Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Archives of Osteoporosis Pub Date : 2024-04-02 DOI:10.1007/s11657-024-01375-6

Joon Kiong Lee, Paul James Mitchell, Seng Bin Ang, Leilani Basa Mercado-Asis, Reynaldo Rey-Matias, Jianan Li, Leon Flicker, Edward Leung, David Choon, Sankara Kumar Chandrasekaran, Jacqueline Clare Therese Close, Hannah Seymour, Cyrus Cooper, Philippe Halbout, Robert Daniel Blank, Yanling Zhao, Rajesh Malhotra, Aasis Unnanuntana, Yew Lok Woo, Zairin Noor, Rong-Sen Yang, Irewin Tabu, Syed Shahidul Islam, Muhammad Amin Chinoy, Sonali Pande, Buland Thapa, Ronald Man Yeung Wong, Ketan Pande, Ding-Cheng (Derrick) Chan

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引用次数: 0

Abstract

Summary

A survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association conducted in 2022 found considerable variation in care across the region. A Call to Action is proposed to improve acute care, rehabilitation and secondary fracture prevention across Asia Pacific.

Purpose

Fragility fractures impose a substantial burden on older people and their families, healthcare systems and national economies. The current incidence of hip and other fragility fractures across the Asia Pacific region is enormous and set to escalate rapidly in the coming decades. This publication describes findings of a survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association (APOA) conducted in 2022.

Methods

The survey was developed as a collaboration between the Asia Pacific Osteoporosis and Fragility Fracture Society and the Asia Pacific Fragility Fracture Alliance, and included questions relating to aspects of care upon presentation, during surgery and mobilisation, secondary fracture prevention, and access to specific services.

Results

In total, 521 APOA members completed the survey and marked variation in delivery of care was evident. Notable findings included:

Fifty-nine percent of respondents indicated that analgesia was routinely initiated in transit (by paramedics) or within 30 minutes of arrival in the Emergency Department.
One-quarter of respondents stated that more than 80% of their patients underwent surgery within 48 hours of admission.
One-third of respondents considered non-hip, non-vertebral fractures to merit assessment of future fracture risk.
One-third of respondents reported the presence of an Orthogeriatric Service in their hospital, and less than a quarter reported the presence of a Fracture Liaison Service.

Conclusion

A Call to Action for all National Orthopaedic Associations affiliated with APOA is proposed to improve the care of fragility fracture patients across the region.

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亚太矫形外科协会会员对脆性骨折管理的认识和态度调查

摘要 2022 年对亚太骨科协会会员进行了一项关于对脆性骨折管理的认识和态度的调查，发现该地区的护理工作存在很大差异。为改善整个亚太地区的急症护理、康复和二次骨折预防，提出了一项行动呼吁。目的脆性骨折给老年人及其家庭、医疗保健系统和国民经济造成了沉重负担。目前，亚太地区髋部骨折和其他脆性骨折的发病率非常高，而且在未来几十年内还将迅速上升。该调查由亚太骨质疏松症和脆性骨折协会与亚太脆性骨折联盟合作开展，内容包括发病时、手术和活动期间的护理、二次骨折预防以及获得特定服务的途径等方面。值得注意的发现包括：59%的受访者表示，在转运途中（由医护人员进行）或到达急诊科后的30分钟内就开始了常规镇痛。三分之一的受访者称其所在医院设有老年骨科服务，不到四分之一的受访者称其所在医院设有骨折联络服务。结论：为改善整个地区对脆性骨折患者的护理，我们向所有隶属于APOA的国家骨科协会发出行动呼吁。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Osteoporosis ENDOCRINOLOGY & METABOLISMORTHOPEDICS -ORTHOPEDICS

CiteScore

5.50

自引率

10.00%

发文量

133

期刊介绍： Archives of Osteoporosis is an international multidisciplinary journal which is a joint initiative of the International Osteoporosis Foundation and the National Osteoporosis Foundation of the USA. The journal will highlight the specificities of different regions around the world concerning epidemiology, reference values for bone density and bone metabolism, as well as clinical aspects of osteoporosis and other bone diseases.