Osteoporosis treatment in older adults undergoing rehabilitation post-hip fracture

Clin Exp Rheumatol. 2009 Mar-Apr;27(2):277-83.

Abstract

Objective: Osteoporosis treatment in patients who have sustained a hip fracture has been reported to be less then 20%. The objective of this study is to determine the current rate of adherence to osteoporosis practice guidelines in elderly patients post-hip fracture who have undergone rehabilitation.

Methods: Osteoporosis treatment in patients who have sustained a hip fracture has been reported to be less then 20%. The objective of this study is to determine the current rate of adherence to osteoporosis practice guideline in elderly patients post-hip fracture who have undergone rehabilitation.

Results: Osteoporosis therapy (any type) was prescribed to 90 (63%) patients, with bisphosphonates prescribed in 90% of these cases. Calcium and vitamin D was prescribed to 130 (90.9%) patients. Of all the study patients, 76 (53%) of patients had at least one contraindication to osteoporosis therapy identified. Having a diagnosis of osteoporosis was the only factor associated with receiving osteoporosis therapy (OR 13.3, p<0.001).

Conclusion: In this selected patient population the rates of osteoporosis treatment are higher than previously reported but remain suboptimal.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bone Density Conservation Agents / therapeutic use*
  • Cohort Studies
  • Female
  • Guideline Adherence
  • Hip Fractures / complications
  • Hip Fractures / rehabilitation*
  • Humans
  • Male
  • Medical Audit*
  • Osteoporosis / complications
  • Osteoporosis / drug therapy*
  • Practice Guidelines as Topic
  • Rehabilitation Centers
  • Retrospective Studies

Substances

  • Bone Density Conservation Agents