Authors (including presenting author) :
Chan PK(1), Chen XRC(1), Li WSV(1)
Affiliation :
(1)Department of Family Medicine and General Outpatient Clinics (GOPCs), Kowloon Central Cluster (KCC), Hospital Authority (HA), Hong Kong
Introduction :
With the ageing population, osteoporosis is increasingly becoming a global health concern. Previous research showed that management of osteoporosis in Hong Kong had been suboptimal. In view of the need to provide quality care to osteoporotic patients, a Multidisciplinary Osteoporosis Clinic (MOC) organized by primary care physicians was set up in a public primary care clinic.
Objectives :
To explore the clinical effectiveness of Multidisciplinary Osteoporosis Clinic (MOC), organized by primary care physicians, among osteoporotic patients in a local primary care clinic
Methodology :
Design: Retrospective case series
Subjects: All osteoporotic patients who had attended MOC of Kowloon Central Cluster during the period 1 January 2015 to 31 December 2018.
Main outcome Measures:
Primary outcome:
1. Changes in DEXA T-score after two years of management at MOC.
2. Subgroup analysis: 2-year interval DEXA T-score changes among patients with or without history of fragility fracture; and among patients with or without pharmacological treatment.
3. Serial interval DEXA T-score changes of recruited patients who had completed 5 years of bisphosphonate treatment.
Secondary outcome: The occurrence of new osteoporotic fracture during two years of management in MOC.
Result & Outcome :
Totally 186 osteoporotic patients were recruited. After two years of management at MOC, the T-score at lumbar spine and femoral neck were improved, from -2.71±0.76 to -2.35±0.83 and -2.40±0.75 to
-2.10±0.76 respectively, P< 0.001. For subgroup analysis on patients with or without history of fragility fracture and patients with or without bisphosphonate treatment, improvement in T-scores of both lumbar and femoral neck were all significant at two years, P< 0.05.
Among those who had completed 5 years of bisphosphonate treatment, progressive improvement in T-scores of both lumbar and femoral neck were observed, with P < 0.001.
One patient suffered from new fragility fracture during the two-year follow up period.
