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Fracture prevention service to bridge the osteoporosis care gap

Overview of attention for article published in Clinical Interventions in Aging, January 2015
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  • Average Attention Score compared to outputs of the same age and source

Mentioned by

twitter
2 tweeters

Citations

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26 Dimensions

Readers on

mendeley
77 Mendeley
Title
Fracture prevention service to bridge the osteoporosis care gap
Published in
Clinical Interventions in Aging, January 2015
DOI 10.2147/cia.s76695
Pubmed ID
Authors

Marta Baroni, Carmelinda Ruggiero, Patrizia Mecocci, Sara Ercolani, Rocco Serra, Gregorio Baglioni, Auro Caraffa, Giuliana Duranti, Giuseppe Rinonapoli, Maria Luisa Brandi, Francesco Conti, Elisa Zengarini, Elena Zampi

Abstract

A care gap exists between the health care needs of older persons with fragility fractures and the therapeutic answers they receive. The Fracture Prevention Service (FPS), a tailored in-hospital model of care, may effectively bridge the osteoporosis care gap for hip-fractured older persons. The purpose of this study was to evaluate the efficacy of the FPS in targeting persons at high risk of future fracture and to improve their adherence to treatment. This was a prospective observational study conducted in a teaching hospital with traumatology and geriatric units, and had a pre-intervention and post-intervention phase. The records of 172 participants were evaluated in the pre-intervention phase, while data from 210 participants were gathered in the post-intervention phase. All participants underwent telephone follow-up at 12 months after hospital discharge. The participants were patients aged ≥65 years admitted to the orthopedic acute ward who underwent surgical repair of a proximal femoral fracture. A multidisciplinary integrated model of care was established. Dedicated pathways were implemented in clinical practice to optimize the identification of high-risk persons, improve their evaluation through bone mineral density testing and blood examinations, and initiate an appropriate treatment for secondary prevention of falls and fragility fractures. Compared with the pre-intervention phase, more hip-fractured persons received bone mineral density testing (47.62% versus 14.53%, P<0.0001), specific pharmacological treatments (48.51% versus 17.16%, P<0.0001), and an appointment for evaluation at a fall and fracture clinic (52.48% versus 2.37%, P<0.0001) in the post-intervention phase. Independent of some confounders, implementation of the FPS was positively associated with recommendations for secondary fracture prevention at discharge (P<0.0001) and with 1-year adherence to pharmacological treatment (P<0.0001). The FPS is an effective multidisciplinary integrated model of care to optimize identification of older persons at highest risk for fragility fracture, to improve their clinical management, and to increase adherence to prescriptions.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 77 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 77 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 13 17%
Researcher 12 16%
Student > Master 11 14%
Student > Postgraduate 6 8%
Student > Ph. D. Student 6 8%
Other 19 25%
Unknown 10 13%
Readers by discipline Count As %
Medicine and Dentistry 43 56%
Nursing and Health Professions 9 12%
Psychology 4 5%
Social Sciences 3 4%
Chemistry 2 3%
Other 3 4%
Unknown 13 17%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 June 2015.
All research outputs
#12,596,600
of 19,118,428 outputs
Outputs from Clinical Interventions in Aging
#1,047
of 1,688 outputs
Outputs of similar age
#135,808
of 241,800 outputs
Outputs of similar age from Clinical Interventions in Aging
#31
of 58 outputs
Altmetric has tracked 19,118,428 research outputs across all sources so far. This one is in the 23rd percentile – i.e., 23% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,688 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one is in the 29th percentile – i.e., 29% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 241,800 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.