An osteoporosis and fracture intervention program increases the diagnosis and treatment for osteoporosis for patients with minimal trauma fractures.
BACKGROUND
As fewer than 25% of patients with an osteoporotic minimal trauma fracture (MTF) are evaluated and treated for osteoporosis, an osteoporosis and fracture intervention program (OFIP) was developed.


METHODS
Patients hospitalized with MTF were educated about and treated for osteoporosis and were evaluated by the osteoporosis team at 6 and 12 months after discharge. Patients seen in the emergency department were given information about osteoporosis and encouraged to seek medical care at the osteoporosis office.


RESULTS
While 165 patients hospitalized with an MTF participated in the OFIP, 38 patients received routine osteoporosis education. At the 6-month follow-up, in the OFIP group, 68% of patients with hip fracture and 54% of patients with non-hip fracture were taking antiresorptive medications. There was no change in treatment rate among patients receiving conventional care.


CONCLUSIONS
The rates of diagnosis of osteoporosis and treatment implementation following an MTF increased when the intervention occurred at the time of hospitalization.
Edwards
Beatrice J
BJ
Bone Health and Osteoporosis Program, Feinberg School of Medicine, Northwestern University, Chicago, USA. bje168@northwestern.edu
Bunta
Andrew D
AD
Madison
Laird D
LD
DeSantis
Anthony
A
Ramsey-Goldman
Rosalind
R
Taft
Lois
L
Wilson
Caroline
C
Moinfar
Maryam
M
D000046:Academic Medical Centers; D000368:Aged; D000369:Aged, 80 and over; D002641:Chicago; D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis* / Q000628:therapy*; D010353:Patient Education as Topic; D016730:Program Development; D014947:Wounds and Injuries