Undertreatment of Osteoporosis Following Hip Fractures in Jeju Cohort Study
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Background: Osteoporosis treatment following hip fracture is well known to not enough. We previously performed intervention study for orthopaedic surgeon’s education andreported twofold increase in osteoporosis detection and treatment rate observed be-tween 2005 and 2007. This follow-up observational study was conducted to find out therate in which a diagnostic workup and treatment for osteoporosis were done in patientswith hip fracture. Methods: Medical records and radiographs in patients who were olderthan 50 years and diagnosed as having femoral neck or intertrochanteric fractures at 8hospitals in Jeju island, South Korea from 2008 to 2011 were reviewed. The numbers ofpatients who were studied with bone densitometry and who were treated for osteopo-rosis after the diagnosis of hip fracture were analyzed. Results: Nine hundred forty fivehip fractures (201 in 2008, 257 in 2009, 265 in 2010, and 304 in 2011) occurred in 191men and 754 women during the study periods. The mean age of the patients was 79.7years. The mean rate of osteoporosis detection using dual energy X-ray absorptiometrywas 36.4% (344/945 hips) (ranged from 24.2% in 2009 to 40.5% in 2011). The mean initi-ation rate of osteoporosis treatment was 23.1% (218/945 hips) (ranged from 20% in2009 to 29% in 2008). Conclusions: Detection and treatment rate of osteoporosis fol-lowing hip fracture during follow-up periods was still not enough. Additional interven-tion studies are required to further improvement of osteoporosis treatment rates afterhip fracture.
Abstract
Background: Osteoporosis treatment following hip fracture is well known to not enough. We previously performed intervention study for orthopaedic surgeon’s education andreported twofold increase in osteoporosis detection and treatment rate observed be-tween 2005 and 2007. This follow-up observational study was conducted to find out therate in which a diagnostic workup and treatment for osteoporosis were done in patientswith hip fracture. Methods: Medical records and radiographs in patients who were olderthan 50 years and diagnosed as having femoral neck or intertrochanteric fractures at 8hospitals in Jeju island, South Korea from 2008 to 2011 were reviewed. The numbers ofpatients who were studied with bone densitometry and who were treated for osteopo-rosis after the diagnosis of hip fracture were analyzed. Results: Nine hundred forty fivehip fractures (201 in 2008, 257 in 2009, 265 in 2010, and 304 in 2011) occurred in 191men and 754 women during the study periods. The mean age of the patients was 79.7years. The mean rate of osteoporosis detection using dual energy X-ray absorptiometrywas 36.4% (344/945 hips) (ranged from 24.2% in 2009 to 40.5% in 2011). The mean initi-ation rate of osteoporosis treatment was 23.1% (218/945 hips) (ranged from 20% in2009 to 29% in 2008). Conclusions: Detection and treatment rate of osteoporosis fol-lowing hip fracture during follow-up periods was still not enough. Additional interven-tion studies are required to further improvement of osteoporosis treatment rates afterhip fracture.
참고문헌 (39)
- Shin CS., "Prevalence and risk factors of osteoporosis in Korea : a community-based cohort study with lumbar spine and hip bone mineral density", Bone., 47, pp.378~387 (2010)
- Choi YJ., "The prevalence of osteoporosis in Korean adults aged 50 years or older and the higher diagnosis rates in women who were beneficiaries of a national screening program: the Korea National Health and Nutrition Examination Survey 2008-2009", J Bone Miner Res., 27, pp.1879~1886 (2012)
- Choi HJ., "Burden of osteoporosis in adults in Korea: a national health insurance database study", J Bone Miner Metab., 30, pp.54~58 (2012)
- Park C., "The incidence and residual lifetime risk of osteoporosis-related fractures in Korea", J Bone Miner Metab., 29, pp.744~751 (2011)
- Lee YK., "Five-year relative survival of patients with osteoporotic hip fracture", J Clin Endocrinol Metab., 99, pp.97~100 (2014)
- 윤현구, "Incidence and Mortality Following Hip Fracture in Korea", Journal of Korean Medical Science, 26(8), pp.1087~1092 (2011), 대한의학회
- Juby AG., "Evaluation of osteoporosis treatment in seniors after hip fracture", Osteoporos Int., 13, pp.205~210 (2002)
- 강번중, "Mortality after Hip Fractures in Nonagenarians", 대한골대사학회지, 19(2), pp.83~86 (2012), 대한골대사학회
- 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
- Tsuboi M., "Mortality and mobility after hip fracture in Japan: a ten-year follow-up", J Bone Joint Surg Br., 89, pp.461~466 (2007)
- Borgquist L., "Function and social status 10 years after hip fracture. Prospective follow-up of 103 patients", Acta Orthop Scand., 61, pp.404~410 (1990)
- Black DM., "The effect of 3 versus 6 years of zoledronic acid treatment of osteoporosis: a randomized extension to the HORIZON-Pivotal Fracture Trial (PFT)", J Bone Miner Res., 27, pp.243~254 (2012)
- Delmas PD., "Treatment of postmenopausal osteoporosis", Lancet., 359, pp.2018~2026 (2002)
- Hochberg MC., "Effect of alendronate on the age-specific incidence of symptomatic osteoporotic fractures", J Bone Miner Res., 20, pp.971~976 (2005)
- Mithal A., "Osteoporosis in Asia: a call to action", Curr Osteoporos Rep., 10, pp.245~257 (2012)
- Varthakavi PK., "Osteoporosis treatment in India: call for action", Indian J Endocrinol Metab., 18, pp.441~442 (2014)
- Lai MM., "Undertreatment of osteoporosis in regional Western Australia", Australas J Ageing., 31, pp.110~114 (2012)
- 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, "Incidence of Hip Fractures in Jeju Island, South Korea: A Prospective Study (2002-2006)", Clinics in Orthopedic Surgery, 2(2), pp.64~68 (2010), 대한정형외과학회
- Johnell K., "Undertreatment of osteoporosis in the oldest old? A nationwide study of over 700,000 older people", Arch Osteoporos., 4, pp.17~23 (2009)
- 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)
- Curtis JR., "Population-based fracture risk assessment and osteoporosis treatment disparities by race and gender", J Gen Intern Med., 24, pp.956~962 (2009)
- Harrington JT., "Hip fracture patients are not treated for osteoporosis: a call to action", Arthritis Rheum., 47, pp.651~654 (2002)
- Siris ES., "Pins and plaster aren’t enough : a call for the evaluation and treatment of patients with osteoporotic fractures", J Clin Endocrinol Metab., 88, pp.3482~3486 (2003)
- 이화복, "National Healthcare Budget Impact Analysis of the Treatment for Osteoporosis and Fractures in Korea", 대한골대사학회지, 20(1), pp.17~23 (2013), 대한골대사학회
- Goeree R., "Cost-effectiveness of alternative treatments for women with osteoporosis in Canada", Curr Med Res Opin., 22, pp.1425~1436 (2006)
- Lee YK., "Incidence of second hip fracture and compliant use of bisphosphonate", Osteoporos Int., 24, pp.2099~2104 (2013)
- Lee YK., "Bisphosphonate use and subsequent hip fracture in South Korea", Osteoporos Int., 24, pp.2887~2892 (2013)
- Lyles KW., "Zoledronic acid and clinical fractures and mortality after hip fracture", N Engl J Med., 357, pp.1799~1809 (2007)
- 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)
- Cranney A., "A multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures: a cluster randomized trial", Osteoporos Int., 19, pp.1734~1740 (2008)
- 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)
- Rowe SM., "An epidemiological study of hip fracture in Honam, Korea", Int Orthop., 17, pp.139~143 (1993)
- Mannius S., "Incidence of hip fracture in western Sweden 1974-1982. Comparison of rural and urban populations", Acta Orthop Scand., 58, pp.38~42 (1987)
- Solbakken SM., "Impact of comorbidity, age, and gender on seasonal variation in hip fracture incidence. A NOREPOS study", Arch Osteoporos., 9, pp.191~ (2014)
- Rális ZA., "Epidemic of fractures during period of snow and ice", Br Med J (Clin Res Ed)., 282, pp.603~605 (1981)
- Chiu KY., "Seasonal variation of fractures of the hip in elderly persons", Injury., 27, pp.333~336 (1996)
- Levy AR., "Inclement weather and the risk of hip fracture", Epidemiology., 9, pp.172~177 (1998)
- Ha YC., "Physicians' attitudes to contemporary issues on osteoporosis management in Korea", J Bone Metab., 21, pp.143~149 (2014)