Assessing Appropriateness of Osteoporosis Prophylaxis and Management in Elderly Patients with Intertrochanteric Fractures: A Retrospective Study
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Abstract
Introduction: Osteoporosis is a prevalent health issue among the elderly, significantly increasing fracture risk and affecting quality of life. Intertrochanteric fractures, common in individuals aged 50 and above, often indicate underlying osteoporosis. Despite international guidelines advocating comprehensive osteoporosis evaluation and management in these patients, adherence varies. This study evaluates the adherence to osteoporosis management practices in elderly patients with intertrochanteric fractures at our institute
Materials and Methods: A retrospective study was conducted on the last 50 patients aged 50 years and above admitted to the Department of Orthopedics, , with intertrochanteric fractures. The study assessed whether these patients received appropriate osteoporosis prophylaxis and management according to established guidelines, which include blood tests for vitamin D, calcium, and phosphorus levels, and the use of anti-resorptive and osteoinductive therapies.
Results: Out of 50 patients, only 12 (24%) received osteoporosis prophylaxis. The study revealed a significant gap in adherence to osteoporosis care standards, with no pre-existing institutional Standard Operating Procedure (SOP) for guiding the evaluation and management of osteoporosis in these patients. This lack of standardized protocols contributes to inconsistent application of best practices.
Conclusion: The study highlights considerable gaps in the evaluation and management of osteoporosis among elderly patients with intertrochanteric fractures. To enhance adherence to care standards, it is crucial to develop and implement institutional SOPs based on international guidelines, increase healthcare provider training, improve patient counseling, and ensure regular follow-up care. Addressing these gaps can reduce the incidence of fragility fractures, improve patient outcomes, and optimize healthcare resources.