The effect of osteoporosis management on proximal humeral fracture

摘要: Hypothesis and background Proximal humeral fractures comprise 10% of in the Medicare population. The effect, if any, treating osteoporosis to prevent these has not been determined. primary objective is determine effectiveness a systematic screening treatment program on hazard developing fracture over period. secondary aim demographic risk factors. Methods This retrospective cohort study health care organization serving 3.3 million members. Individuals selected for dual-energy x-ray absorptiometry were (1) women aged 65 years or older; (2) men 70 years (3) individuals 50 years older who have history fragility fracture, use glucocorticoids, parental hip rheumatoid arthritis, alcohol at high rate, are cigarette smokers. Treatment consisted primarily pharmacologic intervention with bisphosphonates. Results diagnosed had ratio 7.43 sustaining Patients screened 0.17 whereas those treated medically 0.55 versus untreated controls. Risk factors that significantly increased included age, female gender, white race, diabetes mellitus, distal radius fracture. Discussion conclusion Over period, decreased proximal information broadens impact such programs because current best practices based prevention spine fractures.