The near absence of osteoporosis treatment in older men with fractures.

摘要: The burden of osteoporotic fractures in older men is significant. objectives our study were to: (1) characterize with associated osteoporosis, (2) determine if medication treatment rates for osteoporosis are improving and (3) identify patient, healthcare benefit utilization, clinician characteristics that significantly treatment. This retrospective cohort assessed 1,171 aged 65 or any new fracture between 1 January 1998 30 June 2001 a non-profit health maintenance organization the United States. Multiple logistic regression was used to evaluate pre-fracture factors their association 6-month post-fracture period. main outcome measure pharmacologic 6 months after index fracture. Subjects’ average age 76.7 years; 3.3% had diagnosis 15.2% secondary osteoporosis. Only 7.1% population 16.0% those hip vertebral received following fracture, did not improve over time. In multivariate model, drug higher value on Charlson Comorbidity Index (odds ratio 1.26, 95% confidence interval 1.05–1.51), having an 8.11, 3.08–21.3), chronic glucocorticoid use 5.37, 2.37–12.2) 16.6, 7.8–31.4). Bone mineral density measurement rare ( n =13, 1.1%). Our findings suggest there under-ascertainment under-treatment modifiable causes fractures. Information systems merging diagnostic information can help delineate gaps patient management. Interventions showing promise other conditions should be evaluated care