时间是骨头:部骨折后错过的二次预防机会
Ioannis I Daskalakis1, Johannes D Bastian2, Theodoros H Tosounidis1
1Department of Orthopaedic Surgery, Medical School, University Hospital of Heraklion, University of Crete, 71110 Heraklion, Greece.
在老年患者的部骨折研究中,很少报告骨质疏松症的治疗,这突显了二次骨折预防方面的差距. 更好的报告和研究对于更好的患者结果至关重要.
科学领域:
- 老年医学
- 骨科手术
- 公共卫生
背景情况:
- 在老年人骨折后,预防二次骨折至关重要.
- 骨折后的骨质疏松症需要及早评估和治疗.
- 目前关于骨质疏松症在骨折研究中的治疗记录尚不清楚.
研究的目的:
- 在老年患者手术治疗关节骨折的研究中,系统地审查和总结骨质疏松症管理报告.
- 发现二次骨折预防策略的文档缺口.
- 为临床实践和未来研究提供建议.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在过去十年内,通过主要数据库 (PubMed,Embase,Cochrane,Web of Science,Ovid) 进行全面的文献搜索.
- 包括65岁以上患者手术治疗关节骨折的研究,由两位审查员进行独立查和数据提取.
主要成果:
- 审查包括了86篇文章.
- 在包含的研究中,只有12个 (14%) 报告了骨质疏松症的治疗.
- 只有6项研究 (7%) 来自已建立的老年骨科护理机构.
结论:
- 在老年人手术治疗关节骨折的研究中,骨质疏松症的治疗报告显著不足.
- 这种报告不足表明二次骨折预防工作的文档存在重大差距.
- 需要在骨质疏松后骨折的管理方面提高临床警,并集中研究二次预防策略的有效性.
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