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KMID : 1120320150010000032
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Osteoporosis and Sarcopenia
2015 Volume.1 No. 0 p.32 ~ p.32
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Bone Densitometry Service and the Post-fracture Care Gap in Hong Kong: How Bad is the Situation.
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Ho W.H.A.
Wong S.H.
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Abstract
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Introduction: Patients who sustain an osteoporotic fracture are at increased risk of sustaining further osteoporotic fracture. There are international guidelines to close this post-fracture care gap but not in Hong Kong. Older patients presenting with fractures should be offered assessment for osteoporosis by axial bone densitometry. We report the current situation and practice of using bone densitometry assessment after osteoporotic hip fracture.
Methods: We retrieved patients with new osteoporotic hip fractures age 65 or above with DXA performed within one year after fracture, admitted from 1st Jan 2012 to 30th June 2014 using Hospital Authority CDARS.
Results: 11397 osteoporotic hip fracture patients were included. Only 398 patients (3.49%) received DXA within one year after fracture. Among the group with DXA performed, 69% were from two Hospitals. The other 11 hospitals contribute the remaining 31%.
Discussion and conclusion: There is a huge post-fracture care gap in secondary prevention for osteoporotic hip fracture patient in Hong Kong. Majority of the patients in Hong Kong are neither diagnosed nor being tested for osteoporosis and remained untreated. The Government needs to allocate more resources to implement the best practices framework to those high risk post-hip fracture patients before they go on to break another bone. By reducing the number of subsequent osteoporotic fractures, the Government can get significant cost savings that can be utilized in other valuable healthcare program.
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