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Type and Title of Submission


Title:

Secondary prevention of osteoporosis in fracture clinic

Description:

Auditing Referral rates for treatment and investigation of osteoporosis in fracture clinic following introduction of new proforma

Category:

Clinical

Does the submission relate to the general implementation of all NICE guidance?

No

Does the submission relate to the implementation of a specific piece of NICE guidance?

Yes

Full title of NICE guidance:

TA161 - Osteoporosis - secondary prevention including strontium ranelate

Category(s) that most closely reflects the nature of the submission:

Audit tool

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

To increase investigation and treatment rates of osteoporosis following suspected osteoporotic fractures. Specifically for patients seen in fracture clinic.

Objectives

1. To audit implementation of NICE guidance for treatment and investigation of osteoporosis following dissemination of guidance through T&O SPR and consultants alongside pro forma to simplify referral for investigation or treatment 2. To encourage implementation through Departmental audit meeting.

Context

Poor rates of osteoporosis secondary prevention ( near zero ) in Morriston Hospital fracture clinic. New Pro forma developed to simplify referral for treatment or investigation. Uptake rates audited for 2 month period following implementation.

Methods

1. 36 referrals made for an estimated 179 osteoporotic fractures. approximately 20%. 2. although still poor pick up rate this has improved from previous rates and compares favourably with other studies

Results and evaluation

All X rays of patients over 50 years of age viewed for attendances over 2 month period All fractures with radiographic evidence of osteoporosis based on bone appearance and fracture type, e.g distal radius or vertebral wedge fractures counted. Further work needed to evaluate clinic notes for mechanism of injury

Key learning points

although referral and treatment rates have improved we are still well short of target ( e.g 100% ). further improvements may include tagging notes for people over 50 years of age with reminders along with increasing awareness of referral policy

View the supporting material

Contact Details

Name:Timothy Dye
Job Title:ST3
Organisation:Department of trauma and orthopaedics
Address:Morriston Hospital, Heol maes eglwys
Town:Morriston
County:Swansea
Postcode:SA6 6NL
Phone:01792 703460
Email:timedye@msn.com

 

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This page was last updated: 28 September 2009

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.