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Screening for osteoporosis reduced new fracture incidence by almost half A 6-year follow-up of 592 fracture patients from an osteoporosis screening program

Åstrand, Jörgen LU ; Nilsson, Johan LU and Thorngren, Karl-Göran LU (2012) In Acta Orthopaedica 83(6). p.661-665
Abstract
Background and purpose Fractures can be prevented if osteoporosis is identified and treated. In 2002, we initiated a screening program at our orthopedics department, in which patients between 50 and 75 years of age with a wrist, shoulder, vertebral, or hip fracture are assessed by DEXA of the hip and spine and encouraged to see their doctor for decision on treatment regarding osteoporosis. The patients receive written documents containing information, DEXA results, and a letter to their doctor with suggestions regarding blood tests and treatment. In this 6-year follow-up study, we compared the fracture recurrence in 2 groups: patients screened for osteoporosis after fracture as described, and a historical control group with fracture... (More)
Background and purpose Fractures can be prevented if osteoporosis is identified and treated. In 2002, we initiated a screening program at our orthopedics department, in which patients between 50 and 75 years of age with a wrist, shoulder, vertebral, or hip fracture are assessed by DEXA of the hip and spine and encouraged to see their doctor for decision on treatment regarding osteoporosis. The patients receive written documents containing information, DEXA results, and a letter to their doctor with suggestions regarding blood tests and treatment. In this 6-year follow-up study, we compared the fracture recurrence in 2 groups: patients screened for osteoporosis after fracture as described, and a historical control group with fracture patients who presented at our department 1 year before we started the screening intervention. Methods A questionnaire was sent to the 2 groups of fracture patients, those from before the time that we started the screening in 2002 and those who participated in the initial screening study in 2003. The questionnaire included questions on whether they had sustained further fractures, whether they had seen a doctor, and whether treatment had been initiated. Results 239 of the 306 unscreened patients (68%) and 219 of the 286 screened patients (77%) answered the questionnaire. In the unscreened group, 69 new fractures had occurred, in contrast to 39 in the screened group. The fracture risk was 42% lower in the screened group. Answers regarding treatment were incomplete in the unscreened group. Interpretation Screening of fracture patients for osteoporosis reduced fracture recurrence, which indicates that the screening procedure has resulted in treatment that prevents fractures. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
83
issue
6
pages
661 - 665
publisher
Taylor & Francis
external identifiers
  • wos:000311679900019
  • pmid:23140108
  • scopus:84870341536
ISSN
1745-3682
DOI
10.3109/17453674.2012.747922
language
English
LU publication?
yes
id
7c0799aa-7505-4d34-a52a-224dd819dd31 (old id 3219089)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23140108?dopt=Abstract
date added to LUP
2012-12-03 13:41:10
date last changed
2017-09-10 04:17:28
@article{7c0799aa-7505-4d34-a52a-224dd819dd31,
  abstract     = {Background and purpose Fractures can be prevented if osteoporosis is identified and treated. In 2002, we initiated a screening program at our orthopedics department, in which patients between 50 and 75 years of age with a wrist, shoulder, vertebral, or hip fracture are assessed by DEXA of the hip and spine and encouraged to see their doctor for decision on treatment regarding osteoporosis. The patients receive written documents containing information, DEXA results, and a letter to their doctor with suggestions regarding blood tests and treatment. In this 6-year follow-up study, we compared the fracture recurrence in 2 groups: patients screened for osteoporosis after fracture as described, and a historical control group with fracture patients who presented at our department 1 year before we started the screening intervention. Methods A questionnaire was sent to the 2 groups of fracture patients, those from before the time that we started the screening in 2002 and those who participated in the initial screening study in 2003. The questionnaire included questions on whether they had sustained further fractures, whether they had seen a doctor, and whether treatment had been initiated. Results 239 of the 306 unscreened patients (68%) and 219 of the 286 screened patients (77%) answered the questionnaire. In the unscreened group, 69 new fractures had occurred, in contrast to 39 in the screened group. The fracture risk was 42% lower in the screened group. Answers regarding treatment were incomplete in the unscreened group. Interpretation Screening of fracture patients for osteoporosis reduced fracture recurrence, which indicates that the screening procedure has resulted in treatment that prevents fractures.},
  author       = {Åstrand, Jörgen and Nilsson, Johan and Thorngren, Karl-Göran},
  issn         = {1745-3682},
  language     = {eng},
  number       = {6},
  pages        = {661--665},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica},
  title        = {Screening for osteoporosis reduced new fracture incidence by almost half A 6-year follow-up of 592 fracture patients from an osteoporosis screening program},
  url          = {http://dx.doi.org/10.3109/17453674.2012.747922},
  volume       = {83},
  year         = {2012},
}