Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association
Issued Date
2024-12-01
Resource Type
ISSN
18623522
eISSN
18623514
Scopus ID
2-s2.0-85189323652
Journal Title
Archives of Osteoporosis
Volume
19
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Archives of Osteoporosis Vol.19 No.1 (2024)
Suggested Citation
Lee J.K., Mitchell P.J., Ang S.B., Mercado-Asis L.B., Rey-Matias R., Li J., Flicker L., Leung E., Choon D., Chandrasekaran S.K., Close J.C.T., Seymour H., Cooper C., Halbout P., Blank R.D., Zhao Y., Malhotra R., Unnanuntana A., Woo Y.L., Noor Z., Yang R.S., Tabu I., Islam S.S., Chinoy M.A., Pande S., Thapa B., Wong R.M.Y., Pande K., Chan D.C. Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association. Archives of Osteoporosis Vol.19 No.1 (2024). doi:10.1007/s11657-024-01375-6 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/97919
Title
Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association
Author(s)
Lee J.K.
Mitchell P.J.
Ang S.B.
Mercado-Asis L.B.
Rey-Matias R.
Li J.
Flicker L.
Leung E.
Choon D.
Chandrasekaran S.K.
Close J.C.T.
Seymour H.
Cooper C.
Halbout P.
Blank R.D.
Zhao Y.
Malhotra R.
Unnanuntana A.
Woo Y.L.
Noor Z.
Yang R.S.
Tabu I.
Islam S.S.
Chinoy M.A.
Pande S.
Thapa B.
Wong R.M.Y.
Pande K.
Chan D.C.
Mitchell P.J.
Ang S.B.
Mercado-Asis L.B.
Rey-Matias R.
Li J.
Flicker L.
Leung E.
Choon D.
Chandrasekaran S.K.
Close J.C.T.
Seymour H.
Cooper C.
Halbout P.
Blank R.D.
Zhao Y.
Malhotra R.
Unnanuntana A.
Woo Y.L.
Noor Z.
Yang R.S.
Tabu I.
Islam S.S.
Chinoy M.A.
Pande S.
Thapa B.
Wong R.M.Y.
Pande K.
Chan D.C.
Author's Affiliation
Siriraj Hospital
UWA Medical School
NIHR Southampton Biomedical Research Centre
Fiona Stanley Hospital
National Institutes of Health, University of the Philippines Manila
Jiangsu Province Hospital
International Osteoporosis Foundation, Switzerland
Indus Hospital & Health Network
National Taiwan University Hospital
Raja Isteri Pengiran Anak Saleha Hospital
Universiti Brunei Darussalam
Bir Hospital
University of the Philippines Manila
University of Santo Tomas, Manila
The University of Notre Dame Australia
Universiti Malaya
UNSW Sydney
University of Oxford
MRC Lifecourse Epidemiology Unit
Neuroscience Research Australia
Nanjing Medical University
Singapore General Hospital
KK Women's And Children's Hospital
Medical College of Wisconsin
All India Institute of Medical Sciences, New Delhi
Hong Kong Sanatorium and Hospital
Chinese University of Hong Kong
Garvan Institute of Medical Research
University of Oxford Medical Sciences Division
Fragility Fracture Network
Synthesis Medical NZ Limited
Asia-Oceanian Society of Physical and Rehabilitation Medicine
Virtual Network
Philippine Academy of Rehabilitation Medicine
Evercare Hospital
International Society for Clinical Densitometry
Territory Sportsmedicine
Ulin General Hospital
Asia Pacific Orthopaedic Association
Beacon Hospital
St. Luke’s Medical Center
Jerudong Park Medical Centre
The Obstetrics and Gynecology Department of Beijing Hospital
UWA Medical School
NIHR Southampton Biomedical Research Centre
Fiona Stanley Hospital
National Institutes of Health, University of the Philippines Manila
Jiangsu Province Hospital
International Osteoporosis Foundation, Switzerland
Indus Hospital & Health Network
National Taiwan University Hospital
Raja Isteri Pengiran Anak Saleha Hospital
Universiti Brunei Darussalam
Bir Hospital
University of the Philippines Manila
University of Santo Tomas, Manila
The University of Notre Dame Australia
Universiti Malaya
UNSW Sydney
University of Oxford
MRC Lifecourse Epidemiology Unit
Neuroscience Research Australia
Nanjing Medical University
Singapore General Hospital
KK Women's And Children's Hospital
Medical College of Wisconsin
All India Institute of Medical Sciences, New Delhi
Hong Kong Sanatorium and Hospital
Chinese University of Hong Kong
Garvan Institute of Medical Research
University of Oxford Medical Sciences Division
Fragility Fracture Network
Synthesis Medical NZ Limited
Asia-Oceanian Society of Physical and Rehabilitation Medicine
Virtual Network
Philippine Academy of Rehabilitation Medicine
Evercare Hospital
International Society for Clinical Densitometry
Territory Sportsmedicine
Ulin General Hospital
Asia Pacific Orthopaedic Association
Beacon Hospital
St. Luke’s Medical Center
Jerudong Park Medical Centre
The Obstetrics and Gynecology Department of Beijing Hospital
Corresponding Author(s)
Other Contributor(s)
Abstract
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.