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Liu B, Sun L, Zhuang Y. Protective effects of tilapia (Oreochromis niloticus) skin gelatin hydrolysates on osteoporosis rats induced by retinoic acid. FOOD SCIENCE AND HUMAN WELLNESS 2022. [DOI: 10.1016/j.fshw.2022.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Inderjeeth CA, Raymond WD, Geelhoed E, Briggs AM, Oldham D, Mountain D. Fracture liaison service utilising an emergency department information system to identify patients effectively reduce re-fracture rate is cost-effective and cost saving in Western Australia. Australas J Ageing 2022; 41:e266-e275. [PMID: 35811331 PMCID: PMC9545318 DOI: 10.1111/ajag.13107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 05/03/2022] [Accepted: 05/11/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To assess the benefits of the Emergency Department Information System (EDIS)-linked fracture liaison service (FLS). METHODS Patients identified through EDIS were invited to attend an FLS at the intervention hospital, the Sir Charles Gairdner Hospital (SCGS-FLS). The intervention group was compared to usual care. Retrospective control (RC) at this hospital determined historical fracture risk (SCGH-RC). Prospective control (PC) was from a comparator, Fremantle Hospital (FH-PC). The main outcome measures were cost-effectiveness from a health system perspective and quality of life by EuroQOL (EQ-5D). Bottom-up cost of medical care, against the cost of managing recurrent fracture (weighted basket), was determined from the literature and 2013/14 Australian Refined Diagnosis Related Groups (AR-DRG) prices. Mean incremental cost-effectiveness ratios were simulated from 5000 bootstrap iterations. Cost-effectiveness acceptability curves were generated. RESULTS The SCGH-FLS program reduced absolute re-fracture rates versus control cohorts (9.2-10.2%), producing an estimated cost saving of AUD$750,168-AUD$810,400 per 1000 patient-years in the first year. Between-groups QALYs differed with worse outcomes in both control groups (p < 0.001). The SCGH-FLS compared with SCGH-RC and FH-PC had a mean incremental cost of $8721 (95% CI -$1218, $35,044) and $8974 (95% CI -$26,701, $69,929), respectively, per 1% reduction in 12-month recurrent fracture risk. The SCGH-FLS compared with SCGH-RC and FH-PC had a mean incremental cost of $292 (95% CI -$3588, $3380) and -$261 (95% CI -$1521, $471) per EQ-5D QALY gained at 12 months respectively. With societal willingness to pay of $16,000, recurrent fracture is reduced by 1% in >80% of patients. CONCLUSIONS This simple and easy model of identification and intervention demonstrated efficacy in reducing rates of recurrent fracture and was cost-effective and potentially cost saving.
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Affiliation(s)
- Charles A Inderjeeth
- Department of Rehabilitation & Aged Care, Sir Charles Gairdner and Osborne Park Hospital Group, Nedlands, Western Australia, Australia.,School of Medicine & Pharmacology, The University of Western Australia, Crawley, Western Australia, Australia
| | - Warren D Raymond
- Department of Rehabilitation & Aged Care, Sir Charles Gairdner and Osborne Park Hospital Group, Nedlands, Western Australia, Australia.,School of Medicine & Pharmacology, The University of Western Australia, Crawley, Western Australia, Australia
| | - Elizabeth Geelhoed
- School of Allied Health, The University of Western Australia, Crawley, Western Australia, Australia
| | - Andrew M Briggs
- School of Physiotherapy & Exercise Science, Curtin University, Perth, Western Australia, Australia
| | - David Oldham
- Medical Education Unit, Western Australia Country Health Service, Perth, Western Australia, Australia
| | - David Mountain
- Department of Rehabilitation & Aged Care, Sir Charles Gairdner and Osborne Park Hospital Group, Nedlands, Western Australia, Australia
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Inderjeeth CA, Inderjeeth KA. Osteoporosis in older people. JOURNAL OF PHARMACY PRACTICE AND RESEARCH 2021. [DOI: 10.1002/jppr.1743] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Charles A. Inderjeeth
- School of Medicine & Pharmacology The University of Western Australia Crawley Australia
- Sir Charles Gairdner and Osborne Park Hospital Group Nedlands Australia
- Arthritis and Osteoporosis WA Perth Australia
| | - Keenan A. Inderjeeth
- Dental Esthetique Subiaco Australia
- Captain Stirling Compounding Pharmacy Nedlands Australia
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Bitenc-Jasiejko A, Konior K, Gonta K, Dulęba M, Lietz-Kijak D. Prophylaxis of Pain and Fractures within Feet in the Course of Osteoporosis: The Issue of Diagnosing. Pain Res Manag 2020; 2020:1391026. [PMID: 33312316 PMCID: PMC7719525 DOI: 10.1155/2020/1391026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 09/10/2020] [Accepted: 11/10/2020] [Indexed: 11/17/2022]
Abstract
Background Considering the enormous risk of fractures in the course of osteoporosis in the area of the feet, an important aspect of prophylaxis is periodic and, in special cases, ongoing monitoring of defects and deformations as well as pressure distribution. The purpose of this article is to indicate the role of the examination of posture and pressure distribution during standing, postural balance, and gait, in the prevention of fatigue fractures in the course of osteoporosis, based on the literature review and examples of patients. Methods The manuscript consists of two parts; it has a review-analytical character. The first part reviews the literature. The data were obtained using the MEDLINE (PubMed), as well as Cochrane and Embase databases. The database review was carried out focusing mainly on English-language publications, while taking into account the topicality of scientific and research works in the area of osteoporosis. The problem of multiaspects in the area of bone density was pointed out. Considering the above, in the second part, the authors analyzed 11 exemplary patients with osteoporosis, referring to the assessment of foot and lower limb defects using traditional posturological methods and including pedobarography to diagnostic procedures that are used in the assessment of pressure distribution, standing and moving, and an attempt to balance. Results Analysis of the research and scientific literature proved the lack of unambiguous diagnostic procedures of the locomotor system recommended for the prevention of fatigue fractures in the course of osteoporosis. The main diagnostic recommendations are imaging tests (most often X-ray), which are recommended in the case of specific clinical symptoms. The analysis of exemplary patients with osteoporosis showed numerous disorders in the distribution of pressure in the plantar part of the feet, which are related, among other things, with their individual defects and lower limbs. Conclusions Detailed posture diagnostics and gait estimation, along with the analysis of pressure distribution within the feet are a very important aspect of the prevention of structural degradation and fatigue fractures within the feet. An important postulate for further research and scientific work is the elaboration of the procedures that will serve the preventive diagnostics of the locomotor system, aimed at early detection of threats of fatigue fractures.
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Affiliation(s)
- Aleksandra Bitenc-Jasiejko
- Department of Propaedeutic, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Krzysztof Konior
- Doctoral Study Department of Propaedeutic, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, Medical Center in Nowogard, Szczecin, Poland
| | - Kinga Gonta
- College of Physiotherapy in Wroclaw, Ortogenic Rehabilitation and Podology Center in Wroclaw, Wroclaw, Poland
| | - Magdalena Dulęba
- College of Physiotherapy in Wroclaw, Ortogenic Rehabilitation and Podology Center in Wroclaw, Wroclaw, Poland
| | - Danuta Lietz-Kijak
- Department of Propaedeutic, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, Szczecin, Poland
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Inderjeeth CA, Raymond WD, Briggs AM, Geelhoed E, Oldham D, Mountain D. Implementation of the Western Australian Osteoporosis Model of Care: a fracture liaison service utilising emergency department information systems to identify patients with fragility fracture to improve current practice and reduce re-fracture rates: a 12-month analysis. Osteoporos Int 2018; 29:1759-1770. [PMID: 29704027 DOI: 10.1007/s00198-018-4526-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2017] [Accepted: 04/05/2018] [Indexed: 10/17/2022]
Abstract
UNLABELLED Fracture liaison service linked to an emergency department database effectively identifies patients with OP, improves best practice care, reduces recurrent fractures, and improves quality of life (QoL). The next step is to establish cost-effectiveness. This should be seen as the standard model of care. INTRODUCTION The Western Australian Osteoporosis Model of Care recommends implementation of a fracture liaison service (FLS) to manage patients with minimal trauma fractures (MTFs). This study evaluates the efficacy of a FLS linked to a tertiary hospital emergency department information system (EDIS) in reducing recurrent fractures. METHODS Patients aged ≥ 50 years with MTF identified from EDIS were invited to the FLS. Patient outcomes were compared to routine care (retrospective group-same hospital, and prospective group-other hospital) at 3- and 12-month follow-up. RESULTS Two hundred forty-one of 376 (64.1%) eligible patients participated in the FLS with 12 months of follow-up. Absolute risk of recurrent MTF at 12 months was reduced by 9.2 and 10.2% compared with the prospective and retrospective controls, respectively. After age/sex adjustment, FLS participants had less MTF at 12 months vs. the retrospective controls, OR 0.38 (95%CI 0.18-0.79), but not the prospective controls, OR 0.40 (95%CI 0.16-1.01). FLS patients were more likely to receive the 'best practice' care, i.e. awareness of osteoporosis, investigations, and treatment (all p < 0.05). 'Fallers' (OR 0.48 (95%CI 0.24, 0.96)) and fall rates were lower in the FLS (p = 0.001) compared to the prospective control. FLS experienced the largest improvement in QoL from 3 to 12 months as measured by the EuroQoL 5-domain (EQ-5D) UK weighted score (+ 15 vs. - 11 vs. - 16%, p < 0.001) and EQ-5D Health State visual analogue scale (+ 29 vs. - 2 vs. + 1%, p < 0.001). CONCLUSION Patients managed in a linked EDIS-FLS were more likely to receive the 'best practice' care and had lower recurrent MTF and improved QoL.
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Affiliation(s)
- C A Inderjeeth
- Sir Charles Gairdner and Osborne Park Health Care Group, Perth, Australia.
- School of Medicine, The University of Western Australia, Perth, Australia.
- Arthritis and Osteoporosis Foundation of Western Australia, Shenton Park, Australia.
| | - W D Raymond
- Sir Charles Gairdner and Osborne Park Health Care Group, Perth, Australia
- School of Medicine, The University of Western Australia, Perth, Australia
| | - A M Briggs
- School of Physiotherapy and Exercise Science, Curtin University, Bentley, Australia
| | - E Geelhoed
- School of Population Health, The University of Western Australia, Perth, Australia
| | - D Oldham
- Sir Charles Gairdner and Osborne Park Health Care Group, Perth, Australia
| | - D Mountain
- Sir Charles Gairdner and Osborne Park Health Care Group, Perth, Australia
- School of Medicine, The University of Western Australia, Perth, Australia
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Fu Y, Therkildsen M, Aluko RE, Lametsch R. Exploration of collagen recovered from animal by-products as a precursor of bioactive peptides: Successes and challenges. Crit Rev Food Sci Nutr 2018; 59:2011-2027. [DOI: 10.1080/10408398.2018.1436038] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Yu Fu
- Department of Food Science, Faculty of Science, University of Copenhagen, Frederiksberg C, Denmark
| | | | - Rotimi E. Aluko
- Department of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB, Winnipeg, Canada
| | - René Lametsch
- Department of Food Science, Faculty of Science, University of Copenhagen, Frederiksberg C, Denmark
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Elliott RA, Woodward MC. Thirty years of Geriatric Therapeutics. JOURNAL OF PHARMACY PRACTICE AND RESEARCH 2016. [DOI: 10.1002/jppr.1284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Rohan A. Elliott
- Austin Health; Heidelberg Australia
- Centre for Medicine Use and Safety; Monash University; Parkville Australia
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Porfírio E, Fanaro GB. Collagen supplementation as a complementary therapy for the prevention and treatment of osteoporosis and osteoarthritis: a systematic review. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2016. [DOI: 10.1590/1809-9823.2016.14145] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction Collagen hydrolysate is recognized as a safe nutraceutical, whose combination of amino acids stimulates the synthesis of collagen in the extracellular matrix of cartilage and other tissues. Objective to conduct a systematic review of literature on the action of collagen hydrolysate in bone and cartilaginous tissue and its therapeutic use against osteoporosis and osteoarthritis. Method a study of the PubMed, MEDLINE, LILACS, and SciELO databases was performed. Articles published in English and Portuguese in the period of 1994 to 2014 were considered. Results: the sample comprised nine experimental articles with in vivo (animals and humans) and in vitro (human cells) models, which found that the use of different doses of collagen hydrolysate were associated with the maintenance of bone composition and strength, and the proliferation and cell growth of cartilage. Conclusion hydrolyzed collagen has a positive therapeutic effect on osteoporosis and osteoarthritis with a potential increase in bone mineral density, a protective effect on articular cartilage, and especially in the symptomatic relief of pain.
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Affiliation(s)
- Tara Coughlan
- Department of Age-related Healthcare, Tallaght Hospital, Tallaght, Dublin, Ireland
| | - Frances Dockery
- Department of Ageing and Health, St Thomas’ Hospital, London, UK
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Duque G. Osteoporosis in older persons: current pharmacotherapy and future directions. Expert Opin Pharmacother 2013; 14:1949-58. [DOI: 10.1517/14656566.2013.822861] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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