A Primary Care Audit of Fracture Risk Management in Patients with a History of Chronic Pancreatitis

Cottrell, E.; Edwards, J.; Paskins, Z.

Abstract

Objective: To establish whether patients with a history of chronic pancreatitis have had appropriate fracture risk assessment.

Methods: This audit was undertaken in a research ready, teaching practice with a list size of 11,377 on 18 November 2019. Referring
to the National Institute for Health and Care Excellence Pancreatitis guidelines (1), the criterion set for this audit was that among patients with a history of chronic pancreatitis, bone density scanning (DXA) should have been offered in the last two years. Index patients were defined as patients who have ever had chronic pancreatitis recorded as a problem code. The primary care electronic medical record system (EMIS Web) was used to identify patients eligible for the audit. Medical records were interrogated to establish whether patients had been offered DXA or had a DXA performed in the last two years. The standard set for eligible patients being offered a DXA in the last two years was 80%. A re-audit was undertaken on 20 January 2020.

Results: Nine patients were identified as having chronic pancreatitis; one had an existing diagnosis of osteoporosis. Of the remaining eight patients, none had been offered a DXA within the last 2 y. A letter was sent to patients due to have a DXA to invite them to have this performed. Subsequently the re-audit showed 10 patients with chronic pancreatitis, two with an existing diagnosis of osteoporosis. Of the remaining 8, 7 had been offered a DXA, of which 3 had been referred.

Conclusion: Once patients are made aware of the need for a DXA scan they did engage. Improved coding of when a DXA is due, when DXA is offered, when DXA referral is made, and coding incoming results in the medical record would facilitate a more systematised search, report and recall function for fracture assessment which could be led by administrative staff with clinical input when action is required.

Citation

Cottrell, E., Edwards, J., & Paskins, Z. (2020, August). A Primary Care Audit of Fracture Risk Management in Patients with a History of Chronic Pancreatitis. Poster presented at World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO 2020)

• Presentation Conference Type: Poster
• Conference Name: World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO 2020)
• Start Date: Aug 20, 2020
• Deposit Date: Jun 19, 2023
• Publisher URL: https://link.springer.com/article/10.1007/s00198-020-05696-3