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Osteoporosis Audit

Osteoporosis Audit. Vikki Odell – SHO Bowling Hall Medical Centre. Osteoporosis. ‘progressive, systemic skeletal disorder characterised by low bone mass and micro-architectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture’ NICE 2006.

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Osteoporosis Audit

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  1. Osteoporosis Audit Vikki Odell – SHO Bowling Hall Medical Centre

  2. Osteoporosis • ‘progressive, systemic skeletal disorder characterised by low bone mass and micro-architectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture’ NICE 2006

  3. Osteoporosis

  4. Osteoporosis Epidemiology • Prevalence increases with age • 20% 75-85 year olds • 33% Caucasian women >70 yrs will suffer at least 1 vertebral fracture • Men also susceptible – increased risk from 80’s

  5. Diagnosis • Bone density as measured by dual energy x-ray absorptiometry (DEXA) is more than 2.5 SD below the young adult mean • Normal -1SD • Osteopenia -1-2.5SD • Osteoporosis <-2.5 • Severe established osteoporosis <-2.5SD with 1 or more fracture

  6. Prevention • PRIMARY (diagnosed with osteoporosis with no fractures) – bisphosphonates & vitamin D • SECONDARY (diagnosed with osteoporosis with fractures) – bisphosphonates & vitamin D

  7. Audit • Identify patients with confirmed osteoporosis • Identify those at risk of osteoporosis (Risk criteria codes) • Identify those on treatment and which ones (bisphophonates / HRT) • Generate a list of patients to contact and offer treatment / prophylaxis

  8. Methods • SystemOne search of whole practice population – 6,000 • Groups searched by diagnosis, drug treatment, at risk criteria and record of fractures and DEXA scan

  9. Results • Diagnosed with osteoporosis – 48, 28 patients were on treatment • 141 patients were at risk of osteoporosis – only 1 patient on treatment • 7 patients with osteoporosis and 9 patients at risk offered treatment • 5 patients offered DEXA scanning

  10. Summary • Very time consuming • Had to look at each patient’s record individually to see suitability • May prevent fractures, time in secondary care and possibly death

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