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Osteoporotic fractures not adequately investigated

Many patients with osteoporotic fractures are being inadequately investigated by doctors, a new survey reveals.

The research suggests patients are missing out on treatment because surgeons are failing to request investigations and GPs are only doing so when prompted.

Some 54 per cent of 140 GPs surveyed said they would not

investigate low trauma Colles fracture without a request from secondary care.

But 47 per cent of 140 ortho-paedic surgeons said they would discharge patients without initiating or requesting an investigation.

There were also failures in follow-up in scenarios involv-ing vertebral wedge and femur fracture.

Study leader Dr Lee Jeys, a doctor on the Yorkshire Higher Orthopaedic Training Rotation, said: 'GPs need to be aware of these deficiencies in the current system and be proactive in investigating patients with fragility fractures.'

Dr Peter Stott, a GP in Tadworth, Surrey, and National Osteoporosis Society scientific committee member, said: 'It's my own practice to follow up these patients with a DEXA


'They are one of the big three groups to investigate ­ family history, people on steroids

and people with low trauma fractures.'

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