Department of Orthopedics and Research School CAPHRI, Maastricht University Medical Center+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Department of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands.
Arch Osteoporos. 2024 Oct 23;19(1):101. doi: 10.1007/s11657-024-01454-8.
This nationwide multidisciplinary survey found dissatisfaction among physicians with current osteoporotic vertebral compression fracture care, revealing significant disparities in diagnosis, treatment, and follow-up practices. Issues include poor communication and differing guidelines. Improving interdisciplinary collaboration and standardized care strategies is essential for better patient outcomes.
This survey aims to assess current preferred care practices for symptomatic osteoporotic vertebral compression fractures (OVCF) in the Netherlands, focusing on guideline adherence, identifying knowledge gaps, and clarifying consensus and collaboration across medical disciplines in OVCF treatment.
This cross-sectional study was conducted via Qualtrics (Provo, UT) using a self-administered online survey distributed to 238 general practitioners and physicians in orthopedics, traumatology, internal medicine, rheumatology, and geriatrics working at 51 hospitals in the Netherlands. The survey, conducted in Dutch, included 36 multiple-choice and two open questions and was accessible via an anonymous email link or QR code. General practitioners received additional questions specific to their role. Data was anonymized, stored securely, and analyzed using descriptive statistics in Microsoft Excel and SPSS (Version 24). Open-ended responses were coded and categorized. The survey was conducted prior to the publication of the updated Federation of Medical Specialists guidelines in 2024.
Physicians across various disciplines uniformly expressed dissatisfaction with current OVCF care. The survey highlighted significant disparities in diagnosis, treatment, and follow-up practices. A lack of communication between primary and secondary care providers and differing guidelines further complicate OVCF management. These issues point to considerable variation in clinical practice and gaps in interdisciplinary collaboration.
Addressing the identified issues requires fostering interdisciplinary collaboration and creating cohesive care strategies. Ensuring access to diagnostic resources in both primary and secondary care and establishing coordinated care models promises more structured and standardized treatment. These steps are crucial for enhancing patient outcomes in OVCF management.
本研究旨在评估荷兰目前对有症状的骨质疏松性椎体压缩性骨折（OVCF）的首选治疗方法，重点关注指南的依从性，发现知识空白，并明确各医学学科在 OVCF 治疗方面的共识和协作。
本横断面研究采用在线问卷调查方式，通过 Qualtrics（犹他州普罗沃）向荷兰 51 家医院的 238 名普通科医生和骨科、创伤科、内科、风湿病科和老年病科的医师发放问卷。问卷以荷兰语进行，包括 36 个多项选择题和 2 个开放性问题，可通过匿名电子邮件链接或 QR 码访问。普通科医生收到了针对其角色的附加问题。数据经过匿名处理，安全存储，并在 Microsoft Excel 和 SPSS（版本 24）中使用描述性统计进行分析。开放性问题的回答进行了编码和分类。该调查是在 2024 年更新的医学专家联合会指南发布之前进行的。
各学科的医生普遍对目前的 OVCF 治疗不满意。该调查突出了诊断、治疗和随访实践方面的显著差异。初级保健和二级保健提供者之间缺乏沟通以及指南的差异进一步使 OVCF 的管理复杂化。这些问题表明临床实践存在相当大的差异，并且缺乏跨学科合作。
为了解决已确定的问题，需要促进跨学科合作，并制定有凝聚力的治疗策略。确保初级和二级保健中都能获得诊断资源，并建立协调的护理模式，有望实现更结构化和标准化的治疗。这些步骤对于改善 OVCF 管理中的患者结局至关重要。
