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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 112 - 116 (5page)
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초록· 키워드
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Objective: Following an osteoporotic fracture, pharmacological treatment is recommended to increase bone mineral density and prevent future fractures. However, the rate of starting treatment after an osteoporotic hip fracture remains low. The objective of this study was to survey the treatment rate following a low-trauma hip fracture at a tertiary private hospital in Malaysia over a period of 5 years. Methods: The computerised hospital discharge records were searched using the terms “hip,” “femur,” “femoral,” “trochanteric,” “fracture,” or “total hip replacement” for all patients over the age of 50, admitted between 2010 and 2014. The medical charts were obtained and manually searched for demographic data and treatment information. Hip operations done for nonelow-trauma-related fracture and arthritis were excluded. Results: Three hundred seventy patients over the age of 50 years were admitted with a hip fracture, of which 258 (69.7%) were low trauma, presumed osteoporotic, hip fractures. The median age was 79.0 years (interquartile range [IQR], 12.0). Following a hip fracture, 36.8% (95 of 258) of the patients received treatment, but out of these, 24.2% (23 of 95) were on calcium/vitamin D only. The median duration of treatment was 1 month (IQR, 2.5). In 2010, 56.7% of the patients received treatment, significantly more than subsequent years 2011e2014, where approximately only 30% received treatment. Conclusions: Following a low-trauma hip fracture, approximately 72% of patients were not started on active antiosteoporosis therapy. Of those who were, the median duration of treatment was 1 month. This represents a missed opportunity for the prevention of future fractures.
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참고문헌 (30)
참고문헌 신청
2001 / NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy / JAMA 285:785~795
Foster KW. / Hip fractures in adults
Klotzbuecher CM / 2000 / Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis / J Bone Miner Res 15:721~739
Watts NB / 2010 / American association of clinical endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of postmenopausal osteoporosis / Endocr Pract 16(Suppl 3):1~37
Yeap SS / 2013 / The Malaysian Clinical Guidance on the management of postmenopausal osteoporosis, 2012:a summary / Int J Rheum Dis 16:30~40
Foster KW. / Hip fractures in adults
Klotzbuecher CM / 2000 / Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis / J Bone Miner Res 15:721~739
Watts NB / 2010 / American association of clinical endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of postmenopausal osteoporosis / Endocr Pract 16(Suppl 3):1~37
Yeap SS / 2013 / The Malaysian Clinical Guidance on the management of postmenopausal osteoporosis, 2012:a summary / Int J Rheum Dis 16:30~40
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