Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association

期刊论文
发表日期：

2024年4月2日

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Joon Kiong Lee,
Paul James Mitchell,
Seng Bin Ang,
Leilani Basa Mercado-Asis,
Reynaldo Rey-Matias,
Jianan Li,
Leon Flicker,
Edward Leung,
David Choon,
Sankara Kumar Chandrasekaran,
Jacqueline Clare Therese Close,
Hannah Seymour,
Cyrus Cooper,
Philippe Halbout,
Robert Daniel Blank,
Yanling Zhao,
Rajesh Malhotra,
Aasis Unnanuntana,
Yew Lok Woo,
Zairin Noor,
Rong-Sen Yang,
Irewin Tabu,
Syed Shahidul Islam,
Muhammad Amin Chinoy,
Sonali Pande,
Buland Thapa,
Ronald Man Yeung Wong,
Ketan Pande,
Ding-Cheng (Derrick) Chan

摘要

Summary

A survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association conducted in 2022 found considerable variation in care across the region. A Call to Action is proposed to improve acute care, rehabilitation and secondary fracture prevention across Asia Pacific.

Purpose

Fragility fractures impose a substantial burden on older people and their families, healthcare systems and national economies. The current incidence of hip and other fragility fractures across the Asia Pacific region is enormous and set to escalate rapidly in the coming decades. This publication describes findings of a survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association (APOA) conducted in 2022.

Methods

The survey was developed as a collaboration between the Asia Pacific Osteoporosis and Fragility Fracture Society and the Asia Pacific Fragility Fracture Alliance, and included questions relating to aspects of care upon presentation, during surgery and mobilisation, secondary fracture prevention, and access to specific services.

Results

In total, 521 APOA members completed the survey and marked variation in delivery of care was evident. Notable findings included:

Fifty-nine percent of respondents indicated that analgesia was routinely initiated in transit (by paramedics) or within 30 minutes of arrival in the Emergency Department.

One-quarter of respondents stated that more than 80% of their patients underwent surgery within 48 hours of admission.

One-third of respondents considered non-hip, non-vertebral fractures to merit assessment of future fracture risk.

One-third of respondents reported the presence of an Orthogeriatric Service in their hospital, and less than a quarter reported the presence of a Fracture Liaison Service.

Conclusion

A Call to Action for all National Orthopaedic Associations affiliated with APOA is proposed to improve the care of fragility fracture patients across the region.