Paper Search Console

Home Search Page Alphabetical List About Contact

Journal Title

Title of Journal: Osteoporos Int

Search In Journal Title:

Abbravation: Osteoporosis International

Search In Journal Abbravation:

Publisher

Springer-Verlag

Search In Publisher:

ISSN

1433-2965

Search In ISSN:
Search In Title Of Papers:

Development of an electronic medical record based intervention to improve medical care of osteoporosis

Authors: B. J. Edwards, A. D. Bunta, J. Anderson, A. Bobb, A. Hahr, K. J. O’Leary, A. Agulnek, L. Andruszyn, K. A. Cameron, M. May, N. H. Kazmers, N. Dillon, D. W. Baker, M. V. Williams,

Publish Date: 2012/01/25
Volume: 23, Issue:10, Pages: 2489-2498
PDF Link

Abstract

Osteoporosis is infrequently addressed during hospitalization for osteoporotic fractures. An EMR-based intervention (osteoporosis order set) was developed with physician and patient input. There was a trend toward greater calcium supplementation from July 2008 to April 2009 (s = 0.058); however, use of antiresorptives (13%) or discharge instructions for BMD testing and osteoporosis treatment (10%) remained low.Physicians reported that barriers to care comprised nonacute nature of osteoporosis, belief that osteoporosis should be addressed by the PCP, low awareness of recurrent fractures, and radiographs with terms such as “compression deformity”, “wedge deformity”, or “vertebral height loss” which in their opinion were not clearly indicative of vertebral fractures. An EMR-based intervention was developed with physician and patient input. Over the evaluation period, 295 fracture cases in individuals over the age of 50 years in the medicine floors were analyzed. Mean age was 72 ± 11 years; 74% were female. Sites of fracture included hip n = 78 (27%), vertebral n = 87 (30%), lower extremity n = 61 (21%), upper extremity n = 43 (15%) and pelvis n = 26 (9%). There was no increase in documentation of osteoporosis in the medical record from pre- to post-EMR implementation (p = 0.89). There was a trend toward greater calcium supplementation from July 2008 to April 2009 (p = 0.058); however, use of antiresorptives (13%) or discharge instructions for BMD testing and osteoporosis treatment (10%) remained low.An electronic medical record intervention without electronic reminders created with physician input achieves an increase in calcium supplementation but fails to increase diagnosis or treatment for osteoporosis at the time of hospitalization for a fragility fracture.


Keywords:

References


.
Search In Abstract Of Papers:
Other Papers In This Journal:

  1. Development of an electronic medical record based intervention to improve medical care of osteoporosis
  2. Morbidity following lower extremity fractures in men with spinal cord injury
  3. DXA-based hip structural analysis of once-weekly bisphosphonate-treated postmenopausal women with low bone mass
  4. Effects of 25-hydroxyvitamin D level and its change on parathyroid hormone in premenopausal Chinese women
  5. Thalassemia bone disease: the association between nephrolithiasis
  6. Evaluation of three risk assessment tools in discriminating fracture status among Chinese patients undergoing hemodialysis
  7. The association between serum osteocalcin levels and metabolic syndrome in Koreans
  8. Place of residence and risk of fracture in older people: a population-based study of over 65-year-olds in Cardiff
  9. Fracture risk and adjuvant hormonal therapy among a population-based cohort of older female breast cancer patients
  10. Cost-utility of long-term strontium ranelate treatment for postmenopausal osteoporotic women
  11. Effects of therapeutic exercise for persons with osteoporotic vertebral fractures: a systematic review
  12. Genetic analysis of serum osteocalcin and bone mineral in multigenerational Afro-Caribbean families
  13. Declining incidence of low-trauma knee fractures in elderly women: nationwide statistics in Finland between 1970 and 2006
  14. Changing health behaviors with social marketing
  15. Selective protein depletion impairs bone growth and causes liver fatty infiltration in female rats: prevention by Spirulina alga
  16. The vertebral fracture cascade in osteoporosis: a review of aetiopathogenesis
  17. Osteoporosis and venous thromboembolism: a retrospective cohort study in the UK General Practice Research Database
  18. One year outcomes and costs following a vertebral fracture
  19. Use of proton pump inhibitors is associated with fractures in young adults: a population-based study
  20. Classification of women with and without hip fracture based on quantitative computed tomography and finite element analysis
  21. Influence of age and sex steroids on bone density and geometry in middle-aged and elderly European men
  22. The relationship of vitamin D status to bone mineral density in an Italian population of postmenopausal women
  23. Age-related hyperkyphosis
  24. Economic burden of privately insured non-vertebral fracture patients with osteoporosis over a 2-year period in the US
  25. Vitamin D status in men with psoriatic arthritis: a case-control study
  26. Long-term treatment of osteoporotic women with bisphosphonates does not impair the response to subsequently administered intravenous pamidronate
  27. Combining clinical factors and quantitative ultrasound improves the detection of women both at low and high risk for hip fracture

Search Result:



Help video to use 'Paper Search Console'