Missed opportunities in patients with osteoporosis and distal radius fractures

Brett Freedman, Benjamin K. Potter, Leon J. Nesti, Timothy Cho, Timothy R. Kuklo

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Low-energy wrist (distal radius) fractures are hallmarks of osteoporosis. Prompt diagnosis and treatment of osteoporosis reduce refracture rates. We retrospectively determined the type and frequency of osteoporosis-related interventions rendered to patients 50 years and older in the year after a wrist fragility fracture. In addition, we compared the rates of intervention between men and women. Data were collected from the computerized medical record of one military healthcare system. We identified 111 patients who sustained wrist fragility fractures between July and December 2002. Endocrinology referrals, dual-energy xray absorptiometry scans, and osteoporosis medication prescriptions in the year after their fracture were recorded. Overall, 28 patients (25%) were referred to endocrinology, 22 patients (20%) had a dual-energy xray absorptiometry scan, 33 patients (30%) were prescribed an approved medication for treatment of osteoporosis, and 52 patients (47%) were prescribed one of these medications and/or vitamin D and calcium. Sixty percent of patients received at least one intervention. All diagnostic and medical interventions were more likely ordered for women than men. Orthopaedic surgeons continue to miss opportunities to initiate diagnostic and therapeutic interventions for patients, especially men, presenting with fragility fractures.

Original languageEnglish (US)
Pages (from-to)202-206
Number of pages5
JournalClinical orthopaedics and related research
Issue number454
DOIs
StatePublished - Jan 1 2007
Externally publishedYes

Fingerprint

Radius Fractures
Osteoporosis
Wrist
Endocrinology
Computerized Medical Records Systems
X-Rays
Vitamin D
Prescriptions
Therapeutics
Referral and Consultation
Calcium
Delivery of Health Care

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Missed opportunities in patients with osteoporosis and distal radius fractures. / Freedman, Brett; Potter, Benjamin K.; Nesti, Leon J.; Cho, Timothy; Kuklo, Timothy R.

In: Clinical orthopaedics and related research, No. 454, 01.01.2007, p. 202-206.

Research output: Contribution to journalArticle

Freedman, Brett ; Potter, Benjamin K. ; Nesti, Leon J. ; Cho, Timothy ; Kuklo, Timothy R. / Missed opportunities in patients with osteoporosis and distal radius fractures. In: Clinical orthopaedics and related research. 2007 ; No. 454. pp. 202-206.
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