Improvement of Osteoporosis Medication after Multimodal Intervention in Patients with Hip Fracture: Prospective Multicenter Study
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Background: The authors had earlier conducted a retrospective cohort study from 2008 to 2011 in Jeju Island, among 945 hip fracture patients above 50 years of age. Of these 945 patients, 344 patients (36.4%) underwent a bone mineral density test and 218 patients (23.1%) received treatment for osteoporosis. The purpose of this study was to determine whether a patient education program could improve osteoporosis management after hip fracture. The data of the previous study was used for comparison. Methods: From November 1, 2014 to September 30, 2015, 190 patients above 50 years of age who were admitted for hip fractures at six different hospitals, were enrolled in the present study. During the hospitalization period, patients underwent education sessions and were provided brochures. Patients were evaluated for diagnosis and treatment of osteoporosis at six months after discharge and were followed-up for at least a year. Results: Of the 222 patients with hip fractures, 190 patients (37 men, 153 women) were enrolled at six hospitals in 2015. Dual energy X-ray absorptiometry was performed on 115 patients (60.5%) and 92 patients (48.4%) were prescribed medication for osteoporosis at the time of discharge. A total of 43.7% and 40.2% of the patients were found to be compliant with osteoporosis medication at 6 months and 12 months follow-up respectively. Conclusions: This interventional multicenter study demonstrated that a patient education program in patients with hip fractures can improve compliance to osteoporosis medication up to 12 months of follow-up.
Abstract
Background: The authors had earlier conducted a retrospective cohort study from 2008 to 2011 in Jeju Island, among 945 hip fracture patients above 50 years of age. Of these 945 patients, 344 patients (36.4%) underwent a bone mineral density test and 218 patients (23.1%) received treatment for osteoporosis. The purpose of this study was to determine whether a patient education program could improve osteoporosis management after hip fracture. The data of the previous study was used for comparison. Methods: From November 1, 2014 to September 30, 2015, 190 patients above 50 years of age who were admitted for hip fractures at six different hospitals, were enrolled in the present study. During the hospitalization period, patients underwent education sessions and were provided brochures. Patients were evaluated for diagnosis and treatment of osteoporosis at six months after discharge and were followed-up for at least a year. Results: Of the 222 patients with hip fractures, 190 patients (37 men, 153 women) were enrolled at six hospitals in 2015. Dual energy X-ray absorptiometry was performed on 115 patients (60.5%) and 92 patients (48.4%) were prescribed medication for osteoporosis at the time of discharge. A total of 43.7% and 40.2% of the patients were found to be compliant with osteoporosis medication at 6 months and 12 months follow-up respectively. Conclusions: This interventional multicenter study demonstrated that a patient education program in patients with hip fractures can improve compliance to osteoporosis medication up to 12 months of follow-up.
참고문헌 (24)
- 하용찬, "Trend in Hip Fracture Incidence and Mortality in Korea: A Prospective Cohort Study from 2002 to 2011", Journal of Korean Medical Science, 30(4), pp.483~488 (2015), 대한의학회
- Ha YC, "Current trends and future projections of hip fracture in South Korea using nationwide claims data", Osteoporos Int, 27, pp.2603~2609 (2016)[DOI]
- Abrahamsen B, "Excess mortality following hip fracture: a systematic epidemiological review", Osteoporos Int, 20, pp.1633~1650 (2009)[DOI]
- Choi HJ, "Burden of osteoporosis in adults in Korea: a national health insurance database study", J Bone Miner Metab, 30, pp.54~58 (2012)[DOI]
- 이성락, "Morbidity and Mortality in Jeju Residents over 50-Years of Age with Hip Fracture with Mean 6-Year Follow-Up: A Prospective Cohort Study", Journal of Korean Medical Science, 28(7), pp.1089~1094 (2013), 대한의학회
- Lee YK, "Incidence of second hip fracture and compliant use of bisphosphonate", Osteoporos Int, 24, pp.2099~2104 (2013)[DOI]
- Lee YK, "Bisphosphonate use and subsequent hip fracture in South Korea", Osteoporos Int, 24, pp.2887~2892 (2013)[DOI]
- Lyles KW, "Zoledronic acid and clinical fractures and mortality after hip fracture", N Engl J Med, 357, pp.1799~1809 (2007)[DOI]
- Shibli-Rahhal A, "Testing and treatment for osteoporosis following hip fracture in an integrated U.S. healthcare delivery system", Osteoporos Int, 22, pp.2973~2980 (2011)[DOI]
- Lai MM, "Undertreatment of osteoporosis in regional Western Australia", Australas J Ageing, 31, pp.110~114 (2012)[DOI]
- Bogoch ER, "Effective initiation of osteoporosis diagnosis and treatment for patients with a fragility fracture in an orthopaedic environment", J Bone Joint Surg Am, 88, pp.25~34 (2006)
- 김상림, "Orthopedic Surgeon’s Awareness Can Improve Osteoporosis Treatment Following Hip Fracture: A Prospective Cohort Study", Journal of Korean Medical Science, 26(11), pp.1501~1507 (2011), 대한의학회
- 김상림, "Undertreatment of Osteoporosis Following Hip Fractures in Jeju Cohort Study", 대한골대사학회지, 21(4), pp.263~268 (2014), 대한골대사학회[DOI]
- Majumdar SR, "Use of a case manager to improve osteoporosis treatment after hip fracture: results of a randomized controlled trial", Arch Intern Med, 167, pp.2110~2115 (2007)[DOI]
- Miki RA, "Orthopaedic management improves the rate of early osteoporosis treatment after hip fracture. A randomized clinical trial", J Bone Joint Surg Am, 90, pp.2346~2353 (2008)[DOI]
- Morrish DW, "Facilitated bone mineral density testing versus hospital-based case management to improve osteoporosis treatment for hip fracture patients: additional results from a randomized trial", Arthritis Rheum, 61, pp.209~215 (2009)[DOI]
- Piziak VK, "An effective team approach to improve postoperative hip fracture care", J Orthop Trauma, 25, pp.72~75 (2011)[DOI]
- Kandel L, "A simple intervention for improving the implementation rate of a recommended osteoporosis treatment after hip fracture", Endocr Pract, 19, pp.46~50 (2013)[DOI]
- Sjoberg C, "Effects of medication reviews performed by a physician on treatment with fracture-preventing and fall-risk-increasing drugs in older adults with hip fracture-a randomized controlled study", J Am Geriatr Soc, 61, pp.1464~1472 (2013)[DOI]
- Gallagher AM, "Fracture outcomes related to persistence and compliance with oral bisphosphonates", J Bone Miner Res, 23, pp.1569~1575 (2008)[DOI]
- Sale JE, "Systematic review on inter ventions to improve osteoporosis investigation and treatment in fragility fracture patients", Osteoporos Int, 22, pp.2067~2082 (2011)[DOI]
- Eisman JA, "Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention", J Bone Miner Res, 27, pp.2039~2046 (2012)[DOI]
- Ganda K, "Models of care for the secondary prevention of osteoporotic fractures: a systematic review and meta-analysis", Osteoporos Int, 24, pp.393~406 (2013)
- Bogoch ER, "Fracture prevention in the orthopaedic environment: outcomes of a coordinator-based fracture liaison service", J Bone Joint Surg Am, 99, pp.820~831 (2017)[DOI]