Public Perceptions and Self-Reported Prevalence of Osteoporosis in South Australia

Phillipov, George; Phillips, Pat; Leach, G; Taylor, Anne

doi:10.1007/s001980050098

Cited by 39 publications

(23 citation statements)

References 13 publications

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“…Osteoporosis is a common disease but often unknown to patients, including those at risk [25], as confirmed by the results of our questionnaire on the degree of patient awareness. Prior to enrolment in our program, 73% of patients believed that their fracture was unrelated to bone fragility.…”

Section: Discussionmentioning

confidence: 63%

An Osteoporosis Clinical Pathway for the Medical Management of Patients with Low-Trauma Fracture

Chevalley¹,

Hoffmeyer

Bonjour³

et al. 2002

Osteoporos Int

157

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Patients with an osteoporotic fracture have at least a 2-fold risk for additional fracture and should benefit from targeted diagnostic and treatment procedures for osteoporosis. To address this issue, we set up an osteoporosis clinical pathway (OCP) for the medical management of patients with low-trauma fracture. Following acute management of the fracture by the orthopedic team, patients are enrolled in the pathway, which is based on an interaction between the OCP multidisciplinary team, orthopedic surgeons and/or primary care physicians. After collection of patient data, suggestions for additional diagnostic examinations with their interpretation, and treatment proposals are made. Patients and their families are also invited to attend a multidisciplinary interactive educational program on physical therapy, lifestyle habits and nutrition. During a 36-month period, 385 patients (311 women, 74 men; mean age +/- SD: 73.0 +/- 13.5 years; hip fracture 45%, ankle/tibia 24%, proximal humerus 8.6%, spine 5.5%, pelvis 3.9%, distal forearm 3.6%, other sites 17.4%) were enrolled in the OCP. An osteoporosis awareness questionnaire administered within 10 days of fracture showed that 73% of patients believed that their fracture was not related to the disease. Dual-energy X-ray absorptiometry, performed in 63% of patients, showed that 86% had low bone mass or osteoporosis. Specific antiosteoporotic therapy was proposed for 33% of patients in addition to calcium and vitamin D supplements, the latter suggested for 93%. A survey performed in 216 patients 6 months later, indicated that 63% of the suggested treatments had been prescribed and that 67% of this group were continuing treatment. Such a clinical pathway for the medical management of low-trauma fracture can help to identify patients with osteoporosis in a high-risk population, provide support to the orthopedic surgeon and/or the primary care physician for diagnostic and treatment procedures, and should significantly contribute to increase awareness of the disease in patients and their families.

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Section: Discussionmentioning

confidence: 63%

An Osteoporosis Clinical Pathway for the Medical Management of Patients with Low-Trauma Fracture

Chevalley¹,

Hoffmeyer

Bonjour³

et al. 2002

Osteoporos Int

157

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“…Although, these findings are contrary to those expected, they do concur with previous studies where perception alone did not dictate protective behaviours. Phillipov et al found in a cross-sectional study that Australian women who had a high risk perception to osteoporosis were 1.6 times less likely to adapt any preventative action towards osteoporosis [38], while Chang et al found that despite 54% of women believing that they were at risk for osteoporosis, 64% of these women perceived barriers to taking actions to reduce this risk [39]. …”

Section: Discussionmentioning

confidence: 99%

Concern and Risk Perception: Effects on Osteoprotective Behaviour

Barcenilla-Wong

Chen

March

2014

Journal of Osteoporosis

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This study aimed to determine the effect that level of concern for osteoporosis, as well as self-perceived risk of osteoporosis and fracture, has on supplementation use, seeking medical advice, bone mineral density (BMD) testing, and antiosteoporosis medication (AOM) use. Study subjects were 1,095 female Australian participants of the Global Longitudinal study of Osteoporosis in Women (GLOW) untreated for osteoporosis at baseline. Study outcomes from self-administered questionnaires included calcium and vitamin D supplementation, self-reported seeking of medical advice regarding osteoporosis, BMD testing, and AOM use in the last 12 months at the late assessment. Logistic regression was used in the analysis. Concern significantly increased the likelihood of seeking medical advice and, however, had no significant impact on screening or treatment. Heightened self-perceived risks of osteoporosis and fracture both significantly increased the likelihood of seeking medical advice and BMD testing while elevated self-perceived risk of fracture increased AOM use. Supplementation use was not significantly associated with concern levels and risk perception. Concern and risk perceptions to osteoporosis and fracture were significantly associated with certain bone-protective behaviours. However, the disconnect between perceived osteoporosis risk and AOM use illustrates the need to emphasize the connection between osteoporosis and fracture in future education programs.

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“…6 Interestingly, however, even 18% is a high self-reported figure, when compared to a 1995 South Australian Health Survey, which showed a selfreported osteoporosis prevalence of 4.8% and 1.4% for women and men, respectively. 7 This vast difference could be somewhat biased in our population, because the patients have been under medical care for musculoskeletal complaints and thus are perhaps better informed regarding osteoporosis. Our study showed that only 37% of patients with self-reported osteoporosis reported current treatment with bisphosphonates.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Osteoporosis in Osteoarthritic Patients Undergoing Total Hip or Total Knee Arthroplasty

Labuda

Παπαϊωάννου

Pritchard

et al. 2008

Archives of Physical Medicine and Rehabilitation

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Objective-To determine the prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty.Design-Cross-sectional study. Setting-The Specialized Outpatient Rehabilitation Service's (SORS) Pre-surgical ArthroplastyService located at the Chedoke Hospital, Hamilton Health Sciences, Hamilton, ON, Canada. Participants-SORS outpatients (N=364), from the period of March 2006 to March 2007. Interventions-Not applicable.Main Outcome Measures-Prevalence of osteoporosis was determined by review of a selfreported survey, and defined by (1) self-reported diagnosis of osteoporosis, (2) history of fragility fracture (defined by a bone fracture occuring as a result of a fall from standing height or less after the age of 50), or (3) current treatment for osteoporosis using bisphosphonates.Results-Of the study cohort, 26% were classified as having osteoporosis, according to our criteria. Of the patients with self-reported osteoporosis or a history of fragility fractures, only 37% and 17% reported current treatment with bisphosphonates, respectively.Conclusions-Osteoporosis is common in the osteoarthritic arthroplasty population, with a prevalence at least equal to that in the general population. Due to the self-reported nature of the study, the prevalence of osteoporosis in this population is likely significantly higher. Results from this study indicate need for further research, specifically in formal assessment for osteoporosis in patients undergoing a joint replacement. Keywords CIHR Author Manuscript CIHR Author Manuscript CIHR Author ManuscriptThe number of joint replacements performed in north America is on the rise, and will continue to increase as the population ages. 1 The primary reason for hip and knee replacements is OA, caused by a wide variety of factors, including birth defects, excess weight, joint fractures, or other injuries that can damage cartilage. The demographic of patients requiring joint replacements of the knee and hip includes primarily older women. 1 It is also older women who are at the highest risk of osteoporosis and therefore of fragility fractures. 2 Furthermore, the insertion of an implant can change the stresses and strains that a bone experiences, possibly stimulating bone remodeling and resorption, leading to a decrease in bone density postsurgery. 3 Patients at risk for osteoporosis should be screened for this condition, and where applicable, treated with the appropriate medications and supplements. 2 The purpose of this study was to determine the prevalence of osteoporosis in a sample of prearthroplasty patients. METHODSOur patient population was obtained from the Specialized Out-patient Rehabilitation Service's Pre-surgical Arthroplasty Service located at the Chedoke site, Hamilton Health Sciences, Hamilton, Ontario. This service is available to prearthroplasty patients referred by an orthopedic surgeon. Its purpose is to educate, to facilitate early postoperative discharge and community reintegration, and to prevent acute care readmission. Dat...

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Public Perceptions and Self-Reported Prevalence of Osteoporosis in South Australia

Cited by 39 publications

References 13 publications

An Osteoporosis Clinical Pathway for the Medical Management of Patients with Low-Trauma Fracture

An Osteoporosis Clinical Pathway for the Medical Management of Patients with Low-Trauma Fracture

Concern and Risk Perception: Effects on Osteoprotective Behaviour

Prevalence of Osteoporosis in Osteoarthritic Patients Undergoing Total Hip or Total Knee Arthroplasty

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