Roy Kessous1, Adi Y Weintraub2, Yoav Mattan3, Rivka Dresner-Pollak4, Mayer Brezis5, Meir Liebergall3, Leonid Kandel3. 1. Department of Obstetrics and Gynecology, Soroka Medical Center, Beer-Sheva, Israel. Electronic address: kessousr@bgu.ac.il. 2. Department of Obstetrics and Gynecology, Soroka Medical Center, Beer-Sheva, Israel. 3. Department of Orthopedic Surgery, Hadassah-Hebrew University Medical School, Hadassah Medical Center, Jerusalem, Israel. 4. Endocrinology and Metabolism Service, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. 5. Center for Clinical Quality and Safety, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Abstract
OBJECTIVE:Distal radius fracture (DRF) in postmenopausal women is often the first clinical sign of osteoporosis (OP). Despite the availability of effective treatments, only a minority of patients who sustain a fragility fracture are tested for OP. The purpose of this study was to examine whether a simple intervention by the hospital staff increases rates of OP workup. MATERIALS AND METHODS: We conducted a prospective randomized clinical trial. Ninety nine patients after DRF were randomized to two groups. Both groups were contacted after their fracture and were asked to answer a questionnaire and were informed about the possible relationship between DRF and OP. In the intervention group, patients were sent an explanatory pamphlet and a letter to their primary care physician. An additional survey was conducted to establish whether the intervention improved the number of patients who undergo OP workup. RESULTS: The intervention increased the proportion of patients who turned to their primary care physician from 22.9% to 68.6%, and increased the proportion of patients undergoing OP workup from 14.3% to 40% (p < 0.001). CONCLUSION:Women with DRF who receive an explanation about possible OP implications and are sent explanatory materials are more likely to undergo OP workup.
RCT Entities:
OBJECTIVE: Distal radius fracture (DRF) in postmenopausal women is often the first clinical sign of osteoporosis (OP). Despite the availability of effective treatments, only a minority of patients who sustain a fragility fracture are tested for OP. The purpose of this study was to examine whether a simple intervention by the hospital staff increases rates of OP workup. MATERIALS AND METHODS: We conducted a prospective randomized clinical trial. Ninety nine patients after DRF were randomized to two groups. Both groups were contacted after their fracture and were asked to answer a questionnaire and were informed about the possible relationship between DRF and OP. In the intervention group, patients were sent an explanatory pamphlet and a letter to their primary care physician. An additional survey was conducted to establish whether the intervention improved the number of patients who undergo OP workup. RESULTS: The intervention increased the proportion of patients who turned to their primary care physician from 22.9% to 68.6%, and increased the proportion of patients undergoing OP workup from 14.3% to 40% (p < 0.001). CONCLUSION:Women with DRF who receive an explanation about possible OP implications and are sent explanatory materials are more likely to undergo OP workup.
Authors: M Kastner; L Perrier; S E P Munce; C C Adhihetty; A Lau; J Hamid; V Treister; J Chan; Y Lai; S E Straus Journal: Osteoporos Int Date: 2017-10-18 Impact factor: 4.507
Authors: Natalie Vaughn; Matthew Akelman; Natalie Marenghi; Anne F Lake; Benjamin R Graves Journal: Arch Osteoporos Date: 2022-07-19 Impact factor: 2.879