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Orthopedic Surgeon's Awareness Can Improve Osteoporosis Treatment Following Hip Fracture: A Prospective Cohort Study
Journal of Korean Medical Science ; : 1501-1507, 2011.
Artigo em Inglês | WPRIM | ID: wpr-82225
ABSTRACT
Through retrospective Jeju-cohort study at 2005, we found low rates of detection of osteoporosis (20.1%) and medication for osteoporosis (15.5%) in those who experienced hip fracture. This study was to determine the orthopedic surgeons' awareness could increase the osteoporosis treatment rate after a hip fracture and the patient barriers to osteoporosis management. We prospectively followed 208 patients older than 50 yr who were enrolled for hip fractures during 2007 in Jeju-cohort. Thirty four fractures in men and 174 in women were treated at the eight hospitals. During the study period, orthopedic surgeons who worked at these hospitals attended two education sessions and were provided with posters and brochures. Patients were interviewed 6 months after discharge using an evaluation questionnaire regarding their perceptions of barriers to osteoporosis treatment. The patients were followed for a minimum of one year. Ninety-four patients (45.2%) underwent detection of osteoporosis by dual energy x-ray absorptiometry and 67 (32.2%) were prescribed medication for osteoporosis at the time of discharge. According to the questionnaire, the most common barrier to treatment for osteoporosis after a hip fracture was patients reluctance. The detection and medication rate for osteoporosis after hip fracture increased twofold after orthopedic surgeons had attended the intervention program. Nevertheless, the osteoporosis treatment rate remains inadequate.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ortopedia / Osteoporose / Padrões de Prática Médica / Aceitação pelo Paciente de Cuidados de Saúde / Absorciometria de Fóton / Conhecimentos, Atitudes e Prática em Saúde / Estudos Prospectivos / Inquéritos e Questionários / Estudos de Coortes / Competência Clínica Tipo de estudo: Estudo de etiologia / Estudo de incidência / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Fatores de risco Limite: Idoso / Aged80 / Feminino / Humanos / Masculino Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ortopedia / Osteoporose / Padrões de Prática Médica / Aceitação pelo Paciente de Cuidados de Saúde / Absorciometria de Fóton / Conhecimentos, Atitudes e Prática em Saúde / Estudos Prospectivos / Inquéritos e Questionários / Estudos de Coortes / Competência Clínica Tipo de estudo: Estudo de etiologia / Estudo de incidência / Estudo observacional / Estudo prognóstico / Pesquisa qualitativa / Fatores de risco Limite: Idoso / Aged80 / Feminino / Humanos / Masculino Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2011 Tipo de documento: Artigo