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http://hdl.handle.net/1942/31460
Title: | Characterization of fracture liaison service non-responders after invitation by home visits and questionnaires | Authors: | van den Berg, P. van Haard, P. M. M. GEUSENS, Piet VAN DEN BERGH, Joop Schweitzer, D. H. |
Issue Date: | 2020 | Publisher: | SPRINGER LONDON LTD | Source: | OSTEOPOROSIS INTERNATIONAL, 31(10), p. 2007-2015 | Abstract: | This study aimed to gain insight in specific characteristics and beliefs of FLS non-responders. Introduction The proportion of non-responding fracture liaison service (FLS) invitees is high but characteristics of FLS non-responders are unknown. Methods We contacted FLS non-responders by telephone to consent with home visit (HV) and to fill in a questionnaire or, if HV was refused, to receive a questionnaire by post (Q), to gain insight in beliefs on fracture cause and subsequent fracture risk. Results Out of 716 FLS invitees, 510 attended, nine declined, and 197 did not respond. Of these non-responders, 181 patients were consecutively traced and phoned until 50 consented with HV. Forty-two declined HV but consented with Q. Excluded were eight Q-consenters in whom no choice was offered (either HV or Q) and 81 patients who declined any proposition (non-HV|Q). 62% HV and Q could recall the FLS invitation letter. The fracture cause was differently believed between HV and Q; the fall (96% versus 79%, p = .02), bad physical condition (36% versus 2%, p = .0001), dizziness or imbalance (24% versus Q 7%, p = .03), osteoporosis (16% versus 2%, p = .02), and increased fracture risk (26% versus 17%, NS). Age >= 70, woman, and major fracture were significantly associated with HV consent compared to Q (OR 2.7, 2.5, and 2.4, respectively) and HV compared to non-HV|Q (OR 16.8, 5.3, and 6.1). Conclusion FLS non-responders consider fracture risk as low. Note, 50 patients (about 25%) consented with a home visit after one telephone call, mainly older women with a major fracture. This non-responder subgroup with high subsequent fracture risk is therefore approachable for secondary fracture prevention. | Notes: | van den Berg, P (reprint author), Reinier de Graaf Hosp, Dept Orthoped & Trauma Surg, Fracture Liaison Serv, Delft, Netherlands. pberg@rdgg.nl |
Other: | van den Berg, P (corresponding author), Reinier de Graaf Hosp, Dept Orthoped & Trauma Surg, Fracture Liaison Serv, Delft, Netherlands. pberg@rdgg.nl | Keywords: | FLS;Home visit;Non-respondence;Non-attendance;Osteoporosis;Questionnaire | Document URI: | http://hdl.handle.net/1942/31460 | ISSN: | 0937-941X | e-ISSN: | 1433-2965 | DOI: | 10.1007/s00198-020-05442-9 | ISI #: | WOS:000532629400001 | Rights: | International Osteoporosis Foundation and National Osteoporosis Foundation 2020. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
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