Osteoporosis in XXXX with @entity1566 : the need for a targeted therapeutic education.

@entity1 @entity130 @entity1566 @entity174
OBJECTIVES: To identify circumstances surrounding the onset of @entity174 and common risk factors in @entity1 with @entity1566 ( @entity1566 ) and to suggest an alternative or complement to the pharmacologic approach by evaluating the need for a prospective study based on the impact of a targeted therapeutic education on risk management of @entity174 in this population. DESIGN: Retrospective study. SETTING: Hospital and Rehabilitation Center Setting. @entity1 : @entity1 (n=7) and @entity1 (n=25; N=32; with >= 1 @entity174 after the initial @entity1566 that occurred at home or in a hospital setting; mean    SD age, 53  12y at the time of clinical review) with bone mineral density (BMD) measurements. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Demographics, main circumstances of onset, and complications of @entity174 , as well as transversal bone mineral density evaluation. RESULTS: Nine @entity1 had more than 1 @entity174 and 23 @entity1 had only 1 @entity174 (total, 43 @entity174 ; mean age at onset of @entity174 , 49  12y; median time since injury, 13.9y; mean delay in diagnosis, 6.5  15d). @entity174 occurred mostly in the lower limbs. The circumstances of onset of these @entity174 were different and very stereotyped. In 3 cases, no @entity130 was reported. The most frequent mechanisms identified were forced maneuvers by the @entity1 or a third party and falls. In 10 cases, the @entity174 occurred during a wheelchair transfer with forced maneuver or a fall from the wheelchair. Twenty-five @entity1 were confined to bed after the @entity174 (mean duration of bed confinement, 18  28d; range, 0-120d). Postfracture follow-up showed that for 43 cases of @entity174 , 19 had at least 1 orthopedic complication, 15 had local complications, and 23 had general complications. @entity1 (23 of 32) benefited from dual-energy X-ray absorptiometry to assess BMD a few months or years after the @entity174 (mean femoral neck BMD, 0.574  0.197g/cm  ; mean femoral neck T score, -3.8  1.5). CONCLUSION: With this retrospective analysis of common risk factors and circumstances of onset of secondary @entity174 , there is a clear future for a prospective study to evaluate the impact of targeted therapeutic education on risk factors for secondary @entity174 in @entity1 with @entity1566 .
