The osteoporosis care gap in Canada

<p>Abstract</p> <p>Background</p> <p>The presence of a fragility fracture is a major risk factor for osteoporosis, and should be an indicator for osteoporosis diagnosis and therapy. However, the extent to which patients who fracture are assessed and treated for osteopor...

Full description

Bibliographic Details
Main Authors: Boulos P, Kvern B, Giangregorio L, Papaioannou A, Ioannidis G, Adachi JD
Format: Article
Language:English
Published: BMC 2004-04-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://www.biomedcentral.com/1471-2474/5/11
_version_ 1811329376042614784
author Boulos P
Kvern B
Giangregorio L
Papaioannou A
Ioannidis G
Adachi JD
author_facet Boulos P
Kvern B
Giangregorio L
Papaioannou A
Ioannidis G
Adachi JD
author_sort Boulos P
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The presence of a fragility fracture is a major risk factor for osteoporosis, and should be an indicator for osteoporosis diagnosis and therapy. However, the extent to which patients who fracture are assessed and treated for osteoporosis is not clear.</p> <p>Methods</p> <p>We performed a review of the literature to identify the practice patterns in the diagnosis and treatment of osteoporosis in adults over the age of 40 who experience a fragility fracture in Canada. Searches were performed in MEDLINE (1966 to January 2, 2003) and CINAHL (1982 to February 1, 2003) databases.</p> <p>Results</p> <p>There is evidence of a care gap between the occurrence of a fragility fracture and the diagnosis and treatment of osteoporosis in Canada. The proportion of individuals with a fragility fracture who received an osteoporosis diagnostic test or physician diagnosis ranged from 1.7% to 50%. Therapies such as hormone replacement therapy, bisphosphonates or calcitonin were being prescribed to 5.2% to 37.5% of patients. Calcium and vitamin D supplement intake was variable, and ranged between 2.8% to 61.6% of patients.</p> <p>Conclusion</p> <p>Many Canadians who experience fragility fracture are not receiving osteoporosis management for the prevention of future fractures.</p>
first_indexed 2024-04-13T15:42:47Z
format Article
id doaj.art-185dbfd89ebd43ff8f332b9df6f1ccba
institution Directory Open Access Journal
issn 1471-2474
language English
last_indexed 2024-04-13T15:42:47Z
publishDate 2004-04-01
publisher BMC
record_format Article
series BMC Musculoskeletal Disorders
spelling doaj.art-185dbfd89ebd43ff8f332b9df6f1ccba2022-12-22T02:41:05ZengBMCBMC Musculoskeletal Disorders1471-24742004-04-01511110.1186/1471-2474-5-11The osteoporosis care gap in CanadaBoulos PKvern BGiangregorio LPapaioannou AIoannidis GAdachi JD<p>Abstract</p> <p>Background</p> <p>The presence of a fragility fracture is a major risk factor for osteoporosis, and should be an indicator for osteoporosis diagnosis and therapy. However, the extent to which patients who fracture are assessed and treated for osteoporosis is not clear.</p> <p>Methods</p> <p>We performed a review of the literature to identify the practice patterns in the diagnosis and treatment of osteoporosis in adults over the age of 40 who experience a fragility fracture in Canada. Searches were performed in MEDLINE (1966 to January 2, 2003) and CINAHL (1982 to February 1, 2003) databases.</p> <p>Results</p> <p>There is evidence of a care gap between the occurrence of a fragility fracture and the diagnosis and treatment of osteoporosis in Canada. The proportion of individuals with a fragility fracture who received an osteoporosis diagnostic test or physician diagnosis ranged from 1.7% to 50%. Therapies such as hormone replacement therapy, bisphosphonates or calcitonin were being prescribed to 5.2% to 37.5% of patients. Calcium and vitamin D supplement intake was variable, and ranged between 2.8% to 61.6% of patients.</p> <p>Conclusion</p> <p>Many Canadians who experience fragility fracture are not receiving osteoporosis management for the prevention of future fractures.</p>http://www.biomedcentral.com/1471-2474/5/11osteoporosisfractureCanadadiagnosistreatment
spellingShingle Boulos P
Kvern B
Giangregorio L
Papaioannou A
Ioannidis G
Adachi JD
The osteoporosis care gap in Canada
BMC Musculoskeletal Disorders
osteoporosis
fracture
Canada
diagnosis
treatment
title The osteoporosis care gap in Canada
title_full The osteoporosis care gap in Canada
title_fullStr The osteoporosis care gap in Canada
title_full_unstemmed The osteoporosis care gap in Canada
title_short The osteoporosis care gap in Canada
title_sort osteoporosis care gap in canada
topic osteoporosis
fracture
Canada
diagnosis
treatment
url http://www.biomedcentral.com/1471-2474/5/11
work_keys_str_mv AT boulosp theosteoporosiscaregapincanada
AT kvernb theosteoporosiscaregapincanada
AT giangregoriol theosteoporosiscaregapincanada
AT papaioannoua theosteoporosiscaregapincanada
AT ioannidisg theosteoporosiscaregapincanada
AT adachijd theosteoporosiscaregapincanada
AT boulosp osteoporosiscaregapincanada
AT kvernb osteoporosiscaregapincanada
AT giangregoriol osteoporosiscaregapincanada
AT papaioannoua osteoporosiscaregapincanada
AT ioannidisg osteoporosiscaregapincanada
AT adachijd osteoporosiscaregapincanada