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Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results

INTRODUCTION: Osteoporosis is often not recognized until one or more fractures occur, yet post-fracture screening remains uncommon. Orthopedic surgeons are well situated to address this care gap. Both a protocol-based approach and fracture liaison services (FLS) have been proposed. The present surve...

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Autores principales: Barton, David W., Griffin, Daniel C., Carmouche, Jonathan J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402163/
https://www.ncbi.nlm.nih.gov/pubmed/30841897
http://dx.doi.org/10.1186/s13018-019-1103-3
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author Barton, David W.
Griffin, Daniel C.
Carmouche, Jonathan J.
author_facet Barton, David W.
Griffin, Daniel C.
Carmouche, Jonathan J.
author_sort Barton, David W.
collection PubMed
description INTRODUCTION: Osteoporosis is often not recognized until one or more fractures occur, yet post-fracture screening remains uncommon. Orthopedic surgeons are well situated to address this care gap. Both a protocol-based approach and fracture liaison services (FLS) have been proposed. The present surveys assess orthopedists’ attitudes to these alternative models for addressing this care gap. METHODS: Two digital surveys were sent to all orthopedic surgeons and orthopedic midlevel providers at a large level 1 trauma center 1.5 years apart. RESULTS: Thirty-six of 47 survey recipients (77%) responded to the first survey; all 55 recipients (100%) responded to the second. Respondents recognized the importance of osteoporosis care, the inadequacy of current measures, and the potential of orthopedic surgeons to help address this gap. Respondents reported regular encounters with fragility fracture patients but limited familiarity with core aspects of osteoporosis screening and treatment, especially pharmacotherapy. While some respondents (40%) reported willingness to attempt a protocol-based approach to addressing this care gap, many others expressed reservations (60%) and support for a FLS-based approach was much higher (95%). CONCLUSIONS: A fracture liaison service model best fits the observed attitudes of orthopedic surgeons at this level 1 trauma center relative to a protocol-based approach. Protocol-based approaches may be preferable in alternate settings. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13018-019-1103-3) contains supplementary material, which is available to authorized users.
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spelling pubmed-64021632019-03-14 Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results Barton, David W. Griffin, Daniel C. Carmouche, Jonathan J. J Orthop Surg Res Research Article INTRODUCTION: Osteoporosis is often not recognized until one or more fractures occur, yet post-fracture screening remains uncommon. Orthopedic surgeons are well situated to address this care gap. Both a protocol-based approach and fracture liaison services (FLS) have been proposed. The present surveys assess orthopedists’ attitudes to these alternative models for addressing this care gap. METHODS: Two digital surveys were sent to all orthopedic surgeons and orthopedic midlevel providers at a large level 1 trauma center 1.5 years apart. RESULTS: Thirty-six of 47 survey recipients (77%) responded to the first survey; all 55 recipients (100%) responded to the second. Respondents recognized the importance of osteoporosis care, the inadequacy of current measures, and the potential of orthopedic surgeons to help address this gap. Respondents reported regular encounters with fragility fracture patients but limited familiarity with core aspects of osteoporosis screening and treatment, especially pharmacotherapy. While some respondents (40%) reported willingness to attempt a protocol-based approach to addressing this care gap, many others expressed reservations (60%) and support for a FLS-based approach was much higher (95%). CONCLUSIONS: A fracture liaison service model best fits the observed attitudes of orthopedic surgeons at this level 1 trauma center relative to a protocol-based approach. Protocol-based approaches may be preferable in alternate settings. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13018-019-1103-3) contains supplementary material, which is available to authorized users. BioMed Central 2019-03-06 /pmc/articles/PMC6402163/ /pubmed/30841897 http://dx.doi.org/10.1186/s13018-019-1103-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Barton, David W.
Griffin, Daniel C.
Carmouche, Jonathan J.
Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results
title Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results
title_full Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results
title_fullStr Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results
title_full_unstemmed Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results
title_short Orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results
title_sort orthopedic surgeons’ views on the osteoporosis care gap and potential solutions: survey results
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402163/
https://www.ncbi.nlm.nih.gov/pubmed/30841897
http://dx.doi.org/10.1186/s13018-019-1103-3
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