$Osteoporosis management in older patients who experienced a fracture$
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Osteoporosis management in older patients who experienced a fracture

Mark J Oertel,1 Leland Graves,1 Eyad Al-Hihi,2 Vincent Leonardo,3 Christina Hopkins,2 Kristin DeSouza,2 Rajib K Bhattacharya1 1Division of Endocrinology, Metabolism and Genetics, Department of Medicine, 2Department of Internal Medicine, 3Department of Enterprise Analytics, University of Kansas Medic...

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Autores principales:	Oertel MJ, Graves L, Al-Hihi E, Leonardo V, Hopkins C, DeSouza K, Bhattacharya RK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Osteoporosis inpatient management post-fracture evaluation post-fracture treatment Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/716b35fd0b8a42dda62a5a2030072792
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spelling	oai:doaj.org-article:716b35fd0b8a42dda62a5a20300727922021-12-02T01:00:31ZOsteoporosis management in older patients who experienced a fracture1178-1998https://doaj.org/article/716b35fd0b8a42dda62a5a20300727922016-08-01T00:00:00Zhttps://www.dovepress.com/osteoporosis-management-in-older-patients-who-experienced-a-fracture-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Mark J Oertel,1 Leland Graves,1 Eyad Al-Hihi,2 Vincent Leonardo,3 Christina Hopkins,2 Kristin DeSouza,2 Rajib K Bhattacharya1 1Division of Endocrinology, Metabolism and Genetics, Department of Medicine, 2Department of Internal Medicine, 3Department of Enterprise Analytics, University of Kansas Medical Center, Kansas City, KS, USA Background: Fractures in older patients are common, morbid, and associated with increased risk of subsequent fractures. Inpatient and outpatient management and treatment of fractures can be costly. With more emphasis placed on quality care for Medicare beneficiaries, we studied if patients were receiving proper screening for osteoporosis and treatment after diagnosis of fracture. This study aims to determine if adequate screening and treatment for osteoporosis occurs in the postfracture period.Methods: A retrospective analysis of Medicare beneficiaries aged 67 years or older was gathered from a single institution in both inpatient and outpatient visits. Based on International Classification of Diseases ninth revision codes, primary diagnosis of fractures of neck and trunk, upper limb, and lower limb were obtained in addition to current procedural terminology codes for fracture procedures. We studied patients who had been screened for osteoporosis with a bone mineral study or received osteoporosis treatment after their fracture.Results: Medicare beneficiaries totaling 1,375 patients were determined to have an inclusion fracture between June 1, 2013 and November 30, 2014. At the time of our analysis on December 1, 2014, 1,219 patients were living and included in the analysis. Of these patients, 256 (21.0%) either received osteoporosis testing with bone mineral density or received treatment for osteoporosis. On sex breakdown, 208/820 (25.4%) females received proper evaluation or treatment of osteoporosis in comparison to 48/399 (12.0%) males. This is in comparison to the Centers for Medicare and Medicaid Services’ national average of 19.1% for osteoporosis management in females.Conclusion: A minority of studied patients received evaluation or treatment for osteoporosis after their fracture. Postfracture investigation and treatment for osteoporosis in Medicare beneficiaries is inadequate. If improved, Medicare costs could be reduced by prevention of future fractures. Future studies could determine how best to ensure this intervention occurs. Keywords: osteoporosis, inpatient management, postfracture evaluation, post-fracture treatmentOertel MJGraves LAl-Hihi ELeonardo VHopkins CDeSouza KBhattacharya RKDove Medical PressarticleOsteoporosisinpatient managementpost-fracture evaluationpost-fracture treatmentGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 1111-1116 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Osteoporosis inpatient management post-fracture evaluation post-fracture treatment Geriatrics RC952-954.6
spellingShingle	Osteoporosis inpatient management post-fracture evaluation post-fracture treatment Geriatrics RC952-954.6 Oertel MJ Graves L Al-Hihi E Leonardo V Hopkins C DeSouza K Bhattacharya RK Osteoporosis management in older patients who experienced a fracture
description	Mark J Oertel,1 Leland Graves,1 Eyad Al-Hihi,2 Vincent Leonardo,3 Christina Hopkins,2 Kristin DeSouza,2 Rajib K Bhattacharya1 1Division of Endocrinology, Metabolism and Genetics, Department of Medicine, 2Department of Internal Medicine, 3Department of Enterprise Analytics, University of Kansas Medical Center, Kansas City, KS, USA Background: Fractures in older patients are common, morbid, and associated with increased risk of subsequent fractures. Inpatient and outpatient management and treatment of fractures can be costly. With more emphasis placed on quality care for Medicare beneficiaries, we studied if patients were receiving proper screening for osteoporosis and treatment after diagnosis of fracture. This study aims to determine if adequate screening and treatment for osteoporosis occurs in the postfracture period.Methods: A retrospective analysis of Medicare beneficiaries aged 67 years or older was gathered from a single institution in both inpatient and outpatient visits. Based on International Classification of Diseases ninth revision codes, primary diagnosis of fractures of neck and trunk, upper limb, and lower limb were obtained in addition to current procedural terminology codes for fracture procedures. We studied patients who had been screened for osteoporosis with a bone mineral study or received osteoporosis treatment after their fracture.Results: Medicare beneficiaries totaling 1,375 patients were determined to have an inclusion fracture between June 1, 2013 and November 30, 2014. At the time of our analysis on December 1, 2014, 1,219 patients were living and included in the analysis. Of these patients, 256 (21.0%) either received osteoporosis testing with bone mineral density or received treatment for osteoporosis. On sex breakdown, 208/820 (25.4%) females received proper evaluation or treatment of osteoporosis in comparison to 48/399 (12.0%) males. This is in comparison to the Centers for Medicare and Medicaid Services’ national average of 19.1% for osteoporosis management in females.Conclusion: A minority of studied patients received evaluation or treatment for osteoporosis after their fracture. Postfracture investigation and treatment for osteoporosis in Medicare beneficiaries is inadequate. If improved, Medicare costs could be reduced by prevention of future fractures. Future studies could determine how best to ensure this intervention occurs. Keywords: osteoporosis, inpatient management, postfracture evaluation, post-fracture treatment
format	article
author	Oertel MJ Graves L Al-Hihi E Leonardo V Hopkins C DeSouza K Bhattacharya RK
author_facet	Oertel MJ Graves L Al-Hihi E Leonardo V Hopkins C DeSouza K Bhattacharya RK
author_sort	Oertel MJ
title	Osteoporosis management in older patients who experienced a fracture
title_short	Osteoporosis management in older patients who experienced a fracture
title_full	Osteoporosis management in older patients who experienced a fracture
title_fullStr	Osteoporosis management in older patients who experienced a fracture
title_full_unstemmed	Osteoporosis management in older patients who experienced a fracture
title_sort	osteoporosis management in older patients who experienced a fracture
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/716b35fd0b8a42dda62a5a2030072792
work_keys_str_mv	AT oertelmj osteoporosismanagementinolderpatientswhoexperiencedafracture AT gravesl osteoporosismanagementinolderpatientswhoexperiencedafracture AT alhihie osteoporosismanagementinolderpatientswhoexperiencedafracture AT leonardov osteoporosismanagementinolderpatientswhoexperiencedafracture AT hopkinsc osteoporosismanagementinolderpatientswhoexperiencedafracture AT desouzak osteoporosismanagementinolderpatientswhoexperiencedafracture AT bhattacharyark osteoporosismanagementinolderpatientswhoexperiencedafracture
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Osteoporosis management in older patients who experienced a fracture

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