脊髓损伤和疾病骨折管理的最佳实践-猫眼课题宝

脊髓损伤和疾病骨折管理的最佳实践

批准号：

9293507

负责人：

LAURA D CARBONE

金额：

$0.0万

依托单位：

CHARLIE NORWOOD VA MEDICAL CENTER

依托单位国家：

美国

项目类别：

财政年份：

2017

资助国家：

美国

项目状态：

已结题

起止时间：

2017-05-01 至 2020-04-30

来源：

https://reporter.nih.gov/project-details/9293507

关键词：

Acute Acute Adverse event Adverse event Amputation Amputation Area Area Bone Density Bone Density Caring Caring Clinical Clinical Consensus Consensus Data Data Data Set Data Set Decision Making Decision Making Decubitus ulcer Decubitus ulcer Disease Disease Event Event Femoral Fractures Femoral Fractures Fracture Fracture Future Future Goals Goals Guidelines Guidelines Heterotopic Ossification Heterotopic Ossification Hospitals Hospitals Hour Hour Infection Infection Interview Interview Lead Lead Lesion Lesion Literature Literature Location Location Lower Extremity Lower Extremity Lower Extremity Fracture Lower Extremity Fracture Morbidity - disease rate Morbidity - disease rate Operative Surgical Procedures Operative Surgical Procedures Orthopedics Orthopedics Osteoporotic Osteoporotic Outcome Patient Care Patient Care Patients Patients Perception Perception Personal Communication Personal Communication Physicians Physicians Population Population Practice Management Practice Management Process Process Prospective Studies Prospective Studies Provider Provider Publishing Publishing Questionnaires Questionnaires Reporting Reporting Research Research Sampling Sampling Severities Severities Site Site Spinal cord injury Spinal cord injury Structure Structure Surgeon Surgeon Surgical Disarticulation Surgical Disarticulation Surveys Surveys Testing Testing Time Time Treatment outcome Treatment outcome Veterans Veterans Work Work administrative database administrative database adverse outcome adverse outcome base base bone loss bone loss care outcomes demographics demographics experience experience health care model health care model health care service utilization health care service utilization men men mortality mortality optimal treatments osteoporosis with pathological fracture osteoporosis with pathological fracture patient population patient population repaired repaired residence residence support tools support tools

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Osteoporotic-related fractures are a serious problem for patients with Spinal Cord Injury (SCI). However, best management for acute care of these fractures including whether surgical vs. nonsurgical treatment should be done and the factors that influence this decision is not known. This point is well appreciate by providers, who have identified to SCI QUERI that research to establish best practices for treatment of fractures in patients with a SCI should be a priority area. Surgical treatment for lower extremity fractures is done more frequently than previously reported, with approximately 10-37% of these fractures now managed surgically. However, the factors that influence the choice of surgical vs. nonsurgical fracture treatments and outcomes following these therapies have not been described. In this proposal we will utilize administrative databases, semi-structured questionnaires and case scenarios, and convene an outstanding advisory panel to review this information and existing literature to start the process of understanding best management for osteoporotic fractures in SCI. We will include both patients and providers (orthopedic surgeons and PM&R physicians) in the surveys. This proposal is of direct, immediate potential clinical benefit to the expanding population of patients with SCI. It will provide invaluable information for providers to better be able to care for these patients when they sustain an osteoporotic fracture.

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