Får inneliggande patienter på ortopedavdelningen på Hudiksvalls sjukhus en osteoporosbedömning och/eller behandling efter en osteoporosrelaterad fraktur?
Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Do hospitalized patients at Hudiksvall hospital – orthopedic department get an osteoporosis evaluation and / or treatment after an osteoporosis related fracture?
Master’s thesis in clinical pharmacy, Uppsala University 2015
Supervisor: Mari Norrman Clinical pharmacists at Region Gävleborg
Examiner: Elisabet Nielsen
Department of pharmaceutical biosciences, division of pharmacokinetics and drug therapy faculty of pharmacy, Uppsala University ___________________________________________________________________________
Background and objectives:
Fractures are a major health problem that causes distress for the patient and increases mortality. Patients with osteoporotic fractures are often undertreated and lack measures to prevent future fractures.
The main objective of this study is to identify the percentage of hospitalized patients at orthopedic department that are getting an osteoporosis evaluation and / or treatment within six-months after a fragility fracture. The secondary objective is to determine the percentage of patients with high risk of osteoporosis-related fractures that don’t have osteoporosis prevention treatment.
Study Design: Retrospective study. Patients included are 65+ and were treated in inpatient care with fractures of hip, knee, thoracic and lumbar spine, pelvis, wrist and forearm. Fractures included are those that occur spontaneously or because of fragility fractures. Medical records were examined after discharge from the orthopedic department. They were followed up six months after care period by examining their medical records in primary care to investigate if they had received an osteoporosis evaluation. Future fracture risk was calculated using FRAX model.
Setting: The study was conducted at Hudiksvall hospital – orthopedic department.
Main outcome measures: FRAX tool is used to calculate the risk of osteoporotic fractures. A value of 15% or higher means that the patient has high risk of future fractures
Results: 83% of the patients lacked an osteoporosis treatment. Only 11% of those received an osteoporosis evaluation or treatment within six months after the fragility fracture. Orthopedic clinic recommended osteoporosis evaluation in 20% of the patients who had received treatment after care period through referrals to primary care. Osteoporosis treatment was for these patients started in less than two months after the referrals. The majority (80%) of those that lacked treatment had high risk of new fractures.
Conclusion: Results show that there is low percentage of patients receiving an osteoporosis evaluation or treatment during the six-months following a fragility fracture care period at Hudiksvall hospital – orthopedic department. The study also shows that 80% of patients who lack osteoporosis prevention are at high risk of future fractures. The orthopedic clinic has an active role in the treatment of osteoporosis, especially if osteoporosis evaluation was initiated there.
Place, publisher, year, edition, pages
2015. , 13 p.
Osteoporos, lågenergifraktur, Osteoporosrelaterad fraktur, Ortopedavdelning, FRAX, Ortopedpatienter
IdentifiersURN: urn:nbn:se:uu:diva-271119OAI: oai:DiVA.org:uu-271119DiVA: diva2:891189
Subject / course
Master Programme in Clinical Pharmacy
Norrman, Mari, Klinisk Apotekare
Nielsen, Elisabet, PhD