Patients undergoing surgical treatment for low-energy distal radius fractures are more likely to receive a referral and participate in a fracture liaison service program,Archives of Osteoporosis

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Patients undergoing surgical treatment for low-energy distal radius fractures are more likely to receive a referral and participate in a fracture liaison service program
Archives of Osteoporosis ( IF 3.1 ) Pub Date : 2022-07-19 , DOI: 10.1007/s11657-022-01122-9
Natalie Vaughn ₁ , Matthew Akelman ₁ , Natalie Marenghi ₁ , Anne F Lake ₁ , Benjamin R Graves ₁

Affiliation

Introduction

Patients often do not receive osteoporosis screening after a low-energy distal radius fracture (DRF). The effect of osteoporosis on the healing of DRFs remains a debate, and it is unclear if surgical treatment of this injury affects the referral and participation rates in a fracture liaison service (FLS) program. The purpose of this study is to report on a large cohort of low-energy DRFs and identify demographic, clinical, and treatment factors that affect referral and participation rates in an FLS program.

Methods

A retrospective review identified patients over 50 years old who sustained a low-energy DRF between 2013 and 2018. Patients with high-energy or unknown injury mechanisms were excluded. The primary outcome was the effect of DRF surgical treatment on referral and participation rates in an FLS program. Secondary outcomes included patient demographic and clinical characteristic effects on referral and participation rates in an FLS program.

Results

In total, 950 patients met inclusion criteria. Two hundred thirty patients (24.2%) were referred and 149 (15.7%) participated in the FLS program. Patients who underwent surgery were more likely to be referred to the FLS (OR 1.893, CI 1.403–2.555, p < 0.001) and participate in the FLS program (OR 2.47, CI 1.723–3.542, p < 0.001) compared to patients who received non-operative treatment of their DRF.

Conclusions

Patients who undergo surgical treatment of a low-energy DRF are more likely to be referred and participate in a FLS program. Further study is needed to identify why surgical treatment may affect referral and participation rates.

中文翻译：

接受低能量桡骨远端骨折手术治疗的患者更有可能接受转诊并参与骨折联络服务计划

介绍

低能量桡骨远端骨折 (DRF) 后，患者通常不会接受骨质疏松症筛查。骨质疏松症对 DRF 愈合的影响仍然存在争议，目前尚不清楚这种损伤的手术治疗是否会影响骨折联络服务 (FLS) 计划的转诊率和参与率。本研究的目的是报告大量低能量 DRF，并确定影响 FLS 项目转诊率和参与率的人口统计学、临床和治疗因素。

方法

一项回顾性研究确定了 2013 年至 2018 年期间出现低能量 DRF 的 50 岁以上患者。排除了高能量或未知损伤机制的患者。主要结果是 DRF 手术治疗对 FLS 项目转诊率和参与率的影响。次要结果包括患者人口统计学和临床特征对 FLS 项目转诊率和参与率的影响。

结果

总共有 950 名患者符合纳入标准。230 名患者 (24.2%) 被转诊，149 名 (15.7%) 参加了 FLS 计划。与接受手术的患者相比，接受手术的患者更有可能被转诊至 FLS（OR 1.893，CI 1.403–2.555，p < 0.001）并参与 FLS 计划（OR 2.47，CI 1.723–3.542，p < 0.001）对他们的 DRF 进行非手术治疗。