Improving osteoporosis assessment in the fracture clinic.
BACKGROUND
The aim of this study was to compare the effectiveness of different ways of referring patients to an osteoporosis assessment service at an orthopaedic fracture clinic of a hospital in the UK.


METHODS
Three methods of identifying and referring to an osteoporosis assessment service were evaluated.


RESULTS
Relying on doctors for such a referral gave a catchment rate of only 1.6%. Involving patients themselves, asking them to self-refer, increased the catchment rate to 63% (P < 0.0001). Having a specialist osteoporosis and fracture liaison nurse present in clinic and reviewing the notes of patients checking in, to see if they match criteria for osteoporosis assessment, further increased catchment to 77% (P = 0.036).


CONCLUSIONS
Simply having an osteoporosis assessment service and strict criteria to identify which patients should be referred to such a service will not necessarily increase catchment rate for osteoporosis patients. A nurse physically present in the clinic provided the best result, and supports the need of investing in an osteoporosis and fracture liaison nurse.
Charalambous
C P
CP
Department of Trauma and Orthopaedics, Hope Hospital, University of Manchester, Salford, UK.
Mosey
C
C
Johnstone
E
E
Akimau
P
P
Gullett
T K
TK
Siddique
I
I
Wilkes
R A
RA
D000368:Aged; D005598:Fractures, Spontaneous / Q000209:etiology* / Q000451:nursing; D006801:Humans; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications / Q000175:diagnosis* / Q000451:nursing; D010353:Patient Education as Topic / Q000379:methods; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D013041:Specialties, Nursing / Q000458:organization & administration; D006113:United Kingdom