Osteoporosis treatment in older adults undergoing rehabilitation post-hip fracture.
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).


CONCLUSIONS
In this selected patient population the rates of osteoporosis treatment are higher than previously reported but remain suboptimal.
Linn
A
A
Regional Pharmacy Services, Capital Health Authority, Alberta, Canada.
Yuksel
N
N
Juby
A
A
Sadowski
C A
CA
D000368:Aged; D000369:Aged, 80 and over; D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D015331:Cohort Studies; D005260:Female; D019983:Guideline Adherence; D006620:Hip Fractures / Q000150:complications / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008485:Medical Audit; D010024:Osteoporosis / Q000150:complications / Q000188:drug therapy*; D017410:Practice Guidelines as Topic; D012047:Rehabilitation Centers; D012189:Retrospective Studies
D050071:Bone Density Conservation Agents