Literature DB >> 31157022

Building for better bones: evaluation of a clinical pathway in the secondary prevention of osteoporotic fractures.

Saey Sofie1, Piette Yves2, Verstraete Barbara3, Lambert Margareta4, Van Hoeyweghen Raf4, Vandekerckhove Bruno3, Haspeslagh Marc5, Grootaert Veerle1.   

Abstract

OBJECTIVE: Osteoporosis is a common disease that is underdiagnosed and undertreated. A multidisciplinary intervention may improve the identification and treatment of osteoporosis and may consequently prevent secondary fractures.
METHOD: Retrospective, single-centre study comparing attitude to screening and treatment of patients admitted to the orthopaedic unit of the general hospital AZ Sint-Jan Brugge-Oostende AV (Belgium) before and after the implementation of a clinical pathway.
RESULTS: A total of 172 patients (86 before and 86 after) were included in this study. The implementation of the pathway resulted in an increase in bone mineral density tests performed, an increment in the number of referrals to a specialist in the field of osteoporosis, and an increase in prevention and treatment of osteoporosis.
CONCLUSION: The implementation of a clinical pathway coordinated and evaluated by a clinical pharmacist improved the identification, referral and treatment of osteoporosis in patients hospitalised due to low-impact fractures.

Entities:  

Keywords:  CLINICAL PHARMACY; PHARMACOTHERAPY; PREVENTIVE MEDICINE; PRIMARY CARE; RHEUMATOLOGY

Year:  2016        PMID: 31157022      PMCID: PMC6452386          DOI: 10.1136/ejhpharm-2016-000906

Source DB:  PubMed          Journal:  Eur J Hosp Pharm        ISSN: 2047-9956


  14 in total

Review 1.  Addressing the musculoskeletal components of fracture risk with calcium and vitamin D: a review of the evidence.

Authors:  S Boonen; H A Bischoff-Ferrari; C Cooper; P Lips; O Ljunggren; P J Meunier; J-Y Reginster
Journal:  Calcif Tissue Int       Date:  2006-04-21       Impact factor: 4.333

2.  A team approach: implementing a model of care for preventing osteoporosis related fractures.

Authors:  M Giles; J Van Der Kallen; V Parker; K Cooper; K Gill; L Ross; S McNeill
Journal:  Osteoporos Int       Date:  2010-11-03       Impact factor: 4.507

3.  Do pathways lead to better organized care processes?

Authors:  Kris Vanhaecht; Karel De Witte; Massimiliano Panella; Walter Sermeus
Journal:  J Eval Clin Pract       Date:  2009-10       Impact factor: 2.431

4.  Are hospitalized patients with fragile fractures managed properly in relation to underlying osteoporosis?

Authors:  Saeed Reza Mehrpour; Mohamad Reza Aghamirsalim; Reza Sorbi
Journal:  J Clin Rheumatol       Date:  2012-04       Impact factor: 3.517

5.  Closing the gap in postfracture care at the population level: a randomized controlled trial.

Authors:  William D Leslie; Lisa LaBine; Penny Klassen; Darlene Dreilich; Patricia A Caetano
Journal:  CMAJ       Date:  2011-12-19       Impact factor: 8.262

6.  Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women.

Authors:  L Bessette; S Jean; M-P Lapointe-Garant; E L Belzile; K S Davison; L G Ste-Marie; J P Brown
Journal:  Osteoporos Int       Date:  2011-09-17       Impact factor: 4.507

7.  Secondary screening for osteoporosis in patients admitted with minimal-trauma fracture to a major teaching hospital.

Authors:  P K K Wong; D G Spencer; P McElduff; N Manolios; G Larcos; G B Howe
Journal:  Intern Med J       Date:  2003-11       Impact factor: 2.048

8.  A systematic review of the effectiveness of interventions to improve post-fracture investigation and management of patients at risk of osteoporosis.

Authors:  Elizabeth A Little; Martin P Eccles
Journal:  Implement Sci       Date:  2010-10-22       Impact factor: 7.327

9.  Evidence-based guidelines for the pharmacological treatment of postmenopausal osteoporosis: a consensus document by the Belgian Bone Club.

Authors:  J-J Body; P Bergmann; S Boonen; Y Boutsen; J-P Devogelaer; S Goemaere; J-M Kaufman; S Rozenberg; J-Y Reginster
Journal:  Osteoporos Int       Date:  2010-05-18       Impact factor: 4.507

10.  Impact of a centralized osteoporosis coordinator on post-fracture osteoporosis management: a cluster randomized trial.

Authors:  S B Jaglal; O S Donescu; V Bansod; J Laprade; K Thorpe; G Hawker; S R Majumdar; L Meadows; S M Cadarette; A Papaioannou; M Kloseck; D Beaton; E Bogoch; M Zwarenstein
Journal:  Osteoporos Int       Date:  2011-07-16       Impact factor: 4.507

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