Introduction of Osteoporosis Screening within Orthopedic Clinics

Author

Kimberly DrayFollow

Date of Award

Spring 5-3-2024

Document Type

DNP Project

Project Team Faculty Member

Laurie Hopper

Project Team Faculty Member

Kelley McGuire

Keywords

Osteoporosis, Osteoporosis screening tool, Osteoporosis risk factors, simple calculated osteoporosis risk estimation, Osteoporosis managing gaps

Abstract

Abstract

Osteoporosis affects millions of Americans, causing life life-altering medical issues and an economic burden estimated to be over 17 billion dollars. Primary care providers are responsible for screening and early detection of osteoporosis; however, gaps have been identified. Orthopedic surgeons can screen during clinic visits to help close the gap. The purpose of this project was to introduce the usage of a screening tool in a large orthopedic clinic to improve detection. Participants were provided with education regarding osteoporosis and the screening tool with continued support throughout the 8-week study. Using the Simplified Calculated Osteoporosis Risk Estimation (SCORE) tool, patients meeting the criteria were screened, and referrals were placed if the patients were not already undergoing treatment. A post-study questionnaire was provided to the surgeons and clinic staff to evaluate the screening tool and the importance of screening in their clinic. Overall, 103 patients were screened, resulting in 22.3% referrals to primary care, bone density screening, or the osteoporosis clinic for further evaluation and treatment. Additionally, 67% of the high-risk patients screened refused a referral, 50% of patients screened were already undergoing treatment, and 23% were low-risk non-referrals. Survey results showed increased knowledge regarding screening, and all respondents reported they felt screening in the orthopedic clinic is essential. Limitations for this study included provider non-participation, providers out of the office, and convenience of the screening tool.

Recommended Citation

Dray, Kimberly, "Introduction of Osteoporosis Screening within Orthopedic Clinics" (2024). Doctor of Nursing Practice Projects. 320.
https://spark.siue.edu/dnpprojects/320

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