Participating physicians in the study implemented a number of initiatives including increasing the use of bone density test (DXA scans) and anti-osteoporosis medications; adding osteoporosis education and home health programs; and standardizing the practice guidelines for osteoporosis management. The full article is found at http://www.ejbjs.org/cgi/content/abstract/90/Supplement_4/188.
"Significant improvements in hip fracture rates are achievable wherever orthopedic surgeons and treatment teams are willing to take a more active role in osteoporosis disease management," Dell said.
Study authors include: Richard M. Dell, MD and Denise Greene, RNP, MS, Department of Orthopedics, Kaiser Permanente Bellflower; Steven R. Schelkun, MD, Department of Orthopedics, Kaiser Permanente San Diego; and Kathyrn W. Williams, MSG, Department of Orthopedics, Kaiser Permanente Fontana.
Recommendations for Prevention and Treatment of Osteoporosis
(Based on the ten steps outlined by Laura Tosi, MD, and the American
Orthopaedic Association's Own the Bone initiative.)
1. Be a champion. Remember that addressing the problem of fragility
fractures is multifaceted and will require a multidisciplinary
solution. Identify potential partners in your community.
2. Be proactive. Identify high-risk patients and don't wait until your
patient has a fragility fracture.
3. Teach your patients about osteoporosis and falls.
4. Develop pre-printed admission sheets and orders.
5. Develop a discharge checklist for fragility fracture patients, and
improve your discharge documentation.
6. Set realistic goals and measure what you've done.
7. Use the new fracture risk assessment tool called FRAX.
|SOURCE Kaiser Permanente|
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