Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association.
Journal
Archives of osteoporosis
Journal Volume
19
Journal Issue
1
ISSN
1862-3514
Date Issued
2024-04-02
Author(s)
Lee, Joon Kiong
Mitchell, Paul James
Ang, Seng Bin
Mercado-Asis, Leilani Basa
Rey-Matias, Reynaldo
Li, Jianan
Flicker, Leon
Leung, Edward
Choon, David
Chandrasekaran, Sankara Kumar
Close, Jacqueline Clare Therese
Seymour, Hannah
Cooper, Cyrus
Halbout, Philippe
Blank, Robert Daniel
Zhao, Yanling
Malhotra, Rajesh
Unnanuntana, Aasis
Woo, Yew Lok
Noor, Zairin
Tabu, Irewin
Islam, Syed Shahidul
Chinoy, Muhammad Amin
Pande, Sonali
Thapa, Buland
Wong, Ronald Man Yeung
Pande, Ketan
Abstract
Summary : A survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association conducted in 2022 found considerable variation in care across the region. A Call to Action is proposed to improve acute care, rehabilitation and secondary fracture prevention across Asia Pacific. Purpose: Fragility fractures impose a substantial burden on older people and their families, healthcare systems and national economies. The current incidence of hip and other fragility fractures across the Asia Pacific region is enormous and set to escalate rapidly in the coming decades. This publication describes findings of a survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association (APOA) conducted in 2022. Methods: The survey was developed as a collaboration between the Asia Pacific Osteoporosis and Fragility Fracture Society and the Asia Pacific Fragility Fracture Alliance, and included questions relating to aspects of care upon presentation, during surgery and mobilisation, secondary fracture prevention, and access to specific services. Results: In total, 521 APOA members completed the survey and marked variation in delivery of care was evident. Notable findings included: Fifty-nine percent of respondents indicated that analgesia was routinely initiated in transit (by paramedics) or within 30 minutes of arrival in the Emergency Department. One-quarter of respondents stated that more than 80% of their patients underwent surgery within 48 hours of admission. One-third of respondents considered non-hip, non-vertebral fractures to merit assessment of future fracture risk. One-third of respondents reported the presence of an Orthogeriatric Service in their hospital, and less than a quarter reported the presence of a Fracture Liaison Service. Conclusion: A Call to Action for all National Orthopaedic Associations affiliated with APOA is proposed to improve the care of fragility fracture patients across the region.
Subjects
Fracture liaison service
Fragility fracture
Orthogeriatrics
Osteoporosis
Systematic approach
Type
journal article