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Front Endocrinol (Lausanne). 2023 Apr 18;14:1137671. doi: 10.3389/fendo.2023.1137671. eCollection 2023.

本文引用的文献

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Challenges in implementing and maintaining osteoporosis therapy.实施和维持骨质疏松症治疗的挑战。
Int J Womens Health. 2014 Aug 13;6:759-69. doi: 10.2147/IJWH.S53489. eCollection 2014.
2
A review of denosumab for the treatment of osteoporosis.地诺单抗治疗骨质疏松症的综述。
Patient Prefer Adherence. 2014 Apr 8;8:463-71. doi: 10.2147/PPA.S46192. eCollection 2014.
3
Osteoporosis - a current view of pharmacological prevention and treatment.骨质疏松症——药物预防与治疗的现状
Drug Des Devel Ther. 2013 May 31;7:435-48. doi: 10.2147/DDDT.S31504. Print 2013.
4
The osteoclast, bone remodelling and treatment of metabolic bone disease.破骨细胞、骨重建与代谢性骨病的治疗。
Eur J Clin Invest. 2012 Dec;42(12):1332-41. doi: 10.1111/j.1365-2362.2012.02717.x. Epub 2012 Sep 23.
5
Are hospitalized patients with fragile fractures managed properly in relation to underlying osteoporosis?住院的脆性骨折患者在治疗骨质疏松症方面是否得到了妥善的管理？
J Clin Rheumatol. 2012 Apr;18(3):122-4. doi: 10.1097/RHU.0b013e31824ee8af.
6
Closing the gap in postfracture care at the population level: a randomized controlled trial.在人群层面上缩小骨折后护理差距：一项随机对照试验。
CMAJ. 2012 Feb 21;184(3):290-6. doi: 10.1503/cmaj.111158. Epub 2011 Dec 19.
7
Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women.加拿大绝经后妇女外周骨折的直接医疗费用。
Osteoporos Int. 2012 Jun;23(6):1757-68. doi: 10.1007/s00198-011-1785-9. Epub 2011 Sep 17.
8
Impact of a centralized osteoporosis coordinator on post-fracture osteoporosis management: a cluster randomized trial.集中式骨质疏松症协调员对骨折后骨质疏松症管理的影响：一项集群随机试验。
Osteoporos Int. 2012 Jan;23(1):87-95. doi: 10.1007/s00198-011-1726-7. Epub 2011 Jul 16.
9
A team approach: implementing a model of care for preventing osteoporosis related fractures.团队合作方法：实施预防骨质疏松性骨折的护理模式。
Osteoporos Int. 2011 Aug;22(8):2321-8. doi: 10.1007/s00198-010-1466-0. Epub 2010 Nov 3.
10
A systematic review of the effectiveness of interventions to improve post-fracture investigation and management of patients at risk of osteoporosis.一项系统评价干预措施改善骨折后骨质疏松风险患者调查和管理的效果。
Implement Sci. 2010 Oct 22;5:80. doi: 10.1186/1748-5908-5-80.

构建强健骨骼：骨质疏松性骨折二级预防临床路径的评估

Building for better bones: evaluation of a clinical pathway in the secondary prevention of osteoporotic fractures.

作者信息

Sofie Saey, Yves Piette, Barbara Verstraete, Margareta Lambert, Raf Van Hoeyweghen, Bruno Vandekerckhove, Marc Haspeslagh, Veerle Grootaert

机构信息

Department of Pharmacy, AZ Sint Jan Brugge-Oostende AV, Bruges, Belgium.

Department of Rheumatology, AZ Sint Jan Brugge-Oostende AV, Bruges, Belgium.

出版信息

Eur J Hosp Pharm. 2018 Jul;25(4):210-213. doi: 10.1136/ejhpharm-2016-000906. Epub 2016 Sep 6.

DOI:10.1136/ejhpharm-2016-000906
PMID:31157022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6452386/
Abstract

OBJECTIVE

Osteoporosis is a common disease that is underdiagnosed and undertreated. A multidisciplinary intervention may improve the identification and treatment of osteoporosis and may consequently prevent secondary fractures.

METHOD

Retrospective, single-centre study comparing attitude to screening and treatment of patients admitted to the orthopaedic unit of the general hospital AZ Sint-Jan Brugge-Oostende AV (Belgium) before and after the implementation of a clinical pathway.

RESULTS

A total of 172 patients (86 before and 86 after) were included in this study. The implementation of the pathway resulted in an increase in bone mineral density tests performed, an increment in the number of referrals to a specialist in the field of osteoporosis, and an increase in prevention and treatment of osteoporosis.

CONCLUSION

The implementation of a clinical pathway coordinated and evaluated by a clinical pharmacist improved the identification, referral and treatment of osteoporosis in patients hospitalised due to low-impact fractures.

摘要

目的

骨质疏松症是一种常见疾病，存在诊断不足和治疗不足的情况。多学科干预可能会改善骨质疏松症的识别和治疗，从而预防继发性骨折。

方法

一项回顾性单中心研究，比较了比利时AZ Sint-Jan Brugge-Oostende AV综合医院骨科病房实施临床路径前后患者对筛查和治疗的态度。

结果

本研究共纳入172例患者（实施前86例，实施后86例）。该路径的实施导致骨密度检测次数增加、转介至骨质疏松症领域专家的人数增加以及骨质疏松症的预防和治疗增加。

结论

由临床药师协调和评估的临床路径的实施改善了因低能量骨折住院患者骨质疏松症的识别、转介和治疗。