Fracture risk is under-recognised and under-treated in memory clinic attendees

Z. Lampshire; D. Tingley; A. Jarvis; C. Wernham; J. C. Hughes; T. J. Welsh

doi:10.1016/j.maturitas.2019.02.004

Fracture risk is under-recognised and under-treated in memory clinic attendees

Z. Lampshire, D. Tingley, A. Jarvis, C. Wernham, J. C. Hughes, T. J. Welsh^*

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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Abstract

UK national guidelines recommend that older people at risk of falling should have their fracture risk assessed and acted upon. People with cognitive impairment are more likely to sustain a fracture than their cognitively intact peers. We assessed the fracture risk of 79 memory clinic attendees and compared their actual management with guidelines. Despite reporting 57 falls in the last year, only 36% of those who would be recommended antiresportive treatment were prescribed it and a dual-energy X-ray absorptiometry (DEXA)scan was performed in only 13% where it would be recommended. These findings highlight an important deficit in fracture risk assessment which should inform future interventions.

Original language	English
Pages (from-to)	37-39
Number of pages	3
Journal	Maturitas
Volume	123
Early online date	12 Feb 2019
DOIs	https://doi.org/10.1016/j.maturitas.2019.02.004
Publication status	Published - 1 May 2019

Keywords

Dementia
Fracture risk
Memory clinic
Osteoporosis

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title = "Fracture risk is under-recognised and under-treated in memory clinic attendees",

abstract = "UK national guidelines recommend that older people at risk of falling should have their fracture risk assessed and acted upon. People with cognitive impairment are more likely to sustain a fracture than their cognitively intact peers. We assessed the fracture risk of 79 memory clinic attendees and compared their actual management with guidelines. Despite reporting 57 falls in the last year, only 36% of those who would be recommended antiresportive treatment were prescribed it and a dual-energy X-ray absorptiometry (DEXA)scan was performed in only 13% where it would be recommended. These findings highlight an important deficit in fracture risk assessment which should inform future interventions.",

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AU - Lampshire, Z.

AU - Tingley, D.

AU - Jarvis, A.

AU - Wernham, C.

AU - Hughes, J. C.

AU - Welsh, T. J.

PY - 2019/5/1

Y1 - 2019/5/1

N2 - UK national guidelines recommend that older people at risk of falling should have their fracture risk assessed and acted upon. People with cognitive impairment are more likely to sustain a fracture than their cognitively intact peers. We assessed the fracture risk of 79 memory clinic attendees and compared their actual management with guidelines. Despite reporting 57 falls in the last year, only 36% of those who would be recommended antiresportive treatment were prescribed it and a dual-energy X-ray absorptiometry (DEXA)scan was performed in only 13% where it would be recommended. These findings highlight an important deficit in fracture risk assessment which should inform future interventions.

AB - UK national guidelines recommend that older people at risk of falling should have their fracture risk assessed and acted upon. People with cognitive impairment are more likely to sustain a fracture than their cognitively intact peers. We assessed the fracture risk of 79 memory clinic attendees and compared their actual management with guidelines. Despite reporting 57 falls in the last year, only 36% of those who would be recommended antiresportive treatment were prescribed it and a dual-energy X-ray absorptiometry (DEXA)scan was performed in only 13% where it would be recommended. These findings highlight an important deficit in fracture risk assessment which should inform future interventions.

KW - Dementia

KW - Fracture risk

KW - Memory clinic

KW - Osteoporosis

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U2 - 10.1016/j.maturitas.2019.02.004

DO - 10.1016/j.maturitas.2019.02.004

M3 - Article (Academic Journal)

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AN - SCOPUS:85061541051

SN - 0378-5122

VL - 123

SP - 37

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JO - Maturitas

JF - Maturitas

ER -

Fracture risk is under-recognised and under-treated in memory clinic attendees

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Keywords

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