Does a fracture liaison service program minimize recurrent fragility fractures in the elderly with osteoporotic vertebral compression fractures? - 17/02/19
, Avery Jackson b, Caramarie Brock b, Stefanija Galovska b, Jennifer R. McCullough c, Jacob A. Burgess cAbstract |
Background |
There is a sizable proportion of elderly, both men and women, with fragility fractures, approximately 2 million fractures per year in the United States.
Methods |
A retrospective chart review of 365 patient presented between January 2012 and December 2017 with vertebral compression fractures. Pre-post study design to determine refracture between Group A (before Fracture Liaison Service (FLS)) and Group B, after. Calcium, Vitamin D, DEXA scans, FRAX scores, and refracture rates were measured.
Results |
Mean age for group A and B were 79.0 and 74.9 years, respectively, and predominantly females. Serum calcium was higher in group B (9.51 mg/d/L versus 9.40 mg/dL) but not significant (p = 0.19). Fracture score among the groups was similar (20% versus 22%; p = 0.44). The total refracture rate for both vertebral and other fracture was significantly less in the post FLS patients, 36.5% versus 56% p-value = 0.01.
Conclusion |
FLS program benefited patients with fragility fractures by decreasing the incidence of all refracture rates.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Reduce the reoccurrence of fragility fractures in patients with osteoporotic vertebral fractures using a Fracture Liaison Service program. |
• | The FLS program encourages patient's follow-up to identify and treat factors contributing to higher refracture rates. |
• | Following vertebral augmentation of osteoporotic patients, the FLS program is used to reduce the refracture rate. |
Keywords : Osteoporosis, Fragility fractures, Fracture liaison service
Mappa
Vol 217 - N° 3
P. 557-560 - marzo 2019 Ritorno al numero
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