnosis and Treatment Protocol

Collinge, Cory; Lebus, George F.; Gardner, Michael J.; Gehrig, Laura

doi:10.1097/bot.0b013e31817d9c99

Cited by 17 publications

(24 citation statements)

References 62 publications

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“…In another inpatient study conducted on all patients hospitalized with a fragility fracture, Collinge et al utilized calcaneal quantitative ultrasound (QUS) to stratify patients by low, moderate, and high risk for osteoporosis [11]. For patients identified as high risk, intervention was initiated with patient education and calcium and vitamin D therapy.…”

Section: Discussionmentioning

confidence: 99%

Active Referral Intervention following Fragility Fractures Leads to Enhanced Osteoporosis Follow-Up Care

Sugi

Sheridan

Lewis

et al. 2012

Journal of Osteoporosis

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At one major urban academic medical center, patients aged 50 years and older with fragility fractures were identified and scheduled or assisted in referral into osteoporosis medical management appointments. We evaluated the efficacy of an active intervention program at overcoming the logistical barriers and improving proper osteoporosis follow-up for persons who have sustained a fragility fracture. Of 681 patients treated for defined fractures, 168 were eligible and consented for the study of fragility fractures. Of those enrolled, 91 (54.2%) had appropriate osteoporosis follow-up on initial interview, and overall 120 (71.4%) had successful osteoporosis follow-up following our active intervention. Seventy patients (41.7%) were deemed to have no osteoporosis follow-up, and, of these, 48 were successfully referred to a scheduling coordinator. The scheduling coordinator was able to contact 37 (77%) patients to schedule proper follow-up, and, of these, 29 (78.4%) confirmed receiving an appropriate follow-up appointment. Active intervention and assisted scheduling for patients with recent fragility fractures improved the self-reported rate of osteoporosis follow-up from 54.2% to 71.4%.

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Section: Discussionmentioning

confidence: 99%

Active Referral Intervention following Fragility Fractures Leads to Enhanced Osteoporosis Follow-Up Care

Sugi

Sheridan

Lewis

et al. 2012

Journal of Osteoporosis

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“…Collinge et al () examined the use of an alternative technology to measure BMD, quantitative ultrasound (QUS). QUS is measured at the heel, and is ideal for the orthopedic treatment setting because it can be taken at the bedside.…”

Section: Screening and Evaluation Of Osteoporosis Post Hip Fracturementioning

confidence: 99%

“…The opportunity to treat patients who have experienced low-energy trauma hip fracture, which is easy to diagnose in the absence of DXA measurements, should not be missed. Collinge et al (2008) examined the use of an alternative technology to measure BMD, quantitative ultrasound (QUS). QUS is measured at the heel, and is ideal for the orthopedic treatment setting because it can be taken at the bedside.…”

Section: Screening and Evaluation Of Osteoporosis Post Hip Fracturementioning

confidence: 99%

“…Smooth transition of the multidisciplinary team approach into the primary care setting is essential for successful osteoporosis management. Several studies have shown that hospital-based consultation and case management services are effective in promoting increased initiation rates for osteoporosis treatment by PCPs, following hospitalization for fracture (Bogoch et al, 2006;Collinge et al, 2008;Gregory et al, 2010;Jennings et al, 2010;Rabenda et al, 2008). However, few of these programs have been adopted, and therefore treatment initiation rates remain low (Jennings et al, 2010).…”

Section: Screening and Evaluation Of Osteoporosis Post Hip Fracturementioning

confidence: 99%

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Multidisciplinary osteoporosis management of post low‐energy trauma hip‐fracture patients

Skorupski

Alexander

2012

Journal of the American Academy of Nurse Practitioners

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To obtain CE credit for this activity, go to www.aanp.org and click on the CE Center. Locate the listing for this article and complete the post-test. Follow the instructions to print your CE certificate. DisclosuresOne of the authors (I.A.) has served as a consultant and speaker for Amgen, manufacturer of denosumab. No other relationship exists between any of the authors and any commercial entity of product mentioned in this article that might represent a conflict of interest. There was no solicitation of the authors by any commercial entity to submit the manuscript for publication. AbstractPurpose: The purpose of this article is to increase awareness of osteoporosis incidence in patients with hip fracture among providers and allied health professionals, to increase osteoporosis recognition and treatment in post hip-fracture patients, and to provide guidance on how to improve continuity of care and collaboration between members of the multidisciplinary healthcare team. Data sources: Recent evidence from the literature is reviewed to identify effective management strategies for post low-energy trauma hip-fracture patients and prevention of future osteoporotic fracture, regardless of osteoporosis diagnosis prior to the initial fracture. Conclusions: Despite the availability of accurate screening technologies and highly efficacious antiosteoporosis medications, implementation of these measures for low-energy trauma hip-fracture patients remains critically low. This is because of a number of factors including hesitancy to integrate care across specialty lines, lack of reliable referral systems, and resistance to change. There is also a lack of recognition of the connection between low-energy trauma hip fracture and osteoporosis by many healthcare professionals. Implications for practice: All members of the multidisciplinary care team are called to action to adopt osteoporosis evaluation and treatment strategies that research has shown to be effective on a larger scale in the post hip-fracture setting. IntroductionThere are a significant number of hip fractures each year, many attributable to osteoporosis. The National Hospital Discharge Survey conducted by the U.S. Department of Health & Human Services (DHHS) estimates that 264,000 Americans aged 65 and older were admitted for hip fracture in 2007 alone (DHHS, 2010). However, few patients who experience hip fracture are recognized as having osteoporosis and their osteoporosis goes untreated. In those patients in whom osteoporosis is recognized and treated, follow-up and adherence to treatment is often poor. The purpose of this article is to increase awareness of osteoporosis incidence in patients with hip fracture among providers and allied health professionals, to increase osteoporosis recognition and treatment in post hip-fracture patients, and to provide guidance on how to improve continuity of care and collaboration between members of the multidisciplinary healthcare team.Osteoporosis (porous bone) is marked by decreased density of the bone infrastructure, leadi...

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“…[1][2][3] Approximately one-third of patients admitted for an acute orthopaedic injury have osteoporosis. 4 Conversely, it is estimated that every year 2 million fractures occur secondary to osteoporosis, with derived costs exceeding $19 billion. These numbers are expected to increase by 50% over the next 20 years.…”

Section: Introductionmentioning

confidence: 99%