The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards
Objectives: To describe the Fracture Liaison Service (FLS), to know the characteristics of the patients attended with emphasis on sex differences, and to know the compliance of International Osteoporosis Foundation (IOF) quality standards. Methods: Observational, prospective research. All the consec...
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| Format: | Article |
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MDPI AG
2021-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/18/4220 |
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| author | Francisco-Jesús Olmo-Montes Blanca Hernández-Cruz Mª José Miranda Mª Dolores Jimenez-Moreno Mª Ángeles Vázquez-Gámez Mercè Giner Miguel-Angel Colmenero José Javier Pérez-Venegas María-José Montoya-García |
| author_facet | Francisco-Jesús Olmo-Montes Blanca Hernández-Cruz Mª José Miranda Mª Dolores Jimenez-Moreno Mª Ángeles Vázquez-Gámez Mercè Giner Miguel-Angel Colmenero José Javier Pérez-Venegas María-José Montoya-García |
| author_sort | Francisco-Jesús Olmo-Montes |
| collection | DOAJ |
| description | Objectives: To describe the Fracture Liaison Service (FLS), to know the characteristics of the patients attended with emphasis on sex differences, and to know the compliance of International Osteoporosis Foundation (IOF) quality standards. Methods: Observational, prospective research. All the consecutive patients that attended in usual clinical practice from May 2018 to October 2019, were over 50 years, and with a fragility fracture (FF), were included. Results: Our FLS is a type A multidisciplinary unit. We included 410 patients, 80% women. FF recorded in 328 women were: Hip (132, 40%), Clinical Vertebral (81, 25%) and No hip No vertebral (115, 35%). Those in 82 men were: Hip (53, 66%), Clinical Vertebral (20, 24%) and No hip No vertebral (9, 10%), <i>p</i> = 0.0001. Men had more secondary osteoporosis (OP). The most remarkable result was the low percentage of patients with OP receiving treatment and the differences between sex. Forty-nine (16%) women versus nine (7%) men had received it at some point in their lives, <i>p</i> = 0.04. The probability of a man not receiving prior treatment was 2.5 (95%CI 1.01–6.51); <i>p</i> = 0.04, and after the FF was 0.64 (0.38–1.09). Treatment adherence in the first year after the FLS was 96% in both sexes. The completion of IOF quality standards was bad for patient identification and reference time. It was poor for initial OP screening standard and good for the remaining ten indicators. Conclusions: the FLS narrowed the gap in diagnosis, treatment, and follow-up of fragility fracture patients, especially men. The FLS meets the IOF quality standards. |
| first_indexed | 2024-03-10T07:32:40Z |
| format | Article |
| id | doaj.art-2e953a01d87a4679b03c779448b59a3a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T07:32:40Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-2e953a01d87a4679b03c779448b59a3a2023-11-22T13:41:28ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011018422010.3390/jcm10184220The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality StandardsFrancisco-Jesús Olmo-Montes0Blanca Hernández-Cruz1Mª José Miranda2Mª Dolores Jimenez-Moreno3Mª Ángeles Vázquez-Gámez4Mercè Giner5Miguel-Angel Colmenero6José Javier Pérez-Venegas7María-José Montoya-García8Internal Medicine Department, Virgen Macarena University Hospital, Dr Fedriani Avenue No 3, 41009 Seville, SpainRheumatology Department, Virgen Macarena University Hospital, Dr Fedriani Avenue No 3, 41009 Seville, SpainInternal Medicine Department, Virgen Macarena University Hospital, Dr Fedriani Avenue No 3, 41009 Seville, SpainInternal Medicine Department, Virgen Macarena University Hospital, Dr Fedriani Avenue No 3, 41009 Seville, SpainPAIDI Research Group CTS/211, Medicine Department, School of Medicine, Seville University, Sanchez Pizjuan SN, 41009 Seville, SpainPAIDI Research Group CTS/211, Medicine Department, School of Medicine, Seville University, Sanchez Pizjuan SN, 41009 Seville, SpainInternal Medicine Department, Virgen Macarena University Hospital, Dr Fedriani Avenue No 3, 41009 Seville, SpainRheumatology Department, Virgen Macarena University Hospital, Dr Fedriani Avenue No 3, 41009 Seville, SpainPAIDI Research Group CTS/211, Medicine Department, School of Medicine, Seville University, Sanchez Pizjuan SN, 41009 Seville, SpainObjectives: To describe the Fracture Liaison Service (FLS), to know the characteristics of the patients attended with emphasis on sex differences, and to know the compliance of International Osteoporosis Foundation (IOF) quality standards. Methods: Observational, prospective research. All the consecutive patients that attended in usual clinical practice from May 2018 to October 2019, were over 50 years, and with a fragility fracture (FF), were included. Results: Our FLS is a type A multidisciplinary unit. We included 410 patients, 80% women. FF recorded in 328 women were: Hip (132, 40%), Clinical Vertebral (81, 25%) and No hip No vertebral (115, 35%). Those in 82 men were: Hip (53, 66%), Clinical Vertebral (20, 24%) and No hip No vertebral (9, 10%), <i>p</i> = 0.0001. Men had more secondary osteoporosis (OP). The most remarkable result was the low percentage of patients with OP receiving treatment and the differences between sex. Forty-nine (16%) women versus nine (7%) men had received it at some point in their lives, <i>p</i> = 0.04. The probability of a man not receiving prior treatment was 2.5 (95%CI 1.01–6.51); <i>p</i> = 0.04, and after the FF was 0.64 (0.38–1.09). Treatment adherence in the first year after the FLS was 96% in both sexes. The completion of IOF quality standards was bad for patient identification and reference time. It was poor for initial OP screening standard and good for the remaining ten indicators. Conclusions: the FLS narrowed the gap in diagnosis, treatment, and follow-up of fragility fracture patients, especially men. The FLS meets the IOF quality standards.https://www.mdpi.com/2077-0383/10/18/4220osteoporosis treatmentquality standardsfracture liaison service type agender disparities in OP |
| spellingShingle | Francisco-Jesús Olmo-Montes Blanca Hernández-Cruz Mª José Miranda Mª Dolores Jimenez-Moreno Mª Ángeles Vázquez-Gámez Mercè Giner Miguel-Angel Colmenero José Javier Pérez-Venegas María-José Montoya-García The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards Journal of Clinical Medicine osteoporosis treatment quality standards fracture liaison service type a gender disparities in OP |
| title | The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards |
| title_full | The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards |
| title_fullStr | The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards |
| title_full_unstemmed | The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards |
| title_short | The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards |
| title_sort | fracture liaison service of the virgen macarena university hospital reduces the gap in the management of osteoporosis particularly in men it meets the international osteoporosis foundation quality standards |
| topic | osteoporosis treatment quality standards fracture liaison service type a gender disparities in OP |
| url | https://www.mdpi.com/2077-0383/10/18/4220 |
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