{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:10:00Z","timestamp":1783901400626,"version":"3.55.0"},"reference-count":29,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,17]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Primary care plays a critical role in osteoporosis prevention and management. As part of a larger randomised controlled trial involving patients who had sustained a potential osteoporotic fracture, we asked general practitioners (GPs) about their perspectives on secondary fracture prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The INTERCEPT trial, a cluster-randomised controlled trial, identified patients with potential minimal trauma fractures and alerted the patients\u2019 GPs to the fracture, along with best-practice guidelines for osteoporosis management. Four weeks following the alert, a survey assessed the GPs\u2019 views and decisions on osteoporosis-directed investigations and treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 170 responses, GPs considered 76 (44.7%) fractures as minimal trauma, 60 (35.3%) as not minimal trauma, and 34 (20%) as uncertain. Fractures were more likely to be considered minimal trauma if they involved the spine or if patients were older and\/or female. A significant number of patients were not investigated or treated for osteoporosis despite the GP considering the fracture minimal trauma: only 44 of these 76 (57.9%) patients had a DXA (dual energy X-ray absorptiometry) scan, and less than half (n\u00a0=\u00a034) were commenced on osteoporosis-directed treatment. DXA T-scores above \u22122.5 s.d. or awaiting confirmation via a DXA scan were common reasons for not initiating treatment despite regarding the fracture as minimal trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rates of osteoporosis-directed investigations and treatment after minimal trauma fractures in primary care are below recommended levels. There remains a gap between observed management practices and established guidelines. A major barrier appears to be the reliance on DXA for confirmation of osteoporosis despite the presence of a minimal trauma fracture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/py25206","type":"journal-article","created":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T23:51:25Z","timestamp":1783900285000},"source":"Crossref","is-referenced-by-count":0,"title":["Investigation and treatment rates following minimal trauma fracture: results of a primary care physician survey"],"prefix":"10.1071","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1637-5117","authenticated-orcid":true,"given":"M.","family":"Wang","sequence":"first","affiliation":[{"name":"AThe University of Sydney, Bone Research Program, ANZAC Research Institute, Concord, NSW, Australia."},{"name":"BDepartment of Endocrinology and Metabolism, Concord Hospital, Concord, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Auwyang","sequence":"additional","affiliation":[{"name":"AThe University of Sydney, Bone Research Program, ANZAC Research Institute, Concord, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Das","sequence":"additional","affiliation":[{"name":"AThe University of Sydney, Bone Research Program, ANZAC Research Institute, Concord, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. J.","family":"Seibel","sequence":"additional","affiliation":[{"name":"AThe University of Sydney, Bone Research Program, ANZAC Research Institute, Concord, NSW, Australia."},{"name":"BDepartment of Endocrinology and Metabolism, Concord Hospital, Concord, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"issue":"4","key":"2026071219512005900_R1","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1016\/j.maturitas.2014.01.002","article-title":"Age discrimination in osteoporosis screening--data from the Aalborg University Hospital Record for Osteoporosis Risk Assessment (AURORA).","volume":"77","author":"Andersen","year":"2014","journal-title":"Maturitas"},{"key":"2026071219512005900_R2","unstructured":"Australian Government Department of Health and Aged Care (2025) Pharmaceutical Benefits Scheme (PBS). 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