지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Background: Alarm services in the Order Communication System improve awareness for related physicians including orthopaedic surgeons, internal medicine doctors, and other relevent doctors. This prospective observational multicenter study was to compare the diagnostic and treatment rates of osteoporosis between an alarm service group and a no alarm service group. Methods: From January 2017 to december 2017, The subjects included patients aged 50 years or older with hip fractures from 16 hospital-based multicenter cohorts. Among the 16 hospitals, 5 university hospitals established an alarm service for osteoporosis management (i.e., Alarm group) and 11 university hospitals did not set-up alarm services (i.e., Control group). The rate of dual energy X-ray absorptiometry (DXA) test and the initiation rate of antiosteoporosis medications between the 2 groups were compared at enrollment and at 6 months follow-up. Results: During the study period, 1,405 patients were enrolled. The DXA examination rate and initiation rate of osteoporosis treatment between the Alarm group and the Control group were 484 patients (89.8%) vs. 642 patients (74.1%) (P<0.001) and 355 patients (65.9%) versus 294 patients (33.9%) (P<0.001), respectively. At 6 months follow-up, the rate of anti-osteoporosis management between the 2 groups decreased (57.8% vs. 29.4%). Conclusions: This prospective multicenter study demonstrates that alarm services can improve awareness of physicians, and it resulted in a significantly higher rate of examination of DXA and initiation of anti-osteoporosis medication in the Alram group. Therefore, alarm service is a simple and effective tool to increase anti-osteoporosis management as part of the fractuure liaison service in South Korea.
목차
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참고문헌 (17)
참고문헌 신청
NIH Consensus Development Conference / 2001 / NIH consensus development panel on osteoporosis prevention, diagnosis, and therapy, March 7-29, 2000: highlights of the conference / South Med J 94:569~573
Choi YJ / 2012 / The prevalence of osteoporosis in Korean adults aged 50 years or older and the higher diagnosis rates in women who were beneficiaries of a national screening program: the Korea National Health and Nutrition Examination Survey 2008-2009 / J Bone Miner Res 27:1879~1886
Jung Y / 2019 / Gender differences in anti-osteoporosis drug treatment after osteoporotic fractures / J Bone Miner Metab 37:134~141
Lee YK / 2013 / Bisphosphonate use and subsequent hip fracture in South Korea / Osteoporos Int 24:2887~2892
Lee YK / 2013 / Incidence of second hip fracture and compliant use of bisphosphonate / Osteoporos Int 24:2099~2104
Choi YJ / 2012 / The prevalence of osteoporosis in Korean adults aged 50 years or older and the higher diagnosis rates in women who were beneficiaries of a national screening program: the Korea National Health and Nutrition Examination Survey 2008-2009 / J Bone Miner Res 27:1879~1886
Jung Y / 2019 / Gender differences in anti-osteoporosis drug treatment after osteoporotic fractures / J Bone Miner Metab 37:134~141
Lee YK / 2013 / Bisphosphonate use and subsequent hip fracture in South Korea / Osteoporos Int 24:2887~2892
Lee YK / 2013 / Incidence of second hip fracture and compliant use of bisphosphonate / Osteoporos Int 24:2099~2104
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