ARE TRAUMATOLOGISTS TREATING OSTEOPOROSIS TO PREVENT NEW FRACTURES IN BRAZIL?

To determine the proportion of traumatologists who investigate osteoporosis in elderly patients with fractures and recommend secondary prevention of osteoporotic fractures. We distributed questionnaires to 244 physicians attending the 2015 Brazilian Congress of Orthopedic Trauma. We determined the r...

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Published inActa ortopedica brasileira Vol. 26; no. 6; pp. 384 - 387
Main Authors Zamboni, Caio, Carvalho, Marina Sousa, Pires, Eduardo Araujo, Durigan, Jorge Rafael, Fucs, Patrícia Maria de Moraes Barros, Mercadante, Marcelo Tomanik
Format Journal Article
LanguageEnglish
Published Brazil ATHA EDITORA 01.12.2018
Sociedade Brasileira de Ortopedia e Traumatologia
Subjects
Original
ORTHOPEDICS
Osteoporosis
Osteoporotic Fracture
Secondary Prevention
Surveys and Questionnaires
Osteoporosis
Surveys and Questionnaires
Secondary Prevention
Osteoporotic Fracture
Fraturas por Osteoporose
Prevenção Secundária
Osteoporose
Inquéritos e questionários
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Summary:To determine the proportion of traumatologists who investigate osteoporosis in elderly patients with fractures and recommend secondary prevention of osteoporotic fractures. We distributed questionnaires to 244 physicians attending the 2015 Brazilian Congress of Orthopedic Trauma. We determined the respondents' profiles and assessed how they investigated and treated osteoporosis in elderly patients with fractures. Overall, 32% of the respondents reported that their knowledge level regarding osteoporosis ranged from 0-5 (out of 0-10). In total, 42% of the participants reported that they usually requested DXA for elderly patients with fractures and less than 30% reported prescribing supplemental calcium and/or vitamin D. We considered physicians conducting a complete treatment for the patient as those who in addition to requesting DXA prescribed supplemental calcium, vitamin D, and specific medications for their elderly patients, and recommended non-pharmacological measures. Only 0.8% of the participants fulfilled all these criteria. In addition, 47% of the traumatologists reported that they did not treat osteoporosis directly but instead, referred osteoporotic patients to a qualified physician. Less than 50% of the surveyed traumatologists investigated and performed secondary prevention against osteoporotic fractures after treating an elderly patient with a fracture.
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AUTHORS’ CONTRIBUTIONS: Each individual author contributed individually and significantly to the development of this work. CZ (0000-0001-9256-4150)*: Responsible researcher. Elaborated the study and performed the analysis of the datas; MSC (0000-0002-4036-6205)*: Responsible for the application of questionnaires, tabulation and wrote the results; EAP (0000-0001-6008-8671)*: Responsible for the application of questionnaires, tabulation and wrote the results; JRD (0000-0003-2805-2948)*: Collaborated with data analysis and discussion; PMMBF (0000-0001-7081-987X)*: drafted and reviewed the article, analyzed the data analysis and contributed to the intellectual concept of the study; MTM (0000-0002-3140-7562)*:analyzed the data analysis and contributed to the intellectual concept of the study and wrote the article. *ORCID (Open Researcher and Contributor ID).
All authors declare no potential conflict of interest related to this article.
ISSN:1413-7852
1809-4406
1809-4406
DOI:10.1590/1413-785220182606202125