Disparities in management of symptomatic osteoporotic vertebral compression fractures: a nationwide multidisciplinary survey

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-10-23 DOI:10.1007/s11657-024-01454-8
A. Weber, T. F. G. Vercoulen, E. Jacobs, A. T. Buizer, S. P. G. Bours, J. P. van den Bergh, R. M. Jeuken, S. M. J. van Kuijk, S. M. A. A. Evers, P. C. Willems
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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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症状性骨质疏松性椎体压缩性骨折管理中的差异:一项全国性多学科调查。
这项全国性的多学科调查发现,医生们对目前的骨质疏松性椎体压缩性骨折治疗并不满意,显示出诊断、治疗和随访实践中的显著差异。问题包括沟通不畅和指导方针不同。目的:本调查旨在评估荷兰目前对有症状的骨质疏松性椎体压缩性骨折(OVCF)的首选治疗方法,重点关注指南的遵守情况,找出知识差距,明确各学科在 OVCF 治疗中的共识与合作:这项横断面研究通过 Qualtrics(美国犹他州普罗沃市)进行,采用自填式在线调查的方式,调查对象包括荷兰 51 家医院的 238 名全科医生以及骨科、创伤科、内科、风湿病科和老年病科的医生。调查以荷兰语进行,包括 36 道选择题和两道开放题,可通过匿名电子邮件链接或二维码进行访问。全科医生还收到了与其职责相关的附加问题。数据经过匿名处理和安全存储,并使用 Microsoft Excel 和 SPSS(第 24 版)进行描述性统计分析。对开放式回答进行了编码和分类。此次调查是在 2024 年更新的专科医师联合会指南发布之前进行的:不同学科的医生一致对目前的卵巢癌治疗表示不满。调查强调了诊断、治疗和随访实践中存在的巨大差异。初级和中级医疗服务提供者之间缺乏沟通以及不同的指南使 OVCF 的管理更加复杂。这些问题表明临床实践存在很大差异,跨学科合作也存在差距:要解决已发现的问题,就必须促进跨学科合作,并制定具有凝聚力的护理策略。确保获得初级和中级医疗诊断资源,建立协调的医疗模式,可使治疗更加结构化和标准化。这些步骤对于提高卵巢功能缺损患者的治疗效果至关重要。
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CiteScore
7.20
自引率
4.30%
发文量
567
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