回顾性服务评估患者的意识和参与，以及药物依从性和依从性，在当地骨折联络服务中，机会性地发现椎体脆性骨折的患者。

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography Pub Date : 2025-01-01 DOI:10.1016/j.radi.2024.12.019

R. James , R. Meertens

{"title":"回顾性服务评估患者的意识和参与，以及药物依从性和依从性，在当地骨折联络服务中，机会性地发现椎体脆性骨折的患者。","authors":"R. James , R. Meertens","doi":"10.1016/j.radi.2024.12.019","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Fracture liaison services (FLS), often staffed by radiographers, identify and treat patients over the age of 50 at high risk of future fractures by intervening after the first fracture. Vertebral fragility fractures (VFF) are particularly disabling and are highly predictive of future fracture but are underdiagnosed as they often do not come to clinical attention. To review the behaviour traits of patient with opportunistically identified VFF's (OIVFF), local FLS data can be used to compare outcomes of OIVFF's with acute VFF's (AVFF) and non-hip/spine fragility fractures (NHSFF).</div></div><div><h3>Methods</h3><div>A retrospective service evaluation was completed using local FLS data from 1/1/22–31/12/22. A total of 1403 patients’ data was included. Data was grouped by fracture cohort to evaluate patient engagement, fracture awareness, medication compliance and adherence.</div></div><div><h3>Results</h3><div>The OIVFF cohort had the highest proportion of men at 32.4 %. There was little difference in engagement rates between cohorts but fracture awareness was low in the OIVFF cohort. Non-compliance to medication was highest in the NHSFF cohort. The OIVFF cohort had the highest number of patients no longer appropriate for treatment after 12 months (11.29 %). Medication adherence at 12 months was similar across cohorts.</div></div><div><h3>Conclusion</h3><div>Patients with OIVFF's do not appear to behave differently to other symptomatic fracture types within the FLS pathway in terms of engagement, compliance or adherence.</div></div><div><h3>Implications for practice</h3><div>Awareness of fracture was low for VFF's and future improvement of the patient diagnosis communication pathway is recommended. Further research into the increased number of men with OIVFF is recommended to ensure the pathway is efficient and to review potential barriers to diagnosis. Results suggest continued exploration of improving opportunistic identification of vertebral fractures is justified.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 1","pages":"Pages 406-414"},"PeriodicalIF":2.5000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A retrospective service evaluation of patient awareness and engagement, and medication compliance and adherence, in patients with opportunistically identified vertebral fragility fractures in a local fracture liaison service\",\"authors\":\"R. James , R. Meertens\",\"doi\":\"10.1016/j.radi.2024.12.019\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Fracture liaison services (FLS), often staffed by radiographers, identify and treat patients over the age of 50 at high risk of future fractures by intervening after the first fracture. Vertebral fragility fractures (VFF) are particularly disabling and are highly predictive of future fracture but are underdiagnosed as they often do not come to clinical attention. To review the behaviour traits of patient with opportunistically identified VFF's (OIVFF), local FLS data can be used to compare outcomes of OIVFF's with acute VFF's (AVFF) and non-hip/spine fragility fractures (NHSFF).</div></div><div><h3>Methods</h3><div>A retrospective service evaluation was completed using local FLS data from 1/1/22–31/12/22. A total of 1403 patients’ data was included. Data was grouped by fracture cohort to evaluate patient engagement, fracture awareness, medication compliance and adherence.</div></div><div><h3>Results</h3><div>The OIVFF cohort had the highest proportion of men at 32.4 %. There was little difference in engagement rates between cohorts but fracture awareness was low in the OIVFF cohort. Non-compliance to medication was highest in the NHSFF cohort. The OIVFF cohort had the highest number of patients no longer appropriate for treatment after 12 months (11.29 %). Medication adherence at 12 months was similar across cohorts.</div></div><div><h3>Conclusion</h3><div>Patients with OIVFF's do not appear to behave differently to other symptomatic fracture types within the FLS pathway in terms of engagement, compliance or adherence.</div></div><div><h3>Implications for practice</h3><div>Awareness of fracture was low for VFF's and future improvement of the patient diagnosis communication pathway is recommended. Further research into the increased number of men with OIVFF is recommended to ensure the pathway is efficient and to review potential barriers to diagnosis. Results suggest continued exploration of improving opportunistic identification of vertebral fractures is justified.</div></div>\",\"PeriodicalId\":47416,\"journal\":{\"name\":\"Radiography\",\"volume\":\"31 1\",\"pages\":\"Pages 406-414\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Radiography\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1078817424003808\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiography","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1078817424003808","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}

引用次数: 0

摘要

简介：骨折联络服务（FLS）通常由放射技师组成，通过首次骨折后的干预来识别和治疗50岁以上的未来骨折高风险患者。椎体脆性骨折（VFF）特别致残，并且高度预测未来的骨折，但由于通常不引起临床注意，因此未得到充分诊断。为了回顾机会性识别VFF （OIVFF）患者的行为特征，局部FLS数据可用于比较OIVFF与急性VFF （AVFF）和非髋关节/脊柱脆性骨折（NHSFF）的结果。方法：利用22年1月1日至31日当地FLS数据进行回顾性服务评价。共纳入1403例患者资料。数据按骨折队列分组，以评估患者参与、骨折意识、药物依从性和依从性。结果：OIVFF队列中男性的比例最高，为32.4%。队列之间的介入率差异不大，但OIVFF队列的骨折意识较低。不遵医嘱在NHSFF队列中最高。OIVFF队列在12个月后不再适合治疗的患者人数最多（11.29%）。12个月的药物依从性在各队列中相似。结论：OIVFF患者在接合、依从性或依从性方面与其他FLS通路内的症状性骨折类型没有表现出不同。实践意义：VFF患者对骨折的认知度较低，建议未来改进患者诊断沟通途径。建议进一步研究OIVFF男性患者数量的增加，以确保该途径的有效性，并审查诊断的潜在障碍。结果表明，继续探索改善椎体骨折的机会识别是合理的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A retrospective service evaluation of patient awareness and engagement, and medication compliance and adherence, in patients with opportunistically identified vertebral fragility fractures in a local fracture liaison service

Introduction

Fracture liaison services (FLS), often staffed by radiographers, identify and treat patients over the age of 50 at high risk of future fractures by intervening after the first fracture. Vertebral fragility fractures (VFF) are particularly disabling and are highly predictive of future fracture but are underdiagnosed as they often do not come to clinical attention. To review the behaviour traits of patient with opportunistically identified VFF's (OIVFF), local FLS data can be used to compare outcomes of OIVFF's with acute VFF's (AVFF) and non-hip/spine fragility fractures (NHSFF).

Methods

A retrospective service evaluation was completed using local FLS data from 1/1/22–31/12/22. A total of 1403 patients’ data was included. Data was grouped by fracture cohort to evaluate patient engagement, fracture awareness, medication compliance and adherence.

Results

The OIVFF cohort had the highest proportion of men at 32.4 %. There was little difference in engagement rates between cohorts but fracture awareness was low in the OIVFF cohort. Non-compliance to medication was highest in the NHSFF cohort. The OIVFF cohort had the highest number of patients no longer appropriate for treatment after 12 months (11.29 %). Medication adherence at 12 months was similar across cohorts.

Conclusion

Patients with OIVFF's do not appear to behave differently to other symptomatic fracture types within the FLS pathway in terms of engagement, compliance or adherence.

Implications for practice

Awareness of fracture was low for VFF's and future improvement of the patient diagnosis communication pathway is recommended. Further research into the increased number of men with OIVFF is recommended to ensure the pathway is efficient and to review potential barriers to diagnosis. Results suggest continued exploration of improving opportunistic identification of vertebral fractures is justified.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Radiography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.70

自引率

34.60%

发文量

169

审稿时长

63 days

期刊介绍： Radiography is an International, English language, peer-reviewed journal of diagnostic imaging and radiation therapy. Radiography is the official professional journal of the College of Radiographers and is published quarterly. Radiography aims to publish the highest quality material, both clinical and scientific, on all aspects of diagnostic imaging and radiation therapy and oncology.