- Title
- A fracture prevention service reduces further fractures two years after incident minimal trauma fracture
- Creator
- Van der Kallen, John; Giles, Michelle; Cooper, Kerry; Gill, Kerry; Parker, Vicki; Tembo, Agness; Major, Gabor; Ross, Linda; Carter, Jan
- Relation
- International Journal of Rheumatic Diseases Vol. 17, Issue 2, p. 195-203
- Publisher Link
- http://dx.doi.org/10.1111/1756-185X.12101
- Publisher
- Wiley-Blackwell Publishing Ltd
- Resource Type
- journal article
- Date
- 2014
- Description
- Aim: To evaluate the impact of a fracture prevention clinic service on initiation of treatment, continuing treatment and subsequent minimal trauma fractures (MTF). Method: Participants were people aged 50 and over, with a minimal trauma fracture presenting to the Emergency Department (ED) in a large tertiary referral hospital in New South Wales, Australia, between February 2007 and March 2009. A cohort of patients who attended a Fracture Prevention Clinic (clinic group) were compared with a cohort who did not attend the clinic (non-clinic group). A telephone questionnaire was conducted with participants or their carers between December 2010 and April 2011 at least 12 months post-fracture presentation. Questionnaire items included demographics, fracture types, osteoporosis treatment, recurrent fractures and smoking and dietary habits. Data were compared using chi-squared test for categorical variables and Student's t-test or Mann–Whitney U-test for continuous variables. Results: Two hundred and fourteen clinic attendees and 220 non-clinic attendees were surveyed between 12 and 40 months (mean 24 months) post-initial fracture. New fracture rates were lower in the clinic group (5.1%) than the non-clinic group (16.4%, P < 0.001). Treatment rates for bone fragility were higher in the clinic group (81.3%) than in the non-clinic group (54.1%, P < 0.001) with 66.8% of the clinic group and 34.1% of the non-clinic group on a bisphosphonate or strontium ranelate at the time of the survey (P < 0.001). Conclusion: Patients managed by a fracture prevention clinic service following a MTF have fewer new fractures and are more likely to be on treatment for bone fragility.
- Subject
- fracture liaison service; osteoporosis; minimal trauma fracture; telephone questionnaire
- Identifier
- http://hdl.handle.net/1959.13/1067363
- Identifier
- uon:18390
- Identifier
- ISSN:1756-1841
- Language
- eng
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