{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:28:32Z","timestamp":1740108512432,"version":"3.37.3"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T00:00:00Z","timestamp":1726531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008891","name":"Loma Linda University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008891","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Rheumatol Int"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Vertebral compression fractures (VCFs) are the most common osteoporotic fractures. Only 1\/3 of patients with VCFs are clinically diagnosed. In our institution, the Fracture Liaison Service (FLS) was launched in 2017 to improve osteoporosis management for hospitalized patients. (1) To assess osteoporosis awareness among medical providers for emergency department (ED)\/hospitalized patients aged 50 or greater; (2) To estimate the rate of FLS consults or referrals to primary care providers (FLS\/PCP) by primary teams. A centralized radiology system was used to examine all thoracic and lumbar computed tomography (CT) scans conducted between June 1, 2017 and June 1, 2022. 449 studies were identified with the radiologic impression \u201ccompression fracture\u201d. 182 studies were excluded after manual chart review. 267 hospitalizations\/ED visits with lumbar and\/or thoracic spine CT scans were included. Referrals to FLS (26) or PCP (27) were made in 53 cases (~\u200920% of the total). In the ED subgroup (131 hospitalizations), only 17 patients had FLS\/PCP referrals. The \u201ccompression fracture\u201d was mentioned in 227 (85%) discharge notes (any part), while \u201costeoporosis\u201d was mentioned in only 74 (28%) hospitalizations. A statistically significant difference was found between the two groups when \u201costeoporosis\u201d was mentioned in the \u201cassessment and plan\u201d section (p\u2009=\u20090.02). Our data show that the overall osteoporosis care for affected patients is suboptimal. Medical providers often overlook the presence of osteoporosis, leading to a lack of consultation with the FLS of referral to PCPs for further evaluation and treatment.<\/jats:p>","DOI":"10.1007\/s00296-024-05720-3","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T10:55:28Z","timestamp":1726743328000},"page":"2599-2605","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Suboptimal osteoporosis care in hospitalized patients: a retrospective analysis of vertebral compression fractures detected on computed tomography"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3665-8026","authenticated-orcid":false,"given":"Artem","family":"Minalyan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0951-7060","authenticated-orcid":false,"given":"Terrence","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4650-995X","authenticated-orcid":false,"given":"Kathleena","family":"D\u2019Anna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1770-6750","authenticated-orcid":false,"given":"Nasam","family":"Alfraji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1325-5744","authenticated-orcid":false,"given":"Lilit","family":"Gabrielyan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8285-5701","authenticated-orcid":false,"given":"Christina","family":"Downey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,17]]},"reference":[{"issue":"3","key":"5720_CR1","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1080\/03007995.2022.2141483","volume":"39","author":"A Singer","year":"2023","unstructured":"Singer A, Sharma A et al (2023) Closing the gap in osteoporosis management: the critical role of primary care in bone health. Curr Med Res Opin 39(3):387\u2013398. https:\/\/doi.org\/10.1080\/03007995.2022.2141483","journal-title":"Curr Med Res Opin"},{"issue":"2","key":"5720_CR2","doi-asserted-by":"publisher","first-page":"e20.00142","DOI":"10.2106\/jbjs.oa.20.00142","volume":"6","author":"B Ross","year":"2021","unstructured":"Ross B, Lee O et al (2021) Rates of osteoporosis management and secondary preventative treatment after primary fragility fractures. JB JS Open Access 6(2):e20.00142. https:\/\/doi.org\/10.2106\/jbjs.oa.20.00142","journal-title":"JB JS Open Access"},{"issue":"2","key":"5720_CR3","doi-asserted-by":"publisher","first-page":"393","DOI":"10.3906\/sag-2005-315","volume":"51","author":"F Kutsal","year":"2021","unstructured":"Kutsal F, ErginErgani G (2021) Vertebral compression fractures: still an unpredictable aspect of osteoporosis. Turk J Med Sci 51(2):393\u2013399. https:\/\/doi.org\/10.3906\/sag-2005-315","journal-title":"Turk J Med Sci"},{"issue":"2","key":"5720_CR4","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.1050","volume":"9","author":"J Hatgis","year":"2017","unstructured":"Hatgis J, Granville M et al (2017) Delayed recognition of thoracic and lumbar vertebral compression fractures in minor accident cases. Cureus 9(2):e1050. https:\/\/doi.org\/10.7759\/cureus.1050","journal-title":"Cureus"},{"key":"5720_CR5","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1186\/s12891-018-2171-y","volume":"19","author":"Y Li","year":"2018","unstructured":"Li Y, Yan L et al (2018) The prevalence and under-diagnosis of vertebral fractures on chest radiograph. BMC Musculoskelet Disord 19:235. https:\/\/doi.org\/10.1186\/s12891-018-2171-y","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"5720_CR6","doi-asserted-by":"publisher","first-page":"7774","DOI":"10.4081\/or.2019.7774","volume":"11","author":"J Aso-Escario","year":"2019","unstructured":"Aso-Escario J, Sebasti\u00e1n C et al (2019) Delay in diagnosis of thoracolumbar fractures. Orthop Rev (Pavia) 11(2):7774. https:\/\/doi.org\/10.4081\/or.2019.7774","journal-title":"Orthop Rev (Pavia)"},{"issue":"3","key":"5720_CR7","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1007\/s10067-019-04796-8","volume":"39","author":"M Yu","year":"2020","unstructured":"Yu M, Downey C, Torralba K (2020) The fracture liaison service to close the osteoporosis care gap: a leadership educational model for undergraduate and postgraduate trainees. Clin Rheumatol 39(3):619\u2013626. https:\/\/doi.org\/10.1007\/s10067-019-04796-8","journal-title":"Clin Rheumatol"},{"key":"5720_CR8","doi-asserted-by":"publisher","first-page":"1726","DOI":"10.1007\/s00198-006-0172-4","volume":"17","author":"O Johnell","year":"2006","unstructured":"Johnell O, Kanis J (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726. https:\/\/doi.org\/10.1007\/s00198-006-0172-4","journal-title":"Osteoporos Int"},{"key":"5720_CR9","unstructured":"Ageing and health (2022). World HealthOrganization. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/ageing-and-health"},{"key":"5720_CR10","doi-asserted-by":"publisher","first-page":"650","DOI":"10.1111\/joim.12369","volume":"277","author":"M Lorentzon","year":"2015","unstructured":"Lorentzon M, Cummings S (2015) Osteoporosis: the evolution of a diagnosis. J Intern Med 277:650\u2013661. https:\/\/doi.org\/10.1111\/joim.12369","journal-title":"J Intern Med"},{"issue":"10","key":"5720_CR11","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.3390\/medicina57101119","volume":"57","author":"F Migliorini","year":"2021","unstructured":"Migliorini F, Giorgino R, Hildebrand F et al (2021) Fragility fractures: risk factors and management in the elderly. Medicina 57(10):1119. https:\/\/doi.org\/10.3390\/medicina57101119","journal-title":"Medicina"},{"key":"5720_CR12","doi-asserted-by":"publisher","first-page":"1689","DOI":"10.1007\/s00198-012-2225-1","volume":"24","author":"L Melton","year":"2013","unstructured":"Melton L, Achenbach S et al (2013) Long-term mortality following fractures at different skeletal sites: a population-based cohort study. Osteoporos Int 24:1689\u20131696. https:\/\/doi.org\/10.1007\/s00198-012-2225-1","journal-title":"Osteoporos Int"},{"key":"5720_CR13","doi-asserted-by":"publisher","first-page":"1216","DOI":"10.1359\/JBMR.050314","volume":"20","author":"H Fink","year":"2005","unstructured":"Fink H, Milavetz D, Palermo L et al (2005) What proportion of incident radiographic vertebral deformities is clinically diagnosed and vice versa? J Bone Miner Res 20:1216\u20131222. https:\/\/doi.org\/10.1359\/JBMR.050314","journal-title":"J Bone Miner Res"},{"key":"5720_CR14","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1007\/s00198-020-05804-3","volume":"32","author":"W Lems","year":"2021","unstructured":"Lems W, Paccou J, Zhang J et al (2021) Vertebral fracture: epidemiology, impact and use of DXA vertebral fracture assessment in fracture liaison services. Osteoporos Int 32:399\u2013411. https:\/\/doi.org\/10.1007\/s00198-020-05804-3","journal-title":"Osteoporos Int"},{"key":"5720_CR15","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1359\/jbmr.1999.14.5.821","volume":"14","author":"M Black","year":"1999","unstructured":"Black M, Arden N, Palermo L et al (1999) Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures. study of osteoporotic fractures research group. J Bone Miner Res 14:821\u2013828. https:\/\/doi.org\/10.1359\/jbmr.1999.14.5.821","journal-title":"J Bone Miner Res"},{"issue":"5","key":"5720_CR16","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1001\/jama.2009.50","volume":"301","author":"D Bliuc","year":"2009","unstructured":"Bliuc D, Nguyen N, Milch V et al (2009) Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA 301(5):513\u2013521. https:\/\/doi.org\/10.1001\/jama.2009.50","journal-title":"JAMA"},{"issue":"7","key":"5720_CR17","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1038\/s41584-024-01120-w","volume":"20","author":"F Buttgereit","year":"2024","unstructured":"Buttgereit F, Palmowski A, Bond M et al (2024) Osteoporosis and fracture risk are multifactorial in patients with inflammatory rheumatic diseases. Nat Rev Rheumatol 20(7):417\u2013431. https:\/\/doi.org\/10.1038\/s41584-024-01120-w","journal-title":"Nat Rev Rheumatol"},{"issue":"1","key":"5720_CR18","doi-asserted-by":"publisher","first-page":"15844","DOI":"10.1038\/s41598-022-20016-x","volume":"12","author":"S Moshayedi","year":"2022","unstructured":"Moshayedi S, Tasorian B, Almasi-Hashiani A (2022) The prevalence of osteoporosis in rheumatoid arthritis patient: a systematic review and meta-analysis. Sci Rep 12(1):15844. https:\/\/doi.org\/10.1038\/s41598-022-20016-x","journal-title":"Sci Rep"},{"issue":"6","key":"5720_CR19","doi-asserted-by":"publisher","first-page":"1017","DOI":"10.1093\/mr\/roab109","volume":"32","author":"H Ishizu","year":"2022","unstructured":"Ishizu H, Shimizu H, Shimizu T et al (2022) Rheumatoid arthritis is a risk factor for refracture in patients with fragility fractures. Mod Rheumatol 32(6):1017\u20131022. https:\/\/doi.org\/10.1093\/mr\/roab109","journal-title":"Mod Rheumatol"},{"issue":"11","key":"5720_CR20","doi-asserted-by":"publisher","first-page":"1320","DOI":"10.1177\/09612033231202701","volume":"32","author":"F Ceccarelli","year":"2023","unstructured":"Ceccarelli F, Olivieri G, Orefice V et al (2023) Fragility fractures in lupus patients: associated factors and comparison of four fracture risk assessment tools. Lupus. 32(11):1320\u20131327. https:\/\/doi.org\/10.1177\/09612033231202701","journal-title":"Lupus."},{"issue":"5","key":"5720_CR21","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1016\/j.reumae.2021.01.002","volume":"18","author":"M Ferrandez-Jimenez","year":"2022","unstructured":"Ferrandez-Jimenez M, Calaburg I, Peral-Garrido M et al (2022) Risk of osteoporotic thoracic vertebral fractures in patients with gout. Reumatologia Clinica 18(5):279\u2013285. https:\/\/doi.org\/10.1016\/j.reumae.2021.01.002","journal-title":"Reumatologia Clinica"}],"container-title":["Rheumatology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-024-05720-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00296-024-05720-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-024-05720-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T21:27:01Z","timestamp":1727299621000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00296-024-05720-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,17]]},"references-count":21,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["5720"],"URL":"https:\/\/doi.org\/10.1007\/s00296-024-05720-3","relation":{},"ISSN":["1437-160X"],"issn-type":[{"type":"electronic","value":"1437-160X"}],"subject":[],"published":{"date-parts":[[2024,9,17]]},"assertion":[{"value":"30 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Artem Minalyan, Terrence Li, Kathleena D\u2019Anna, Nasam Alfraji, Lilit Gabrielyan, and Christina Downey declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}