Treatment of osteoporosis in an older home care population
<p>Abstract</p> <p>Background</p> <p>Previous research indicates that many patients with fractures indicative of underlying osteoporosis are not receiving appropriate diagnostic follow-up and therapy. We assessed osteoporosis treatment coverage in older home care client...
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| Format: | Article |
| Language: | English |
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BMC
2005-02-01
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| Series: | BMC Musculoskeletal Disorders |
| Online Access: | http://www.biomedcentral.com/1471-2474/6/7 |
| _version_ | 1811264005511053312 |
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| author | Maxwell Colleen J Vik Shelly A Hanley David A |
| author_facet | Maxwell Colleen J Vik Shelly A Hanley David A |
| author_sort | Maxwell Colleen J |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Previous research indicates that many patients with fractures indicative of underlying osteoporosis are not receiving appropriate diagnostic follow-up and therapy. We assessed osteoporosis treatment coverage in older home care clients with a diagnosis of osteoporosis and/or prevalent fracture.</p> <p>Methods</p> <p>Subjects included 330 home care clients, aged 65+, participating in a longitudinal study of medication adherence and health-related outcomes. Data on clients' demographic, health and functional status and service utilization patterns were collected using the Minimum Data Set for Home Care (MDS-HC). A medication review included prescribed and over-the-counter medications taken in the past 7 days. Criteria for indications for osteoporosis therapy included diagnosis of osteoporosis or a recent fracture. Coverage for treatment was examined for anti-osteoporotic therapies approved for use in 2000.</p> <p>Results</p> <p>Of the 330 home care clients, 78 (24%) had a diagnosis of osteoporosis (n = 47) and/or had sustained a recent fracture (n = 34). Drug data were available for 77/78 subjects. Among the subjects with osteoporosis or a recent fracture, 45.5% were receiving treatment for osteoporosis; 14% were receiving only calcium and vitamin D, and an additional 31% were receiving drug therapy (bisphosphonate or hormone replacement therapy). The remaining 54.5% of subjects were not receiving any approved osteoporosis therapy.</p> <p>Conclusions</p> <p>The high prevalence of undertreatment among a population of older adults with relatively high access to health care services raises concern regarding the adequacy of diagnosis and treatment of osteoporosis in the community.</p> |
| first_indexed | 2024-04-12T19:55:23Z |
| format | Article |
| id | doaj.art-3a2f2b3501b04674b1fe642aa24475ae |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T19:55:23Z |
| publishDate | 2005-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-3a2f2b3501b04674b1fe642aa24475ae2022-12-22T03:18:40ZengBMCBMC Musculoskeletal Disorders1471-24742005-02-0161710.1186/1471-2474-6-7Treatment of osteoporosis in an older home care populationMaxwell Colleen JVik Shelly AHanley David A<p>Abstract</p> <p>Background</p> <p>Previous research indicates that many patients with fractures indicative of underlying osteoporosis are not receiving appropriate diagnostic follow-up and therapy. We assessed osteoporosis treatment coverage in older home care clients with a diagnosis of osteoporosis and/or prevalent fracture.</p> <p>Methods</p> <p>Subjects included 330 home care clients, aged 65+, participating in a longitudinal study of medication adherence and health-related outcomes. Data on clients' demographic, health and functional status and service utilization patterns were collected using the Minimum Data Set for Home Care (MDS-HC). A medication review included prescribed and over-the-counter medications taken in the past 7 days. Criteria for indications for osteoporosis therapy included diagnosis of osteoporosis or a recent fracture. Coverage for treatment was examined for anti-osteoporotic therapies approved for use in 2000.</p> <p>Results</p> <p>Of the 330 home care clients, 78 (24%) had a diagnosis of osteoporosis (n = 47) and/or had sustained a recent fracture (n = 34). Drug data were available for 77/78 subjects. Among the subjects with osteoporosis or a recent fracture, 45.5% were receiving treatment for osteoporosis; 14% were receiving only calcium and vitamin D, and an additional 31% were receiving drug therapy (bisphosphonate or hormone replacement therapy). The remaining 54.5% of subjects were not receiving any approved osteoporosis therapy.</p> <p>Conclusions</p> <p>The high prevalence of undertreatment among a population of older adults with relatively high access to health care services raises concern regarding the adequacy of diagnosis and treatment of osteoporosis in the community.</p>http://www.biomedcentral.com/1471-2474/6/7 |
| spellingShingle | Maxwell Colleen J Vik Shelly A Hanley David A Treatment of osteoporosis in an older home care population BMC Musculoskeletal Disorders |
| title | Treatment of osteoporosis in an older home care population |
| title_full | Treatment of osteoporosis in an older home care population |
| title_fullStr | Treatment of osteoporosis in an older home care population |
| title_full_unstemmed | Treatment of osteoporosis in an older home care population |
| title_short | Treatment of osteoporosis in an older home care population |
| title_sort | treatment of osteoporosis in an older home care population |
| url | http://www.biomedcentral.com/1471-2474/6/7 |
| work_keys_str_mv | AT maxwellcolleenj treatmentofosteoporosisinanolderhomecarepopulation AT vikshellya treatmentofosteoporosisinanolderhomecarepopulation AT hanleydavida treatmentofosteoporosisinanolderhomecarepopulation |