Eiken P A
Ortopaedkirurgisk afdeling, Hillerød Sygehus.
Ugeskr Laeger. 1996 Oct 7;158(41):5790-3.
Questionnaires were sent to all departments of orthopaedic surgery in Denmark and all departments of general surgery that treat patients with fractures in order to examine: A) whether patients with osteoporosis are identified, B) whether such patients are treated for osteoporosis, and C) whether doctors need more information about osteoporosis. Fifty-six departments (97%) returned the questionnaires. Eighty-eight percent of the departments do not refer the patients with low-energy fractures to bone mineral densitometry. Only 18% of the departments make further evaluations of patients with possible osteoporosis. Eleven percent of the departments treat patients with a low-energy fracture for osteoporosis. The medication used was typically vitamin tablets combined with calcium. One department used oestrogens and none used bisphosphonates. About half of the departments advised the patients about changes in their lifestyle, and half of the departments wanted more information about osteoporosis. In conclusion, few Danish departments with orthopaedic surgery functions evaluate and treat the cause of the fractures.
调查问卷被发送至丹麦所有的骨外科部门以及所有治疗骨折患者的普通外科部门，以调查：A）骨质疏松患者是否被识别出来；B）此类患者是否接受骨质疏松治疗；C）医生是否需要更多关于骨质疏松的信息。56个部门（97%）回复了问卷。88%的部门不会将低能量骨折患者转诊至骨密度测定。只有18%的部门会对可能患有骨质疏松的患者进行进一步评估。11%的部门会对低能量骨折患者进行骨质疏松治疗。所使用的药物通常是维生素片加钙。有一个部门使用雌激素，没有部门使用双膦酸盐。大约一半的部门会就生活方式的改变向患者提供建议，并且一半的部门希望获得更多关于骨质疏松的信息。总之，丹麦很少有具备骨外科功能的部门对骨折病因进行评估和治疗。
