{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T05:37:54Z","timestamp":1781588274067,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T00:00:00Z","timestamp":1482969600000},"content-version":"vor","delay-in-days":58,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Beijing Novartis Pharma (China)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the treatment given to osteoporotic fracture patients by orthopaedists at major hospitals in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 25\u2010item quantitative questionnaire survey, categorized into five domains, including primary purpose of osteoporosis treatment, anti\u2010osteoporosis therapy, calcium and vitamin <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content> supplement, monitoring of osteoporosis, and knowledge of osteoporosis treatment, was designed to elicit information on orthopaedists\u2019 views on the treatment of osteoporotic fracture. A pre\u2010survey test was conducted with a sample of 40 orthopaedic specialists to confirm the reliability and validity of the questionnaire. Each interview of the survey took approximately 15\u2009min and did not directly involve any patients. The survey was conducted through face\u2010to\u2010face interviews at 119 tier 3 hospitals in 28 cities across <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ainland <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 484 valid responses were received. Seven in ten respondents have \u226510\u2009years of professional practice. While two\u2010thirds believed that osteoporosis treatment was to prevent fractures or re\u2010fractures, 95.0% agreed that anti\u2010osteoporosis medication should be administered to patients with a history of fragility fractures. Three in four would prescribe anti\u2010osteoporosis medication perioperatively. Of these, 79.0% regarded bisphosphonates as the first\u2010line drug. Approximately 86.0% of the 21\u201330\u2009years cohort chose bisphosphonates compared to 71.4% for those with \u226410\u2009years. More of the younger (\u226410\u2009years) cohort chose calcitonin compared to their older (21\u201330\u2009years) colleagues (25.7% <jats:italic>vs<\/jats:italic> 11.6%). The most commonly prescribed daily dose is 800\u2009<jats:styled-content style=\"fixed-case\">IU<\/jats:styled-content> for vitamin <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content> supplements and 600\u2009mg\/day for calcium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our respondents generally adhered to guidelines for the treatment and management of osteoporosis. A significant number had recommended lower dosages of vitamin <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content> and calcium. Some differences exist between the younger cohort and their older colleagues in the prescription of pharmacological therapies. The criteria for initiating therapy should be more holistic and include other factors besides bone mineral density (<jats:styled-content style=\"fixed-case\">BMD<\/jats:styled-content>). Our results demonstrated that more comprehensive guidelines for osteoporosis management and a greater awareness of these guidelines by orthopaedists are needed to enable them to better manage their patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12296","type":"journal-article","created":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T12:40:27Z","timestamp":1483015227000},"page":"432-439","source":"Crossref","is-referenced-by-count":7,"title":["Treatment and Management of Osteoporotic Fractures: <scp>A<\/scp> Nation\u2010wide Survey of 484 Senior Orthopaedists in <scp>C<\/scp>hina"],"prefix":"10.1111","volume":"8","author":[{"given":"Yi","family":"Man","sequence":"first","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Pan","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Lu","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sen\u2010yuan","family":"Li","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun\u2010zhe","family":"Guo","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu\u2010fang","family":"Yu","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"En","family":"Xiao","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zuo","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He\u2010juan","family":"Jin","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Chen","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Wu","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010en","family":"Shi","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Hong","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xun","family":"Liu","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying\u2010xu","family":"Gao","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Li","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Yin","sequence":"additional","affiliation":[{"name":"Beijing Novartis Pharma  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing\u2010yun","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics  Beijing China"},{"name":"National Center of Gerontology Beijing Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,12,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"IOF\u2010bonehealth.org[homepage on the internet].International Osteoporosis Foundation: epidemiology costs and burden of osteoporosis in Asia 2009. 2009. Available from:http:\/\/www.iofbonehealth.org\/data\u2010publications\/regional\u2010audits\/asia\u2010pacific\u2010regional\u2010audit(accessed August 2016)."},{"key":"e_1_2_6_3_1","unstructured":"World Health Organisation\u2010Osteoporosis.org[homepage on the internet].Brussels: assessment of osteoporosis at primary health care level. 2004. Available from:http:\/\/who.int\/chp\/topics\/Osteoporosis.pdf(accessed August 2016)."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1210\/er.2008-0002"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-012-2074-y"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-009-0925-y"},{"key":"e_1_2_6_7_1","unstructured":"Ministry of Health.gov[homepage on the internet].China: Chinese health knowledge dissemination incentive plan to promote knowledge of prevention and treatment of osteoporosis disease.2011. 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