A prospective clinical practice intervention to improve osteoporosis management following distal forearm fracture
A prospective clinical practice intervention to improve osteoporosis management following distal forearm fracture
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DOI：
10.1007/s00198-004-1597-2
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发表时间：
2004-09-01
影响因子：
4
通讯作者：
Melton, LJ
中科院分区：
文献类型：
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作者：
Cuddihy, MT;Amadio, PC;Melton, LJ
尽管有成本效益高的治疗方法，但骨折后骨质疏松的二级预防没有得到充分利用。本次临床实践干预旨在改善骨折后患者的骨质疏松症护理。研究对象为美国明尼苏达州奥姆斯特县，年龄大于或等于45岁，前臂远端遭受中度创伤骨折的居民，参与者在1999年1月至2000年10月期间接受了教育材料、骨密度测量推荐和医生咨询，以解决骨质疏松症问题。在招募时向患者提供骨质疏松症教育材料，初级保健医生提供骨质疏松症实践指南。结果包括：完成骨密度测量，在骨折后第一次初级保健医生就诊时接受干预，以及在6个月时坚持建议。确定了105名患者(80%为女性)，但只有58名患者同意参与(88%为女性)。T-分数较低的女性(
Secondary prevention of osteoporosis after fracture is underutilized, despite cost-effective therapies. This clinical practice intervention aimed to improve osteoporosis care of the postfracture patient. Residents of Olmsted County, Minnesota, USA, greater than or equal toage 45 who sustained a moderate trauma distal forearm fracture were identified, and participants received educational materials, referral for bone densitometry and physician consultation to address osteoporosis in January 1999 through October 2000. Osteoporosis educational materials were provided to patients at the time of recruitment, and primary care physicians provided osteoporosis practice guidelines. Outcomes included: completion of bone densitometry, acceptance of interventions at the first postfracture primary care physician visit, and adherence to advice at 6 months. There were 105 patients identified (80% women), but only 58 agreed to participate (88% women). Women with lower T-scores (