Are osteoporotic fractures being adequately investigated?: A questionnaire of GP & orthopaedic surgeons

被引：41
作者：
Chami G. [1 ]
Jeys L. [2 ]
Freudmann M. [3 ]
Connor L. [4 ]
Siddiqi M. [5 ]
机构：
[1] Department of Computer Science, Hull University, Hull
[2] Yorkshire Higher Orthopaedic Training Rotation, Leeds, Yorkshire
[3] West Midlands Higher Orthopaedic Training Rotation, Birmingham, West Midlands
[4] Grange Group Practice, Huddersfield, West Yorkshire
[5] Metabolic Bone Unit, University Hospital Aintree, Liverpool, Longmore Lane
来源：
BMC Family Practice | / 7卷 / 1期
关键词：
Osteoporosis; Vertebral Fracture; Osteoporotic Fracture; Risedronate; Fragility Fracture;
D O I：
10.1186/1471-2296-7-7
中图分类号：
学科分类号：
摘要：
Background: To investigate the current practice of Orthopaedic Surgeons & General Practitioners (GP) when presented with patients who have a fracture, with possible underlying Osteoporosis. Methods: Questionnaires were sent to 140 GPs and 140 Orthopaedic Surgeons. The participants were asked their routine clinical practice with regard to investigation of underlying osteoporosis in 3 clinical scenarios. 55 year old lady with a low trauma Colles fracture 60 year old lady with a vertebral wedge fracture 70 year old lady with a low trauma neck of femur fracture. Results: Most doctors agreed that patients over 50 years old with low trauma fractures required investigation for osteoporosis, however, most surgeons (56%, n = 66) would discharge patients with low trauma Colles fracture without requesting or initiating investigation for osteoporosis. Most GPs (67%, n = 76) would not investigate a similar patient for osteoporosis, unless prompted by the Orthopaedic Surgeon or patient. More surgeons (71%, n= 83) and GPs (64%, n = 72) would initiate investigations for osteoporosis in a vertebral wedge fracture, but few surgeons (35%, n = 23) would investigate a neck of femur fracture patient after orthopaedic treatment. Conclusion: Most doctors know that fragility fractures in patients over 50 years old require investigation for Osteoporosis; however, a large population of patients with osteoporotic fractures are not being given the advantages of secondary prevention. © 2006 Chami et al; licensee BioMed Central Ltd.
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