Disparities in management of symptomatic osteoporotic vertebral compression fractures: a nationwide multidisciplinary survey: a nationwide multidisciplinary survey
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| Titel: | Disparities in management of symptomatic osteoporotic vertebral compression fractures: a nationwide multidisciplinary survey: a nationwide multidisciplinary survey |
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| Autoren: | Weber, A., Vercoulen, T.F.G., Jacobs, E., Buizer, A. T., Bours, S. P.G., van den Bergh, J. P., Jeuken, R. M., van Kuijk, S. M.J., Evers, S. M.A.A., Willems, P. C. |
| Weitere Verfasser: | Orthopaedie Opleiding, Zorgeenheid Orthopaedie Medisch |
| Quelle: | Arch Osteoporos |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | Male, Osteoporosis treatment, Practice Patterns, Physicians'/statistics & numerical data, Spinal Fractures/therapy, Surveys and Questionnaires, Fractures, Compression, Compression/therapy, Humans, Orthopedics and Sports Medicine, OVCF management, Practice Patterns, Physicians', Healthcare Disparities, Survey, Netherlands, Healthcare Disparities/statistics & numerical data, Middle Aged, Guideline Adherence/statistics & numerical data, Osteoporotic Fractures/therapy, Cross-Sectional Studies, Osteoporosis, Spinal Fractures, Original Article, Female, Guideline Adherence, Dissatisfaction, Fractures, Osteoporotic vertebral compression fracture, Osteoporotic Fractures |
| Beschreibung: | Summary This nationwide multidisciplinary survey found dissatisfaction among physicians with current osteoporotic vertebral compression fracture care, revealing significant disparities in diagnosis, treatment, and follow-up practices. Issues include poor communication and differing guidelines. Improving interdisciplinary collaboration and standardized care strategies is essential for better patient outcomes. Purpose This survey aims to assess current preferred care practices for symptomatic osteoporotic vertebral compression fractures (OVCF) in the Netherlands, focusing on guideline adherence, identifying knowledge gaps, and clarifying consensus and collaboration across medical disciplines in OVCF treatment. Methods This cross-sectional study was conducted via Qualtrics (Provo, UT) using a self-administered online survey distributed to 238 general practitioners and physicians in orthopedics, traumatology, internal medicine, rheumatology, and geriatrics working at 51 hospitals in the Netherlands. The survey, conducted in Dutch, included 36 multiple-choice and two open questions and was accessible via an anonymous email link or QR code. General practitioners received additional questions specific to their role. Data was anonymized, stored securely, and analyzed using descriptive statistics in Microsoft Excel and SPSS (Version 24). Open-ended responses were coded and categorized. The survey was conducted prior to the publication of the updated Federation of Medical Specialists guidelines in 2024. Results Physicians across various disciplines uniformly expressed dissatisfaction with current OVCF care. The survey highlighted significant disparities in diagnosis, treatment, and follow-up practices. A lack of communication between primary and secondary care providers and differing guidelines further complicate OVCF management. These issues point to considerable variation in clinical practice and gaps in interdisciplinary collaboration. Conclusion Addressing the identified issues requires fostering interdisciplinary collaboration and creating cohesive care strategies. Ensuring access to diagnostic resources in both primary and secondary care and establishing coordinated care models promises more structured and standardized treatment. These steps are crucial for enhancing patient outcomes in OVCF management. |
| Publikationsart: | Article Other literature type |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 1862-3514 |
| DOI: | 10.1007/s11657-024-01454-8 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/39441383 https://cris.maastrichtuniversity.nl/en/publications/0bf65e64-e0af-482b-9090-7f2e7f502432 https://doi.org/10.1007/s11657-024-01454-8 https://dspace.library.uu.nl/handle/1874/458699 |
| Rights: | CC BY |
| Dokumentencode: | edsair.doi.dedup.....48c020bb5735993d85d5bd238aae9a7f |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Summary This nationwide multidisciplinary survey found dissatisfaction among physicians with current osteoporotic vertebral compression fracture care, revealing significant disparities in diagnosis, treatment, and follow-up practices. Issues include poor communication and differing guidelines. Improving interdisciplinary collaboration and standardized care strategies is essential for better patient outcomes. Purpose This survey aims to assess current preferred care practices for symptomatic osteoporotic vertebral compression fractures (OVCF) in the Netherlands, focusing on guideline adherence, identifying knowledge gaps, and clarifying consensus and collaboration across medical disciplines in OVCF treatment. Methods This cross-sectional study was conducted via Qualtrics (Provo, UT) using a self-administered online survey distributed to 238 general practitioners and physicians in orthopedics, traumatology, internal medicine, rheumatology, and geriatrics working at 51 hospitals in the Netherlands. The survey, conducted in Dutch, included 36 multiple-choice and two open questions and was accessible via an anonymous email link or QR code. General practitioners received additional questions specific to their role. Data was anonymized, stored securely, and analyzed using descriptive statistics in Microsoft Excel and SPSS (Version 24). Open-ended responses were coded and categorized. The survey was conducted prior to the publication of the updated Federation of Medical Specialists guidelines in 2024. Results Physicians across various disciplines uniformly expressed dissatisfaction with current OVCF care. The survey highlighted significant disparities in diagnosis, treatment, and follow-up practices. A lack of communication between primary and secondary care providers and differing guidelines further complicate OVCF management. These issues point to considerable variation in clinical practice and gaps in interdisciplinary collaboration. Conclusion Addressing the identified issues requires fostering interdisciplinary collaboration and creating cohesive care strategies. Ensuring access to diagnostic resources in both primary and secondary care and establishing coordinated care models promises more structured and standardized treatment. These steps are crucial for enhancing patient outcomes in OVCF management. |
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| ISSN: | 18623514 |
| DOI: | 10.1007/s11657-024-01454-8 |