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Arthritis Rheum. 2002 Dec 15;47(6):651-4.

Hip fracture patients are not treated for osteoporosis: a call to action.

Author information

1
University of Wisconsin Medical School, Madison, Wisconsin, USA. harrington@uwmf.wisc.edu

Abstract

OBJECTIVE:

To determine whether hip fracture patients, a group at very high risk for additional fragility fractures, are being evaluated and treated effectively for osteoporosis.

METHODS:

Clinical and bone densitometry (dual x-ray absorptiometry [DXA]) records were reviewed in hip fracture patients at 4 Midwestern US health systems to determine the frequency of DXA use, calcium and vitamin D supplementation, and antiresorptive drug treatment.

RESULTS:

DXA was performed at the 4 study sites in only 12%, 12%, 13%, and 24% of patients, respectively. Calcium and vitamin D supplements were prescribed in 27%, 1%, 3%, and 25% of the patients at the 4 study sites. Antiresorptive drugs were prescribed in 26%, 12%, 7%, and 37% of the patients with only 2-10% receiving a bisphosphonate.

CONCLUSION:

Reducing osteoporotic fractures will require more effective approaches to managing hip fracture patients and other high-risk populations.

PMID:
12522840
DOI:
10.1002/art.10787
[Indexed for MEDLINE]
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