ArticleCanadian family physician Medecin de famille canadien2008
Postfracture care for older women: gaps between optimal care and actual care.
Article in Canadian family physician Medecin de famille canadien, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 40 citations in OpenAlex.
- Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education and mentoring model: a randomized controlled trial.Clinical interventions in aging · 2017Trial
- The impact of two educational interventions on osteoporosis diagnosis and treatment after fragility fracture: a population-based randomized controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Trial
- Patients 80 + have similar medication initiation rates to those aged 50-79 in Ontario FLS.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- The yawning gap between osteoporosis diagnosis and treatment after a fragility fracture in Mexico.Archives of osteoporosis · 2021Article
- Trends in the Diagnosis of Osteoporosis in Patients with Distal Radius Fractures Based on a National Claims Database.Journal of bone metabolism · 2019Article
- [Hounsfield units as a measure of bone density-applications in spine surgery].Der Unfallchirurg · 2019Article
- Change of Bone Mineral Density Measurement among Patients with Osteoporotic Fractures in Korean Population Using National Claim Database.Journal of bone metabolism · 2017Article
- A survey of outcomes and management of patients post fragility fractures in China.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015Article
- Opportunistic screening for osteoporosis on routine computed tomography? An external validation study.European radiology · 2015Observational
- [Osteoporosis: therapy in interface management].Wiener medizinische Wochenschrift (1946) · 2013Review
- Opportunistic screening for osteoporosis using abdominal computed tomography scans obtained for other indications.Annals of internal medicine · 2013Article
- The contributions of First Nations ethnicity, income, and delays in surgery on mortality post-fracture: a population-based analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- A population-based analysis of the post-fracture care gap 1996-2008: the situation is not improving.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012Article
- The post-fracture care gap among Canadian First Nations peoples: a retrospective cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012Article
- [Diagnosis of osteoporosis in geriatric patients - possibilities and limitations].Wiener medizinische Wochenschrift (1946) · 2012Review
- Medical management in the acute hip fracture patient: a comprehensive review for the internist.Ochsner journal · 2012Article
- Mortality rates after incident non-traumatic fractures in older men and women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Article
- Accident or osteoporosis?: Survey of community follow-up after low-trauma fracture.Canadian family physician Medecin de famille canadien · 2011Article
- Fragility fractures and the osteoporosis care gap in women: the Canadian Multicentre Osteoporosis Study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011Article
- Recent advances in managing osteoporosis.F1000 medicine reports · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate rates of assessment and treatment of osteoporosis among older women during the year after they have had fractures.
designObservational, historical, population-based cohort study.
settingManitoba, which maintains a comprehensive population-based repository of health care services provided and has a publicly funded health care system.
participantsWomen 50 years old and older who had suffered fractures between 1997 and 2002. These women were chosen from among approximately 175,000 women of this age in Manitoba.
methodsWe examined each woman's annual medical record between April 1, 1997, and March 31, 2002, to find any International Classification of Diseases fracture codes that have been consistently associated with osteoporosis. We looked for postfracture care during the first 12 months after fractures: bone mineral density (BMD) testing or treated with osteoporosis pharmacotherapy. Analysis was stratified by type of fracture: designated type 1 fractures (spine or hip) and type 2 fractures (not spine or hip).
main outcome measuresUse of BMD testing or osteoporosis pharmacotherapy during the first 12 months following fractures.
resultsFor type 1 fractures, BMD assessment during the first year after fracture increased from 2.6% in 1997-1998 to 4.6% in 2001-2002 (P for trend .0004). Rates of therapy with osteoporosis medication increased from 4.9% in 1997-1998 to 17.6% in 2001-2002 (P for trend < .0001). Results were similar for type 2 fractures. In the final year of the study, only 20.5% of women with either type of fracture underwent any identifiable intervention (BMD assessment or osteoporosis pharmacotherapy). The intervention rate was substantially higher among women 50 to 64 years old (26.4%) than among those 75 years old or older (17.9%, P for trend < .0001).
conclusionWomen at highest risk of future fractures are assessed infrequently for osteoporosis with BMD testing and given pharmacotherapy to prevent future fractures just as infrequently. This gap in care was particularly striking for BMD testing despite the fact that testing is free in Manitoba's publicly funded system. Data from this study could be educational for physicians treating osteoporosis and should encourage them to improve their practice patterns and optimize patient care.
Indexed as
Identifiers
18791104PMC2553471W1904335908What OpenQuestion holds
Registered trials
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