The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards
| Autor: | Miguel-Angel Colmenero, MJ Miranda, Blanca Hernández-Cruz, Mª Angeles Vázquez-Gámez, María-José Montoya-García, Mª Dolores Jimenez-Moreno, Francisco-Jesús Olmo-Montes, J.J. Pérez-Venegas, Mercè Giner |
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| Rok vydání: | 2021 |
| Předmět: |
Prior treatment
medicine.medical_specialty business.industry Treatment adherence Osteoporosis General Medicine osteoporosis treatment medicine.disease University hospital Article Patient identification gender disparities in OP Physical therapy Medicine Observational study Secondary osteoporosis Prospective research fracture liaison service type a business quality standards |
| Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 10, Iss 4220, p 4220 (2021) Volume 10 Issue 18 |
| ISSN: | 2077-0383 |
| DOI: | 10.3390/jcm10184220 |
| Popis: | Objectives: To describe the Fracture Liaison Service (FLS), to know the characteristics of the patients attended with emphasis on sex differences, and to know the compliance of International Osteoporosis Foundation (IOF) quality standards. Methods: Observational, prospective research. All the consecutive patients that attended in usual clinical practice from May 2018 to October 2019, were over 50 years, and with a fragility fracture (FF), were included. Results: Our FLS is a type A multidisciplinary unit. We included 410 patients, 80% women. FF recorded in 328 women were: Hip (132, 40%), Clinical Vertebral (81, 25%) and No hip No vertebral (115, 35%). Those in 82 men were: Hip (53, 66%), Clinical Vertebral (20, 24%) and No hip No vertebral (9, 10%), p = 0.0001. Men had more secondary osteoporosis (OP). The most remarkable result was the low percentage of patients with OP receiving treatment and the differences between sex. Forty-nine (16%) women versus nine (7%) men had received it at some point in their lives, p = 0.04. The probability of a man not receiving prior treatment was 2.5 (95%CI 1.01–6.51) p = 0.04, and after the FF was 0.64 (0.38–1.09). Treatment adherence in the first year after the FLS was 96% in both sexes. The completion of IOF quality standards was bad for patient identification and reference time. It was poor for initial OP screening standard and good for the remaining ten indicators. Conclusions: the FLS narrowed the gap in diagnosis, treatment, and follow-up of fragility fracture patients, especially men. The FLS meets the IOF quality standards. |
| Databáze: | OpenAIRE |
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