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 language | English |
|---|---|
| Journal | Journal of Bone and Mineral Metabolism |
| DOIs | |
| Publication status | E-pub ahead of print - Oct 12 2017 |
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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 journal › Article
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TY - JOUR
T1 - Characteristics of patients with fragility hip fractures in the northern Kyushu district in Japan
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.
U2 - 10.1007/s00774-017-0869-9
DO - 10.1007/s00774-017-0869-9
M3 - Article
C2 - 29027045
JO - Journal of Bone and Mineral Metabolism
JF - Journal of Bone and Mineral Metabolism
SN - 0914-8779
ER -