希腊医疗环境中首个骨折联络服务的评估。
Evaluation of the first fracture liaison service in the Greek healthcare setting.
作者信息
Makras Polyzois, Panagoulia Maria, Mari Andriana, Rizou Stavroula, Lyritis George P
机构信息
Department of Endocrinology and Diabetes, 251 Hellenic Air Force General Hospital, 3 Kanellopoulou st, 115 25, Athens, Greece.
Nursing Sector, 251 Hellenic Air Force General Hospital, Athens, Greece.
出版信息
Arch Osteoporos. 2017 Dec;12(1):3. doi: 10.1007/s11657-016-0299-7. Epub 2016 Dec 21.
UNLABELLED
We evaluated the first implementation of FLS in the Greek healthcare setting, at the 251 Hellenic Air Force and VA General Hospital of Athens. Participation rate was moderate (54.5%) and needs improvement; osteoporosis medication was either suggested or reviewed in 74 out of the 116 patients recruited.
PURPOSE
The purpose of this study was to evaluate the first implementation of a fracture liaison service (FLS) in Greece, at the 251 Hellenic Air Force and VA General Hospital, Athens.
METHODS
Single-center, prospective study from May 1, 2013 to April 30, 2015 (first year-second year follow-up) was conducted. Patients of both genders aged 40-90 years old, with a history of a low trauma fracture and willing to participate, were included after identification by an FLS nurse. Following recruitment, osteoporosis risk factors were assessed, FRAX score was calculated for treatment-naïve patients, bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA), and osteoporosis treatment was suggested where applicable. The rate of participation, the indication of osteoporosis treatment, and the difficulties met were evaluated.
RESULTS
Of the eligible 213 patients, 97 (45.5%) were reluctant to participate for personal reasons. From the 116 initially recruited patients (mean age 74.8 ± 12 years), 77 (66.4%) discontinued their participation at some point for various reasons and 39 patients concluded the study. All 116 patients were assessed for osteoporosis risk factors and given a tailor-made exercise and education program, while FRAX score was assessed in all treatment-naïve patients (74 patients, 63.8%). Osteoporosis medication was suggested or reviewed in 74 patients; however, an adherence rate of 100% is only available for the 24 who concluded the study.
CONCLUSIONS
We report the first implementation of FLS in the Greek healthcare setting. The participation rate is moderate and definitely needs improvement.
未标注
我们评估了骨折联络服务（FLS）在希腊医疗环境中的首次实施情况，地点是雅典的第251希腊空军和退伍军人总医院。参与率中等（54.5%），需要改进；在招募的116名患者中，有74名患者的骨质疏松症药物治疗得到了建议或评估。
目的
本研究的目的是评估骨折联络服务（FLS）在希腊雅典第251希腊空军和退伍军人总医院的首次实施情况。
方法
进行了一项单中心前瞻性研究，时间从2013年5月1日至2015年4月30日（第一年至第二年随访）。年龄在40 - 90岁之间、有低创伤骨折史且愿意参与的男女患者，经FLS护士识别后纳入研究。招募后，评估骨质疏松症风险因素，为未接受过治疗的患者计算FRAX评分，通过双能X线吸收法（DXA）测量骨密度，并在适用时建议进行骨质疏松症治疗。评估了参与率、骨质疏松症治疗指征以及遇到的困难。
结果
在符合条件的213名患者中，97名（45.5%）因个人原因不愿参与。在最初招募的116名患者（平均年龄74.8 ± 12岁）中，77名（66.4%）因各种原因在某个阶段停止参与，39名患者完成了研究。对所有116名患者评估了骨质疏松症风险因素，并给予了量身定制的运动和教育计划，同时对所有未接受过治疗的患者（74名患者，63.8%）评估了FRAX评分。74名患者的骨质疏松症药物治疗得到了建议或评估；然而，只有完成研究的24名患者的依从率为100%。
结论
我们报告了骨折联络服务（FLS）在希腊医疗环境中的首次实施情况。参与率中等，肯定需要改进。
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