دورية أكاديمية
أعرض في EDS

Proximal Humerus Fractures in the Geriatric Population Present an Opportunity to Improve Recognition and Treatment of Osteoporosis.

التفاصيل البيبلوغرافية
العنوان: Proximal Humerus Fractures in the Geriatric Population Present an Opportunity to Improve Recognition and Treatment of Osteoporosis.
المؤلفون: Piple A; Virginia Tech Carilion School of Medicine, Roanoke, VA, USA., Smith CT; Virginia Tech Carilion School of Medicine, Roanoke, VA, USA., Barton DW; University of Florida College of Medicine, Jacksonville, FL, USA., Carmouche JJ; Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.; Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA.
المصدر: Geriatric orthopaedic surgery & rehabilitation [Geriatr Orthop Surg Rehabil] 2020 Jul 13; Vol. 11, pp. 2151459320935103. Date of Electronic Publication: 2020 Jul 13 (Print Publication: 2020).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 101558150 Publication Model: eCollection Cited Medium: Print ISSN: 2151-4585 (Print) Linking ISSN: 21514585 NLM ISO Abbreviation: Geriatr Orthop Surg Rehabil Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Thousand Oaks, CA : Sage Publications
مستخلص: Introduction: Osteoporosis remains an undertreated disease entity causing substantial morbidity and mortality. Proximal humerus fractures are a common sentinel fracture, providing an opportunity to intervene with antiresorptive therapy before more subsequent fractures occur. Despite the success of programs aimed to improve postfracture osteoporosis recognition and management, less than 30% of patients presenting with a fragility fracture are diagnosed or treated for osteoporosis nationally. Further elucidation of diagnosis and management of osteoporosis following humerus fracture is warranted.
Methods: This study is a retrospective cohort review intended to demonstrate the current state and clinical import of osteoporosis diagnosis and management following a humerus fracture at a large academic tertiary care center without an established secondary fracture prevention program. All patients 50 years of age or older who presented with a new humerus fracture between 2008 and 2014 were included. Outcome measures included: The initiation of antiresorptive therapy or screening before fracture, within the year following fracture, or not at all.
Results: One thousand seven hundred unique geriatric patients were seen for humerus fractures. Nineteen percent of these patients (n = 324) were already on an antiresorptive medication. Three percent of previously untreated patients were started on antiresorptive therapy during the year after their fracture, with 31 or 2% of untreated patients starting at any subsequent point. Seventy-six percent of patients (n = 1301) were never prescribed antiresorptive therapy.
Discussion and Conclusion: In the absence of a dedicated program to improve secondary fracture prevention following minimal trauma spinal fractures, recognition and treatment of osteoporosis in patients remained inadequate over time despite numerous calls to action on the topic in the orthopedic literature and public health initiatives. Undertreatment of osteoporosis puts patients at increased risk for additional fractures. This study underscores an opportunity to improve bone health by aggressively screening for and treating osteoporosis in geriatric humerus fracture patients.
Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2020.)
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فهرسة مساهمة: Keywords: fracture prevention; osteoporosis; screening
تواريخ الأحداث: Date Created: 20200725 Latest Revision: 20220415
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7361479
DOI: 10.1177/2151459320935103
PMID: 32704400
قاعدة البيانات: MEDLINE
الوصف
تدمد:2151-4585
DOI:10.1177/2151459320935103