title: Osteoporosis Diagnosis and Management in Long-Term Care Facility.
abstract: BACKGROUND
  Contemporary estimates of the prevalence of diagnosed osteoporosis among long-term care facility residents are limited.
  
  
  METHODS
  This chart review collected data between April 1, 2012 and August 31, 2013 for adult (age ≥ 30 years) residents of 11 long-term care facilities affiliated with the Louisiana State University Health Sciences Center in the New Orleans metropolitan area. Data (demographics; comorbidities; osteoporosis diagnosis, risk factors, diagnostic assessments, treatments; fracture history; fall risk; activities of daily living) were summarized. Data for residents with and without diagnosed osteoporosis were compared using χ tests and t tests.
  
  
  RESULTS
  The study included 746 residents (69% women, mean [SD] age: 76.3 [13.9] years, median length of stay approximately 18.5 months). An osteoporosis diagnosis was recorded for 132 residents (18%), 30% of whom received a pharmacologic osteoporosis therapy. Fewer than 2% of residents had bone mineral density assessments; 10% had previous fracture. Calcium and vitamin D use was more prevalent in residents with diagnosed osteoporosis compared with other residents (calcium: 49% versus 12%, vitamin D: 52% versus 28%; both P < 0.001). Over half (304/545) of assessed residents had a high fall risk. Activities of daily living were similarly limited regardless of osteoporosis status.
  
  
  CONCLUSIONS
  The prevalence of diagnosed osteoporosis was higher than previously reported for long-term care residents, but lower than epidemiologic estimates of osteoporosis prevalence for the noninstitutional U.S.
  
  
  METHODS
  In our sample, osteoporosis diagnostic testing was rare and treatment rates were low. Our results suggest that osteoporosis may be underdiagnosed and undertreated in long-term care settings.
authors.affiliation: Louisiana State University Health Sciences Center (EAA, SDB, CAC, AA, WPH, JSC, TMR), New Orleans, Louisiana; Truven Health Analytics (MB, KW), Bethesda, Maryland; and Amgen, Inc (BSS, CJP, NT, LIC), Thousand Oaks, California.
authors.forename: Erwin A
authors.initials: EA
authors.lastname: Aguilar
authors.forename: Sean D
authors.initials: SD
authors.lastname: Barry
authors.forename: Charles A
authors.initials: CA
authors.lastname: Cefalu
authors.forename: Abir
authors.initials: A
authors.lastname: Abdo
authors.forename: William P
authors.initials: WP
authors.lastname: Hudson
authors.forename: James S
authors.initials: JS
authors.lastname: Campbell
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Reske
authors.forename: Machaon
authors.initials: M
authors.lastname: Bonafede
authors.forename: Kathleen
authors.initials: K
authors.lastname: Wilson
authors.forename: Bradley S
authors.initials: BS
authors.lastname: Stolshek
authors.forename: Carly J
authors.initials: CJ
authors.lastname: Paoli
authors.forename: Nguyet
authors.initials: N
authors.lastname: Tran
authors.forename: Lung-I
authors.initials: LI
authors.lastname: Cheng
mesh_terms: D015502:Absorptiometry, Photon / Q000379:methods; D000203:Activities of Daily Living; D000368:Aged; D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D015577:Geriatric Assessment / Q000379:methods; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008134:Long-Term Care / Q000379:methods / Q000706:statistics & numerical data; D008297:Male; D055820:New Orleans / Q000453:epidemiology; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010024:Osteoporosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D050071:Bone Density Conservation Agents