EVALUATION OF MANAGEMENT OF PATIENTS WITH OSTEOPOROTIC FRACTURES BY ORTHOPEDIC RESIDENTS: A CROSS-SECTIONAL OBSERVATIONAL STUDY

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorOCAMPOS, Guilherme pereira
dc.contributor.authorPERES, Matheus Mendonca
dc.contributor.authorREZENDE, Marcia Uchoa de
dc.contributor.authorAROUCA, Matheus Manolo
dc.contributor.authorCAMARGO, Olavo Pires de
dc.date.accessioned2022-10-26T14:33:51Z
dc.date.available2022-10-26T14:33:51Z
dc.date.issued2022
dc.description.abstractObjective: To assess whether residents (R1, R2, or R3 -according to the year of residency) of a tertiary orthopedic service inves-tigate, treat and/or refer the patient with osteoporotic fracture for osteoporosis (OP) treatment and whether this learning is improved over the years of residency. Methods: Residents answered diagnostic and therapeutic questions related to a clinical case of osteoporotic fracture (OF) in 4 settings, which were initial care in the emergency room, at discharge, during out-patient follow-up at 3 and 6 months. Responses were compared between years of residency. Results: Twenty R1, 21 R2, and 19 R3 raised the questions. One resident treated osteoporosis in R1, two in R2, and four in R3. Seventy-five percent of R1, 90.5% of R2, and 68% of R3 referred patients for OP treatment. Over the years, there has been improved prescribing lab tests for osteoporosis (p = 0.028), with 52.6% of third-year residents prescribing adequate lab tests. In the same period, 100% of R3 correctly prescribed prophylaxis for deep vein thrombosis (p = 0.001). Conclusion: There is learning, but not enough, for secondary prevention of FO. Level of Evidence I; Prospective Comparative Study.eng
dc.description.abstractObjetivo: Avaliar se residentes (R1, R2 ou R3 - de acordo com o ano de residência) de um serviço ortopédico terciário, investigam, tratam e/ou encaminham o paciente com fratura osteoporótica para tratamento de osteoporose (OP) e se esse aprendizado é melhorado ao longo dos anos de residência. Métodos: Os residentes responderam a questões diagnósticas e terapêuticas relacionadas a um caso clínico de fratura osteoporótica (OF) em 4 cenários, que foram o atendimento inicial no pronto-socorro, no momento da alta hospitalar, durante o acompanhamento ambulatorial em 3 e 6 meses. As respostas foram comparadas entre os anos de residência. Resultado: Vinte R1, 21 R2 e 19 R3 levantaram as questões. Um residente tratou osteoporose em R1, dois em R2 e quatro em R3. Setenta e cinco por cento de R1, 90,5% de R2 e 68% de R3 encaminharam pacientes para tratamento com OP. Há melhora na prescrição de exames laboratoriais para investigação de osteoporose ao longo dos anos (p = 0,028) com 52,6% dos residentes do terceiro ano que prescrevem exames laboratoriais adequados. No mesmo período, 100% de R3 prescreveram corretamente a profilaxia para trombose venosa profunda (p = 0,001). Conclusão: Há aprendizado, porém insuficiente, para a prevenção secundária da FO. Nível de Evidência I; Estudo Prospectivo Comparativo.
dc.description.indexPubMedeng
dc.description.sponsorshipOsteometabolics Disease Group of the Department of Orthopedics and Traumatology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo
dc.identifier.citationACTA ORTOPEDICA BRASILEIRA, v.30, Special Issue, article ID e255964, 5p, 2022
dc.identifier.doi10.1590/1413-785220223001e255964
dc.identifier.eissn1809-4406
dc.identifier.issn1413-7852
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/49306
dc.language.isoeng
dc.language.isopor
dc.publisherATHA COMUNICACAO & EDITORAeng
dc.relation.ispartofActa Ortopedica Brasileira
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ATHA COMUNICACAO & EDITORAeng
dc.subjectOsteoporotic fractureeng
dc.subjectSecondary Preventioneng
dc.subjectBrazileng
dc.subjectOrthopedicseng
dc.subjectHealth knowledgeeng
dc.subjectAttitudes and Practiceeng
dc.subjectFraturas por osteoporose
dc.subjectPrevenção secundária
dc.subjectBrasil
dc.subjectOrtopedia
dc.subjectConhecimentos
dc.subjectAtitudes e Prática em Saúde
dc.subject.otherimplementationeng
dc.subject.otherpreventioneng
dc.subject.othersurgeoneng
dc.subject.othermodelseng
dc.subject.othercareeng
dc.subject.wosOrthopedicseng
dc.titleEVALUATION OF MANAGEMENT OF PATIENTS WITH OSTEOPOROTIC FRACTURES BY ORTHOPEDIC RESIDENTS: A CROSS-SECTIONAL OBSERVATIONAL STUDYeng
dc.title.alternativeAVALIAÇÃO DO MANEJO DE PACIENTES COM FRATURAS OSTEOPORÓTICAS POR RESIDENTES DE ORTOPEDIA: UM ESTUDO TRANSVERSAL OBSERVACIONAL
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcGUILHERME PEREIRA OCAMPOS
hcfmusp.contributor.author-fmusphcMATHEUS MENDONCA PERES
hcfmusp.contributor.author-fmusphcMARCIA UCHOA DE REZENDE
hcfmusp.contributor.author-fmusphcMATHEUS MANOLO AROUCA
hcfmusp.contributor.author-fmusphcOLAVO PIRES DE CAMARGO
hcfmusp.description.articlenumbere255964
hcfmusp.description.issueSpecial Issue
hcfmusp.description.volume30
hcfmusp.origemWOS
hcfmusp.origem.pubmed35864832
hcfmusp.origem.scieloSCIELO:S1413-78522022000400212
hcfmusp.origem.scopus2-s2.0-85134056648
hcfmusp.origem.wosWOS:000848434600012
hcfmusp.publisher.citySAO PAULO SPeng
hcfmusp.publisher.countryBRAZILeng
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hcfmusp.scopus.lastupdate2024-05-10
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