1.Bone health among older persons in medical clinic: A clinical audit
Cheng Lay Teh ; Seow Lin Chuah ; Hong Khoh Lee ; Sharifah Aishah binti Wan Mohd Akbar ; Tze Shin Leong ; Florence Hui Sieng Tan ; Bik Kui Lau
The Medical Journal of Malaysia 2020;75(2):191-193
Osteoporosis is commonly underdiagnosed and
undertreated. We performed a clinical audit to assess the
risk factors and clinical care for osteoporosis among older
persons who attended medical clinic during a 4-week period
in August 2013. There was a total of 128 patients with a mean
age of 73.1±5.8 years, and 20.3%. had a history of fall.
Fracture Risk Assessment Tool (FRAX) scores assessment
showed 14.2% and 68.8% had a 10-year risk of major
osteoporotic and hip fractures respectively. Only 6.3%
underwent Dual-energy X-ray absorptiometry (DXA) and
73.4% did not receive any preventive treatment for
osteoporosis. Older persons attending medical clinic at high
risk of osteoporosis fractures did not receive appropriate
screening and treatment. There is a need to improve the
suboptimal care for bone health among older persons.
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