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Educational program for orthopedic surgeons' influences for osteoporosis.
Huafeng Zhuang1, Shufeng Lin1, Yizhong Li1
1Department of Orthopedics, The Second Affiliated Hospital of Fujian Medical University, No. 950 Donghai Street, Fengze District, Quanzhou, Fujian 362000, China.
Open Medicine (Warsaw, Poland)
|October 22, 2021
Summary
Educational osteoporosis programs improved bone mineral density (BMD) assessment and treatment rates in hip fracture patients. These programs are crucial for enhancing osteoporosis care and reducing fracture risk.
Area of Science:
- Orthopedics
- Geriatrics
- Endocrinology
Background:
- Hip fractures are a significant health concern in older adults.
- Osteoporosis management is crucial for preventing secondary fractures.
- Current rates of bone mineral density (BMD) assessment and treatment post-hip fracture are often suboptimal.
Purpose of the Study:
- To evaluate the impact of an educational osteoporosis program on healthcare practices.
- To assess changes in BMD assessment, bone turnover marker (BTM) measurement, and anti-osteoporosis drug prescriptions.
- To compare outcomes between orthopedic surgeons who received training and those who did not.
Main Methods:
- Retrospective study of 651 patients aged ≥50 years with hip fractures (2013-2015).
- Data collected on BMD assessment, BTM measurement, and anti-osteoporosis therapy during hospitalization.
- Comparison of rates between a trained group and an untrained group of orthopedic surgeons.
Main Results:
- BMD assessment rates were higher in the trained group (49.5%) versus the untrained group (33.0%).
- BTM measurements were performed in 59.1% of the trained group and 28.8% of the untrained group.
- Bisphosphonate use was initiated in 21.8% of the trained group and 14.6% of the untrained group.
Conclusions:
- Educational programs for orthopedic surgeons positively influence osteoporosis care following hip fractures.
- Despite improvements, rates of BMD assessment, BTM measurement, and bisphosphonate use remain insufficient.
- Further interventions are needed to optimize osteoporosis management in this patient population.