ArticleArchives of osteoporosis2009
Undertreatment of osteoporosis in the oldest old? A nationwide study of over 700,000 older people.
Article in Archives of osteoporosis, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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
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Who cites it
22 citing papers in PubMed, 45 citations in OpenAlex.
- Use of calcium supplements, vitamin D supplements and specific osteoporosis drugs among French women aged 75-85 years: patterns of use and associated factors.Drugs & aging · 2013Trial
- [Geriatric traumatology-Principles of orthogeriatrics].Chirurgie (Heidelberg, Germany) · 2025Review
- Management of potentially inappropriate medication use among older adult's patients in primary care settings: description of an interventional prospective non-randomized study.BMC primary care · 2024Article
- Impact of COVID-19 pandemic on pharmacologic treatment of patients newly diagnosed with osteoporosis.PloS one · 2023Article
- Article
- Review
- Extensive undertreatment of osteoporosis in older Swedish women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- [Management of osteoporosis after fragility fractures].Zeitschrift fur Gerontologie und Geriatrie · 2018Review
- Diagnosis and therapy of osteoporosis in geriatric trauma patients: an update.Innovative surgical sciences · 2016Review
- Value of a coordinated management of osteoporosis via Fracture Liaison Service for the treatment of orthogeriatric patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- Incidence and Duration of Cumulative Bisphosphonate Use among Community-Dwelling Persons with or without Alzheimer's Disease.Journal of Alzheimer's disease : JAD · 2016Article
- [New DVO guideline for osteoporosis management 2014 and its importance for trauma surgeons].Der Unfallchirurg · 2015Article
- [Proximal femoral fractures in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2015Review
- [Augmentation techniques on the proximal femur].Der Unfallchirurg · 2015Review
- [Co-management in geriatric traumatology].Der Orthopade · 2015Article
- Magnitude of fragility fracture risk in the very old--are we meeting their needs? The Newcastle 85+ Study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015Observational
- Undertreatment of osteoporosis following hip fractures in jeju cohort study.Journal of bone metabolism · 2014Article
- Challenges in implementing and maintaining osteoporosis therapy.International journal of women's health · 2014Review
- Educational level and use of osteoporosis drugs in elderly men and women: a Swedish nationwide register-based study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013Article
- Diagnosis and treatment of osteoporosis in high-risk patients prior to hip fracture.Geriatric orthopaedic surgery & rehabilitation · 2012Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
summaryWe analysed data from elderly people registered in the Swedish Prescribed Drug Register to investigate whether age is associated with use of osteoporosis drugs in a nationwide population. Our results indicate an undertreatment of osteoporosis, particularly with bisphosphonates, in the oldest old in Sweden.
introductionThe aim of this study was to investigate whether age is associated with use of osteoporosis drugs in a large population of older people.
methodsWe analysed data on age, sex, type of residential area (urban/rural) and dispensed drugs for people aged >/=75 years registered in the Swedish Prescribed Drug Register from October to December 2005 (n = 731,105). Multivariate logistic regression was used to analyse whether age was associated with use of osteoporosis drugs, after adjustment for type of residential area and number of other drugs (a proxy for comorbidity).
resultsOsteoporosis drugs were used by 16.1% of the women and 3.4% of the men. The probability of use of bisphosphonates declined with increasing age [ORwomen = 0.36 (95% CI 0.34-0.38) and ORmen = 0.46 (95% CI 0.37-0.56) for age >/=90 years vs. 75-79 years]. Raloxifene was also negatively associated with age. Calcium + vitamin D supplements, however, showed a divergent pattern regarding age. In women, the lowest likelihood of use of calcium + vitamin D supplements occurred in the oldest old (>/=90 years).
conclusionsOur results indicate an undertreatment of osteoporosis, particularly with bisphosphonates, in the oldest old in Sweden. Future research is needed for understanding the mechanisms behind this age effect.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.