Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement
<i>Background:</i> Osteoporotic fractures are associated with a loss of quality of life, but only few patients receive an appropriate therapy. Therefore, the present study aims to investigate the awareness of musculoskeletal patients to participate in osteoporosis assessment and to evalu...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/11/1564 |
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| author | Moritz Kraus Carl Neuerburg Nicole Thomasser Ulla Cordula Stumpf Matthias Blaschke Werner Plötz Maximilian Michael Saller Wolfgang Böcker Alexander Martin Keppler |
| author_facet | Moritz Kraus Carl Neuerburg Nicole Thomasser Ulla Cordula Stumpf Matthias Blaschke Werner Plötz Maximilian Michael Saller Wolfgang Böcker Alexander Martin Keppler |
| author_sort | Moritz Kraus |
| collection | DOAJ |
| description | <i>Background:</i> Osteoporotic fractures are associated with a loss of quality of life, but only few patients receive an appropriate therapy. Therefore, the present study aims to investigate the awareness of musculoskeletal patients to participate in osteoporosis assessment and to evaluate whether there are significant differences between acute care patients treated for major fractures of the hip compared to elective patients treated for hip joint replacement.; <i>Methods:</i> From May 2015 to December 2016 patients who were undergoing surgical treatment for proximal femur fracture or total hip replacement due to osteoarthritis and were at risk for an underlying osteoporosis (female > 60 and male > 70 years) were included in the study and asked to complete a questionnaire assessing the awareness for an underlying osteoporosis. ASA Score, FRAX Score, and demographic information have also been examined. <i>Results:</i> In total 268 patients (female = 194 (72.0%)/male = 74 (28%)), mean age 77.7 years (±7.7) undergoing hip surgery were included. Of these, 118 were treated for fracture-related etiology and 150 underwent total hip arthroplasty in an elective care setting. Patients were interviewed about their need for osteoporosis examination during hospitalization. Overall, 76 of 150 patients receiving elective care (50.7%) considered that an examination was necessary, whereas in proximal femur fracture patients the awareness was lower, and the disease osteoporosis was assessed as threatening by significantly fewer newly fractured patients. By comparison, patients undergoing trauma surgery had a considerably greater risk of developing another osteoporotic fracture than patients undergoing elective surgery determined by the FRAX<sup>®</sup> Score (<i>p</i> ≤ 0.001).; <i>Conclusions:</i> The patients’ motivation to endure additional osteoporosis diagnostic testing is notoriously low and needs to be increased. Patients who underwent acute care surgery for a fragility proximal femur fracture, although acutely affected by the potential consequences of underlying osteoporosis, showed lower awareness than the elective comparison population that was also on average 6.1 years younger. Although elective patients were younger and at a lower risk, they seemed to be much more willing to undergo further osteoporosis assessment. In order to better identify and care for patients at risk, interventions such as effective screening, early initiation of osteoporosis therapy in the inpatient setting and a fracture liaison service are important measures. |
| first_indexed | 2024-03-09T18:51:48Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T18:51:48Z |
| publishDate | 2022-10-01 |
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| series | Medicina |
| spelling | doaj.art-510b12c10bfa42979c7158ba299cc4b62023-11-24T05:46:52ZengMDPI AGMedicina1010-660X1648-91442022-10-015811156410.3390/medicina58111564Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip ReplacementMoritz Kraus0Carl Neuerburg1Nicole Thomasser2Ulla Cordula Stumpf3Matthias Blaschke4Werner Plötz5Maximilian Michael Saller6Wolfgang Böcker7Alexander Martin Keppler8Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich, Ludwig-Maximilians University Munich, Marchioninistr. 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich, Ludwig-Maximilians University Munich, Marchioninistr. 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich, Ludwig-Maximilians University Munich, Marchioninistr. 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich, Ludwig-Maximilians University Munich, Marchioninistr. 15, 81377 Munich, GermanyHospital Barmherzigen Brüder München, Teaching Hospital Technial University Munich, Romanstraße 93, 80639 Munich, GermanyHospital Barmherzigen Brüder München, Teaching Hospital Technial University Munich, Romanstraße 93, 80639 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich, Ludwig-Maximilians University Munich, Marchioninistr. 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich, Ludwig-Maximilians University Munich, Marchioninistr. 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich, Ludwig-Maximilians University Munich, Marchioninistr. 15, 81377 Munich, Germany<i>Background:</i> Osteoporotic fractures are associated with a loss of quality of life, but only few patients receive an appropriate therapy. Therefore, the present study aims to investigate the awareness of musculoskeletal patients to participate in osteoporosis assessment and to evaluate whether there are significant differences between acute care patients treated for major fractures of the hip compared to elective patients treated for hip joint replacement.; <i>Methods:</i> From May 2015 to December 2016 patients who were undergoing surgical treatment for proximal femur fracture or total hip replacement due to osteoarthritis and were at risk for an underlying osteoporosis (female > 60 and male > 70 years) were included in the study and asked to complete a questionnaire assessing the awareness for an underlying osteoporosis. ASA Score, FRAX Score, and demographic information have also been examined. <i>Results:</i> In total 268 patients (female = 194 (72.0%)/male = 74 (28%)), mean age 77.7 years (±7.7) undergoing hip surgery were included. Of these, 118 were treated for fracture-related etiology and 150 underwent total hip arthroplasty in an elective care setting. Patients were interviewed about their need for osteoporosis examination during hospitalization. Overall, 76 of 150 patients receiving elective care (50.7%) considered that an examination was necessary, whereas in proximal femur fracture patients the awareness was lower, and the disease osteoporosis was assessed as threatening by significantly fewer newly fractured patients. By comparison, patients undergoing trauma surgery had a considerably greater risk of developing another osteoporotic fracture than patients undergoing elective surgery determined by the FRAX<sup>®</sup> Score (<i>p</i> ≤ 0.001).; <i>Conclusions:</i> The patients’ motivation to endure additional osteoporosis diagnostic testing is notoriously low and needs to be increased. Patients who underwent acute care surgery for a fragility proximal femur fracture, although acutely affected by the potential consequences of underlying osteoporosis, showed lower awareness than the elective comparison population that was also on average 6.1 years younger. Although elective patients were younger and at a lower risk, they seemed to be much more willing to undergo further osteoporosis assessment. In order to better identify and care for patients at risk, interventions such as effective screening, early initiation of osteoporosis therapy in the inpatient setting and a fracture liaison service are important measures.https://www.mdpi.com/1648-9144/58/11/1564awarenessosteoporosisproximal femur fracturehip replacementfracture liaison service |
| spellingShingle | Moritz Kraus Carl Neuerburg Nicole Thomasser Ulla Cordula Stumpf Matthias Blaschke Werner Plötz Maximilian Michael Saller Wolfgang Böcker Alexander Martin Keppler Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement Medicina awareness osteoporosis proximal femur fracture hip replacement fracture liaison service |
| title | Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement |
| title_full | Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement |
| title_fullStr | Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement |
| title_full_unstemmed | Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement |
| title_short | Reduced Awareness for Osteoporosis in Hip Fracture Patients Compared to Elderly Patients Undergoing Elective Hip Replacement |
| title_sort | reduced awareness for osteoporosis in hip fracture patients compared to elderly patients undergoing elective hip replacement |
| topic | awareness osteoporosis proximal femur fracture hip replacement fracture liaison service |
| url | https://www.mdpi.com/1648-9144/58/11/1564 |
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