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Management of osteoporosis following a low-impact fracture at Alfred Health
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
2016 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Introduction: Osteoporosis is a substantial health problem that is increasing in prevalence due to the increasingly ageing population. Despite the existence of evidence based treatment recommendations, osteoporosis is still underdiagnosed and undertreated both within Australia and around the world.

Aim: The study aims to assess whether patients with low impact fractures at Alfred Health are being managed according to evidence based clinical recommendations.

Methodology: The study was a retrospective review of randomly selected patients over 65 years of age who were admitted to The Alfred Hospital for longer than 48 hours, during 2015 with a low impact fracture. Relevant information about the patient’s medical history and in-patient management was collected from Powerchart and iPharmacy.

Results: Out of 600 screened patients, 251 patients were included; 69 % (172 patients) were women and 31 % (79 patients) were men. Over a quarter of all the patients (26.7%) received vitamin D- and/or calcium supplementation as their only pharmacological management. Twenty two percent were left discharged with no osteoporosis management. The proportion of patients who were commenced on anti-resorptive treatment was 13,7 %, and the majority of them (89.9%) received it at Caulfield sub-acute hospital during rehabilitation.

Conclusion: This study is consistent with other studies within Australia and around the world, which have found that osteoporosis is under-treated and under-diagnosed.  The study highlights the need for a systematic approach to the implantation of strategies to ensure the underlying reason for low impact fracture is investigated so that therapeutically proven medications to reduce the risk of subsequent fracture are commenced. 

Place, publisher, year, edition, pages
2016.
Keywords [en]
Osteoporisis under-treated under-diagnosed low impact fracture
National Category
Social and Clinical Pharmacy
Identifiers
URN: urn:nbn:se:uu:diva-315792OAI: oai:DiVA.org:uu-315792DiVA, id: diva2:1075923
External cooperation
Alfred Health, Melbourne
Subject / course
Pharmacotherapy
Educational program
Master of Science Programme in Pharmacy
Supervisors
Examiners
Available from: 2017-08-09 Created: 2017-02-21 Last updated: 2018-01-13Bibliographically approved

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CiteExportLink to record
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Citation style
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