Shared learning database
Type and Title of Submission
Secondary prevention of osteoporosis in fracture clinicDescription:
Auditing Referral rates for treatment and investigation of osteoporosis in fracture clinic following introduction of new proformaCategory:
ClinicalDoes the submission relate to the general implementation of all NICE guidance?
NoDoes the submission relate to the implementation of a specific piece of NICE guidance?
YesFull title of NICE guidance:
TA161 - Osteoporosis - secondary prevention including strontium ranelateCategory(s) that most closely reflects the nature of the submission:
Description of submission
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 studiesResults 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 injuryKey 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
|Organisation:||Department of trauma and orthopaedics|
|Address:||Morriston Hospital, Heol maes eglwys|
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This page was last updated: 28 September 2009