Treatment of osteoporosis: missed opportunities in the hospital fracture clinic.

Abstract:

AIM:To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events. PATIENTS AND METHODS:The hospital electronic information system was used to identify all patients aged over 50 years treated for a distal radial fracture, in our fracture clinic, between 1995-2000. In addition all patients admitted to our hospital, during the same time period, with a femoral neck fracture were identified. RESULTS:A study cohort of 74 patients were identified. The proportion of patients who received investigation of, or treatment for, osteoporosis between their wrist and femoral neck fracture was 8% whereas 84% did not. CONCLUSIONS:Current mechanisms for identifying patients with osteoporosis before they sustain a femoral neck fracture are inadequate.

journal_name

Ann R Coll Surg Engl

authors

Smith MG,Dunkow P,Lang DM

doi

10.1308/147870804371

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

344-6

issue

5

eissn

0035-8843

issn

1478-7083

journal_volume

86

pub_type

杂志文章
  • Tonsilloadenoidectomy. Personal observations in 15,000 cases.

    abstract::The indications for removal of tonsils and/or adenoids are discussed, along with preoperative assessment, operative technique, treatment of postoperative haemorrhage, aftercare, and results. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Haydon-Baillie M

    更新日期:1977-03-01 00:00:00

  • An evidence-based approach to red blood cell transfusions in asymptomatically anaemic patients.

    abstract:INTRODUCTION:Surgeons and physicians encounter blood transfusions on a daily basis but a robust evidence-based strategy on indications and timing of transfusion in asymptomatic anaemic patients is yet to be determined. For judicious use of blood products, the risks inherent to packed red blood cells, the patient's co-m...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2015.0047

    authors: Chan AW,de Gara CJ

    更新日期:2015-11-01 00:00:00

  • Multi-disciplinary management of complex pressure sore reconstruction: 5-year review of experience in a spinal injuries centre.

    abstract::INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a series of the more complex of these patients who underwent surgery as a joint case between plastics and other surgical specialties, aiming to provide ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2016.0227

    authors: Thomson CH,Choudry M,White C,Mecci M,Siddiqui H

    更新日期:2017-02-01 00:00:00

  • Incisional hernia rate after laparoscopic colorectal resection is reduced with standardisation of specimen extraction.

    abstract:INTRODUCTION:Incisional hernia is a common complication of laparoscopic colorectal surgery. Extraction site may influence the rate of incisional hernias. Major risk factors for the development of incisional hernias include age, diabetes, obesity and smoking status. In this study, we investigated the effect of specimen ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X14055925058274

    authors: Navaratnam AV,Ariyaratnam R,Smart NJ,Parker M,Motson RW,Arulampalam TH

    更新日期:2015-01-01 00:00:00

  • Blood loss and transfusion requirements in total joint arthroplasty.

    abstract::We report a prospective trial of 100 consecutive patients undergoing primary total hip or knee arthroplasty in order to assess their blood transfusion requirements amid recent fears of the transmission of viruses, particularly hepatitis C, from donor to recipient. Of the patients, 84% were transfused one or more units...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Clarke AM,Dorman T,Bell MJ

    更新日期:1992-09-01 00:00:00

  • Spontaneous resolution of a superior mesenteric vein thrombosis after laparoscopic nissen fundoplication.

    abstract::A previously fit 37-year-old man developed superior mesenteric venous thrombosis after undergoing a laparoscopic Nissen fundoplication. Despite receiving thrombo-embolic prophylaxis on postoperative day 16, he presented with a gradual onset of vague, but severe, umbilical and epigastric pains. Laboratory tests, abdomi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Davies M,Satyadas T,Akle CA

    更新日期:2002-05-01 00:00:00

  • Experience with the 'Triple Test' in pancreatic disease.

    abstract::The results of the secretin-pancreozymin test, duodenal aspirate cytology and hypotonic duodenography (the Triple Test), performed during a single duodenal intubation in patients with pancreatic or ampullary carcinoma, chronic pancreatitis and non-pancreatic disease were analysed retrospectively. Thirty-five of 36 car...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Thompson HH,Brown CL,Murray RS,Wingate DL,Ritchie HD

    更新日期:1983-05-01 00:00:00

  • Management of gingivobuccal complex cancer.

    abstract:INTRODUCTION:Squamous cell carcinoma of the oral cavity ranks as the 12th most common cancer in the world and the 8th most frequent in males. It accounts for up to one-third of all tobacco-related cancers in India. Cancer of the gingivobuccal complex is especially common in Indians due to their tobacco habits. This rev...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588408X301136

    authors: Misra S,Chaturvedi A,Misra NC

    更新日期:2008-10-01 00:00:00

  • Haemorrhage from idiopathic annular ulcers of the small intestine.

    abstract::Annular small bowel ulceration is rare. We report three patients who presented with signs of chronic gastrointestinal blood loss. In two patients the main presenting symptom was intermittent abdominal pain while the third patient subsequently developed abdominal pain during the course of investigation. Preoperative lo...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ballantyne KC,Morris DL,Hawkey CJ,Hardcastle JD

    更新日期:1986-05-01 00:00:00

  • Paediatric admissions to the British military hospital at Camp Bastion, Afghanistan.

    abstract:INTRODUCTION:International humanitarian law requires emergency medical support for both military personnel and civilians, including children. Here we present a detailed review of paediatric admissions with the pattern of injury and the resources they consume. METHODS:All paediatric admissions to the hospital at Camp B...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412x13171221499027

    authors: Arul GS,Reynolds J,DiRusso S,Scott A,Bree S,Templeton P,Midwinter MJ

    更新日期:2012-01-01 00:00:00

  • The role of transnasal oesophagoscopy in the management of globus pharyngeus and non-progressive dysphagia.

    abstract::Introduction Transnasal oesophagoscopy is a relatively new method of examining the upper aerodigestive tract via the nasal passage as an outpatient procedure without the need for sedation. It has been shown to be a well tolerated, safe and accurate technique, that can therefore be used in the investigation of patients...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2015.0052

    authors: Sanyaolu LN,Jemah A,Stew B,Ingrams DR

    更新日期:2016-01-01 00:00:00

  • Performance and learning curve of a surgical care practitioner in completing hip aspirations.

    abstract::INTRODUCTION The roles of non-medically trained practitioners within the NHS are expanding; they are now being employed by many specialties, including surgery, to relieve pressures on healthcare teams. AIMS To investigate the learning curve and competence of an orthopaedic surgical care practitioner (SCP) in performin...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0315

    authors: Tingle SJ,Marriott A,Partington PF,Carluke I,Reed MR

    更新日期:2016-11-01 00:00:00

  • How to approach major surgery where patients refuse blood transfusion (including Jehovah's Witnesses).

    abstract::Jehovah's Witnesses do not permit the use of allogeneic blood products. An increasing number of patients are refusing blood transfusion for non-religious reasons. In addition, blood stores are decreasing, and costs are increasing. Transfusion avoidance strategies are, therefore, desirable. Bloodless surgery refers to ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/1478708051414

    authors: Gohel MS,Bulbulia RA,Slim FJ,Poskitt KR,Whyman MR

    更新日期:2005-01-01 00:00:00

  • Peripheral neuromodulation via posterior tibial nerve stimulation - a potential treatment for faecal incontinence?

    abstract:INTRODUCTION:Faecal incontinence is a prevalent and important condition, with a range of treatment options. Neuromodulation via sacral nerve stimulators is efficacious, but expensive and associated with complications due to device implantation. Peripheral neuromodulation via posterior tibial nerve stimulation (PTNS) ha...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588410X12628812459652

    authors: Findlay JM,Yeung JM,Robinson R,Greaves H,Maxwell-Armstrong C

    更新日期:2010-07-01 00:00:00

  • A new clinical test in diagnosing quadriceps tendon rupture.

    abstract:INTRODUCTION:Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS:This paper describes a new simple clinical diagnostic test that directly evalu...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X179044

    authors: Jolles BM,Garofalo R,Gillain L,Schizas C

    更新日期:2007-04-01 00:00:00

  • Patient satisfaction with the use of an enhanced recovery programme for primary arthroplasty.

    abstract:INTRODUCTION:Enhanced recovery programmes (ErPs) are increasingly being used for arthroplasty. One of the core aims of an ErP is to improve the quality of patient experience. However, there is currently no published evaluation of patient satisfaction in relation to this new programme of care within orthopaedic surgery....

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413x13781990150293

    authors: Machin JT,Phillips S,Parker M,Carrannante J,Hearth MW

    更新日期:2013-11-01 00:00:00

  • Appendiceal intussusception from endometriosis: endoscopic and laparoscopic approach.

    abstract::Appendiceal intussusception is an rare diagnosis that may be found on imaging or at the time of surgery, as seen in this case of a 33-year-old female presenting with gastrointestinal symptoms. Images are presented with differential diagnosis as well as treatment options. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0244

    authors: Birriel TJ,Smith E,Eyvazzadeh D

    更新日期:2017-01-01 00:00:00

  • Emergency management of malignant acute left-sided colonic obstruction.

    abstract:INTRODUCTION:The management of acute left-sided colonic obstruction still remains a challenging problem despite significant progress. METHODS:A literature search was undertaken using PubMed and the Cochrane Library regarding the options in emergency management of left-sided colonic obstruction focusing on outcomes suc...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588408X285757

    authors: Trompetas V

    更新日期:2008-04-01 00:00:00

  • Accelerated discharge within 72 hours of colorectal cancer resection using simple discharge criteria.

    abstract::Introduction Short hospital stays and accelerated discharge within 72 hours following colorectal cancer resections have not been widely achieved. Series reporting on accelerated discharge involve heterogeneous patient populations and exclude important groups. Strict adherence to some discharge requirements may lead to...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0149

    authors: Emmanuel A,Chohda E,Botfield C,Ellul J

    更新日期:2018-01-01 00:00:00

  • Intra-articular and subcutaneous prilocaine with adrenaline for pain relief in day case arthroscopy of the knee joint.

    abstract::A randomised, double-blind study was conducted to assess the influence of intra-articular and subcutaneous prilocaine with adrenaline on postoperative pain in day case arthroscopy of the knee. The time to first dose of oral analgesia postoperatively was significantly prolonged in those patients receiving prilocaine bu...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: White AP,Laurent S,Wilkinson DJ

    更新日期:1990-11-01 00:00:00

  • Congenital diaphragmatic hernia causing cardiac arrest in a 30-year-old woman.

    abstract::Congenital diaphragmatic hernia (CDH) usually presents in infancy with respiratory failure requiring urgent surgical correction. Mortality in this group of patients remains poor and persistent pulmonary hypertension is a significant contributor. It is therefore rare for patients to reach adulthood undiagnosed. CDH is ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0345

    authors: Manson HJ,Goh YM,Goldsmith P,Scott P,Turner P

    更新日期:2017-02-01 00:00:00

  • Hip resurfacing revision rates: radiological audit of risk factors.

    abstract:INTRODUCTION:We performed a retrospective radiological audit of the hip resurfacings carried out in our trust over a five-year period. Abnormal cup inclination angle (CIA) and stem shaft angle (SSA) are recognised risk factors for revision in hip resurfacing. Our aims were to identify the CIA and SSA for hip resurfacin...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588411X571115

    authors: Ramisetty N,Krishnan KM,Partington PF

    更新日期:2011-05-01 00:00:00

  • Hunterian peptic ulcers and Helicobacter pylori.

    abstract::Gastric spiral organisms were first described in man in 1939 and identified as Helicobacter pylori causing peptic ulcers in the early 1980s. Surgical specimens of gastric resections from 1939 showed H. pylori to be present. Full-thickness sections of gastric mucosa from gastric specimens from the eighteenth-century Hu...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 历史文章,杂志文章

    doi:

    authors: Walker MM,Baron JH

    更新日期:1997-09-01 00:00:00

  • Implications of the index cholecystectomy and timing of referral for radical resection of advanced incidental gallbladder cancer.

    abstract:INTRODUCTION:Advanced (pT2/T3) incidental gallbladder cancer is often deemed unresectable after restaging. This study assesses the impact of the primary operation, tumour characteristics and timing of management on re-resection. METHODS:The records of 60 consecutive referrals for incidental gallbladder cancer in a sin...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X14055925060073

    authors: Tsirlis T,Ausania F,White SA,French JJ,Jaques BC,Charnley RM,Manas DM

    更新日期:2015-03-01 00:00:00

  • Primary total hip replacement: a comparison of a nationally agreed guide to best practice and current surgical technique as determined by the North West Regional Arthroplasty Register.

    abstract:BACKGROUND:In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Hip Society (BHS) to provide a basis for regional and national auditable standards. We have compared practice in the North West Region of England ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588404322827509

    authors: Malik MH,Gambhir AK,Bale L,Pradhan N,Porter ML

    更新日期:2004-03-01 00:00:00

  • The Falklands war: Army field surgical experience.

    abstract::In the recent Falklands campaign four Army Field Surgical Teams were deployed in the two phases of the war. They functioned as Advanced Surgical Centres and operated on 233 casualties. There were 3 deaths. The patterns of wounding and the methods of casualty management are discussed and compared with other recent camp...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Jackson DS,Batty CG,Ryan JM,McGregor WS

    更新日期:1983-09-01 00:00:00

  • Patient outcomes after treatment with percutaneous cholecystostomy for biliary sepsis.

    abstract:INTRODUCTION:Acute cholecystitis is among the most common general surgical presentations. There is a cohort of patients who develop systemic sepsis and complications of acute cholecystitis. These patients are often elderly and co-morbid. Conservative management with percutaneous cholecystostomy has been shown to be a s...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588414X13814021679799

    authors: Flexer SM,Peter MB,Durham-Hall AC,Ausobsky JR

    更新日期:2014-04-01 00:00:00

  • Palliation in oesophageal neoplasia.

    abstract::Oesophageal cancer is an increasingly common disease in the UK. Sadly, the overall results of treatment remain poor with overall 5 year survival of approximately 10%. More than 50% of patients receive purely palliative care from the outset. Of those having potentially curative treatment, 40% will not survive the first...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:

    authors: Bancewicz J

    更新日期:1999-11-01 00:00:00

  • Dissolution of retained choledochal calculi.

    abstract::The history of the technique of promoting dissolution of retained gallstones in the biliary tree is briefly reviewed. Present methods are described in detail and our own experience recorded. We have treated six patients with retained calculi by means of heparinized saline and sodium cholate infusions of the common bil...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Wheeler MH

    更新日期:1977-03-01 00:00:00

  • Comparative audit: a new method of delivering audit.

    abstract::A new method of audit delivery is described, based on the first large scale comparative audit meeting held at The Royal College of Surgeons of England. The concept of comparative audit is introduced and the methods of undertaking such an exercise are described. This comparative audit processed the clinical activity of...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Emberton M,Rivett R,Ellis BW

    更新日期:1991-11-01 00:00:00