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- W2024982489 abstract "Osteoporosis has been described as a progressive skeletal disorder until a patient experiences a fragility fracture. The number of patients with osteoporotic fractures is increasing at an exponential rate. Orthopaedic surgeons, most of the time, first clinician seen by patients at the time of fracture, do not routinely consider osteoporosis management. Therefore, we compared the knowledge of orthopaedic surgeons and internists regarding medical treatment required: which group would have more abilities to keep patients with osteoporotic fractures under management. We hypothesize that internists may have more abilities to assess and treat osteoporosis for patients with osteoporotic fractures; therefore referring these patients to this specialized team for post-fracture medical consultation is required. A questionnaire composed of seven closed questions was administered to 4700 orthopaedic surgeons and internists. This question list addressed the orthopaedic surgeons’ and internists’ knowledge in managing patients with osteoporotic fractures. The questions were designed in a way to cover the topics of diagnosis, treatment, and approach to an osteoporotic patient with osteoporotic fractures. In this survey, 3431 respondents were included. Only 118 (fewer than 10%) orthopaedic surgeons would order bone mineral densitometry (BMD) in osteoporotic fractures in contrast to 1544 (79%) internists. Approximately 1485 (76%) internists against 487 (33%) orthopaedic surgeons prescribe proper dosage of calcium and vitamin D. Typical orthopaedic surgeon is not naturally inclined to manage patients with steoporotic fractures. The existing management gap between the occurrence of an osteoporotic fracture and the identification and treatment of osteoporosis requires multi-faceted intervention. Improved communication between orthopaedic surgeons and internists may reduce this gap between fracture occurrence and osteoporosis management. Level III prospective diagnostic study." @default.
- W2024982489 created "2016-06-24" @default.
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- W2024982489 date "2013-10-01" @default.
- W2024982489 modified "2023-10-14" @default.
- W2024982489 title "Prise en charge des fractures ostéoporotiques : qui devrait en être responsable ? Une étude comparative du niveau de connaissance entre médecins internistes et chirurgiens orthopédistes" @default.
- W2024982489 doi "https://doi.org/10.1016/j.rcot.2013.03.051" @default.
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