Characteristics of patients with fragility hip fractures in the northern Kyushu district in Japan: a multicenter prospective registry based on an electronic data capture system

Akiko Oyamada, Yoshihiro Matsumoto, Yoshifumi Wakata, Atsushi Kimura, Ko Ikuta, Kuniyoshi Tsuchiya, Naohisa Tayama, Shinji Tomari, Hisaaki Miyahara, Takao Mae, Hirokazu Shiraishi, Taichi Saito, Takeshi Arizono, Kozo Kaji, Taro Mawatari, Masami Fujiwara, Riku Sakimura, Kunichika Shin, Kenichi Ninomiya, Kazutoshi NakaieYasuaki Antoku, Shoji Tokunaga, Naoki Nakashima, Yukihide Iwamoto, Yasuharu Nakashima

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Abstract

Osteoporosis has become a worldwide public health problem, in part due to the fact that it increases the risk of fragility hip fractures (FHFs). The epidemiological assessment of FHFs is critical for their prevention; however, datasets for FHFs in Japan remain scarce. This was a multicenter, prospective, observational study in the northern district of Kyushu Island. Inclusion criteria were age > 60 years with a diagnosis of FHF and acquisition of clinical data by an electronic data capture system. Of 1294 registered patients, 1146 enrolled in the study. Nearly one third of patients (31.8%) had a history of previous fragility fractures. The percentage of patients receiving osteoporosis treatment on admission was 21.5%. Almost all patients underwent surgical treatment (99.1%), though fewer than 30% had surgery within 48 h after hospitalization. Bone mineral density (BMD) was evaluated during hospitalization in only 50.4% of patients. The rate of osteoporosis treatment increased from 21.5% on admission to 39.3% during hospitalization. The main reasons that prescribers did not administer osteoporosis treatment during hospitalization were forgetfulness (28.4%) and clinical judgment (13.6%). Age and female ratio were significantly higher in patients with previous FHFs than in those without. There was a significant difference in the rate of osteoporosis treatment or L-spine BMD values in patients with or without previous FHFs on admission. In conclusion, this study confirmed that the evaluation and treatment of osteoporosis and FHFs is still suboptimal in Japan, even in urban districts.

Original languageEnglish
JournalJournal of Bone and Mineral Metabolism
DOIs
Publication statusE-pub ahead of print - Oct 12 2017

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Hip Fractures
Information Systems
Registries
Japan
Osteoporosis
Hospitalization
Bone Density
Therapeutics
Islands
Observational Studies
Spine
Public Health
Prospective Studies

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Characteristics of patients with fragility hip fractures in the northern Kyushu district in Japan : a multicenter prospective registry based on an electronic data capture system. / Oyamada, Akiko; Matsumoto, Yoshihiro; Wakata, Yoshifumi; Kimura, Atsushi; Ikuta, Ko; Tsuchiya, Kuniyoshi; Tayama, Naohisa; Tomari, Shinji; Miyahara, Hisaaki; Mae, Takao; Shiraishi, Hirokazu; Saito, Taichi; Arizono, Takeshi; Kaji, Kozo; Mawatari, Taro; Fujiwara, Masami; Sakimura, Riku; Shin, Kunichika; Ninomiya, Kenichi; Nakaie, Kazutoshi; Antoku, Yasuaki; Tokunaga, Shoji; Nakashima, Naoki; Iwamoto, Yukihide; Nakashima, Yasuharu.

In: Journal of Bone and Mineral Metabolism, 12.10.2017.

Research output: Contribution to journalArticle

Oyamada, A, Matsumoto, Y, Wakata, Y, Kimura, A, Ikuta, K, Tsuchiya, K, Tayama, N, Tomari, S, Miyahara, H, Mae, T, Shiraishi, H, Saito, T, Arizono, T, Kaji, K, Mawatari, T, Fujiwara, M, Sakimura, R, Shin, K, Ninomiya, K, Nakaie, K, Antoku, Y, Tokunaga, S, Nakashima, N, Iwamoto, Y & Nakashima, Y 2017, 'Characteristics of patients with fragility hip fractures in the northern Kyushu district in Japan: a multicenter prospective registry based on an electronic data capture system', Journal of Bone and Mineral Metabolism. https://doi.org/10.1007/s00774-017-0869-9
Oyamada, Akiko ; Matsumoto, Yoshihiro ; Wakata, Yoshifumi ; Kimura, Atsushi ; Ikuta, Ko ; Tsuchiya, Kuniyoshi ; Tayama, Naohisa ; Tomari, Shinji ; Miyahara, Hisaaki ; Mae, Takao ; Shiraishi, Hirokazu ; Saito, Taichi ; Arizono, Takeshi ; Kaji, Kozo ; Mawatari, Taro ; Fujiwara, Masami ; Sakimura, Riku ; Shin, Kunichika ; Ninomiya, Kenichi ; Nakaie, Kazutoshi ; Antoku, Yasuaki ; Tokunaga, Shoji ; Nakashima, Naoki ; Iwamoto, Yukihide ; Nakashima, Yasuharu. / Characteristics of patients with fragility hip fractures in the northern Kyushu district in Japan : a multicenter prospective registry based on an electronic data capture system. In: Journal of Bone and Mineral Metabolism. 2017.
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abstract = "Osteoporosis has become a worldwide public health problem, in part due to the fact that it increases the risk of fragility hip fractures (FHFs). The epidemiological assessment of FHFs is critical for their prevention; however, datasets for FHFs in Japan remain scarce. This was a multicenter, prospective, observational study in the northern district of Kyushu Island. Inclusion criteria were age > 60 years with a diagnosis of FHF and acquisition of clinical data by an electronic data capture system. Of 1294 registered patients, 1146 enrolled in the study. Nearly one third of patients (31.8{\%}) had a history of previous fragility fractures. The percentage of patients receiving osteoporosis treatment on admission was 21.5{\%}. Almost all patients underwent surgical treatment (99.1{\%}), though fewer than 30{\%} had surgery within 48 h after hospitalization. Bone mineral density (BMD) was evaluated during hospitalization in only 50.4{\%} of patients. The rate of osteoporosis treatment increased from 21.5{\%} on admission to 39.3{\%} during hospitalization. The main reasons that prescribers did not administer osteoporosis treatment during hospitalization were forgetfulness (28.4{\%}) and clinical judgment (13.6{\%}). Age and female ratio were significantly higher in patients with previous FHFs than in those without. There was a significant difference in the rate of osteoporosis treatment or L-spine BMD values in patients with or without previous FHFs on admission. In conclusion, this study confirmed that the evaluation and treatment of osteoporosis and FHFs is still suboptimal in Japan, even in urban districts.",
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T2 - a multicenter prospective registry based on an electronic data capture system

AU - Oyamada, Akiko

AU - Matsumoto, Yoshihiro

AU - Wakata, Yoshifumi

AU - Kimura, Atsushi

AU - Ikuta, Ko

AU - Tsuchiya, Kuniyoshi

AU - Tayama, Naohisa

AU - Tomari, Shinji

AU - Miyahara, Hisaaki

AU - Mae, Takao

AU - Shiraishi, Hirokazu

AU - Saito, Taichi

AU - Arizono, Takeshi

AU - Kaji, Kozo

AU - Mawatari, Taro

AU - Fujiwara, Masami

AU - Sakimura, Riku

AU - Shin, Kunichika

AU - Ninomiya, Kenichi

AU - Nakaie, Kazutoshi

AU - Antoku, Yasuaki

AU - Tokunaga, Shoji

AU - Nakashima, Naoki

AU - Iwamoto, Yukihide

AU - Nakashima, Yasuharu

PY - 2017/10/12

Y1 - 2017/10/12

N2 - Osteoporosis has become a worldwide public health problem, in part due to the fact that it increases the risk of fragility hip fractures (FHFs). The epidemiological assessment of FHFs is critical for their prevention; however, datasets for FHFs in Japan remain scarce. This was a multicenter, prospective, observational study in the northern district of Kyushu Island. Inclusion criteria were age > 60 years with a diagnosis of FHF and acquisition of clinical data by an electronic data capture system. Of 1294 registered patients, 1146 enrolled in the study. Nearly one third of patients (31.8%) had a history of previous fragility fractures. The percentage of patients receiving osteoporosis treatment on admission was 21.5%. Almost all patients underwent surgical treatment (99.1%), though fewer than 30% had surgery within 48 h after hospitalization. Bone mineral density (BMD) was evaluated during hospitalization in only 50.4% of patients. The rate of osteoporosis treatment increased from 21.5% on admission to 39.3% during hospitalization. The main reasons that prescribers did not administer osteoporosis treatment during hospitalization were forgetfulness (28.4%) and clinical judgment (13.6%). Age and female ratio were significantly higher in patients with previous FHFs than in those without. There was a significant difference in the rate of osteoporosis treatment or L-spine BMD values in patients with or without previous FHFs on admission. In conclusion, this study confirmed that the evaluation and treatment of osteoporosis and FHFs is still suboptimal in Japan, even in urban districts.

AB - Osteoporosis has become a worldwide public health problem, in part due to the fact that it increases the risk of fragility hip fractures (FHFs). The epidemiological assessment of FHFs is critical for their prevention; however, datasets for FHFs in Japan remain scarce. This was a multicenter, prospective, observational study in the northern district of Kyushu Island. Inclusion criteria were age > 60 years with a diagnosis of FHF and acquisition of clinical data by an electronic data capture system. Of 1294 registered patients, 1146 enrolled in the study. Nearly one third of patients (31.8%) had a history of previous fragility fractures. The percentage of patients receiving osteoporosis treatment on admission was 21.5%. Almost all patients underwent surgical treatment (99.1%), though fewer than 30% had surgery within 48 h after hospitalization. Bone mineral density (BMD) was evaluated during hospitalization in only 50.4% of patients. The rate of osteoporosis treatment increased from 21.5% on admission to 39.3% during hospitalization. The main reasons that prescribers did not administer osteoporosis treatment during hospitalization were forgetfulness (28.4%) and clinical judgment (13.6%). Age and female ratio were significantly higher in patients with previous FHFs than in those without. There was a significant difference in the rate of osteoporosis treatment or L-spine BMD values in patients with or without previous FHFs on admission. In conclusion, this study confirmed that the evaluation and treatment of osteoporosis and FHFs is still suboptimal in Japan, even in urban districts.

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JO - Journal of Bone and Mineral Metabolism

JF - Journal of Bone and Mineral Metabolism

SN - 0914-8779

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