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. 2004 Sep;86(5):344-6.
doi: 10.1308/147870804371.

Treatment of osteoporosis: missed opportunities in the hospital fracture clinic

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Treatment of osteoporosis: missed opportunities in the hospital fracture clinic

M G Smith et al. Ann R Coll Surg Engl. 2004 Sep.

Abstract

Aim: To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events.

Patients and methods: The hospital electronic information system was used to identify all patients aged over 50 years treated for a distal radial fracture, in our fracture clinic, between 1995-2000. In addition all patients admitted to our hospital, during the same time period, with a femoral neck fracture were identified.

Results: A study cohort of 74 patients were identified. The proportion of patients who received investigation of, or treatment for, osteoporosis between their wrist and femoral neck fracture was 8% whereas 84% did not.

Conclusions: Current mechanisms for identifying patients with osteoporosis before they sustain a femoral neck fracture are inadequate.

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Comment in

  • Fracture liaison service.
    Hems TE, McQuillian C. Hems TE, et al. Ann R Coll Surg Engl. 2005 Nov;87(6):491; author reply 491. doi: 10.1308/003588405X71180. Ann R Coll Surg Engl. 2005. PMID: 16263031 Free PMC article. No abstract available.