The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
The care gap in diagnosis and treatment of women with a fragility fracture
Abstract
Unlabelled In women aged 50 years or more who experienced a fracture, 81% suffered a fragility fracture. Six to eight months after fragility fracture, 79% had either not been investigated for osteoporosis or prescribed anti-fracture therapy. Despite fragility fractures being common in this population osteoporosis is under-diagnosed and under-treated. Introduction The objective of this study was to evaluate the diagnostic and treatment rates for osteoporosis six months following fragility fracture. Methods This prospective cohort study was set in the general community from the Province of Quebec, Canada. Women at least 50 years of age who suffered a fracture were recruited during their initial visit to the hospital and had their fracture type classified as either fragility or traumatic. Six-to-eight months after fragility fracture, women were again contacted to evaluate the diagnostic and treatment rates of osteoporosis. Results Of the 2,075 women recruited over a 25 month period 1,688 (81%) sustained a fragility fracture and 387 (19%) sustained a traumatic fracture. Nine hundred and three participants with a fragility fracture were again contacted six-to-eight months after fracture. For the 739 women not on treatment on the recruitment day, only 15.4% initiated pharmacological therapy in the six-to-eight-month period following fracture and 79.0% had either not been investigated for osteoporosis or prescribed anti-fracture treatment. Conclusions The proportion of fragility fra…
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Osteoporosis remains substantially underdiagnosed and undertreated.
“Osteoporosis is prevalent and treatable and conveys a considerable lifetime fracture risk, yet it remains substantially underdiagnosed and undertreated (1-4).”
From Opportunistic screening for osteoporosis using abdominal computed tomography scans obtained for other indications (2013) · cites this paper as [3]
Citations
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Pickhardt, P. J., Pooler, B. D., Lauder, T., del Rio, A. M., Bruce, R. J., & Binkley, N. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-158-8-201304160-00003 · Cited by 954
Metadata
- Authors
- Bessette, L., Ste-Marie, L.-G., Jean, S., Davison, K. S., Beaulieu, M., Baranci, M., Bessant, J., & Brown, J. P.
- Affiliations
- Centre hospitalier de l'Université Laval (CA)
- Institut National de Santé Publique du Québec (CA)
- Merck Canada Inc. (Canada) (CA)
- Sanofi (Canada) (CA)
- Procter & Gamble (Canada) (CA)
- Corresponding author
- Bessette, L.
- Venue
- Osteoporosis International
- Published
- 2007-07-20
- Volume
- 19
- Issue
- 1
- Pages
- 79-86
- ISSN
- 0937-941X (ISSN-L)
- 1433-2965
- OpenAlex
- W2025438791
- Cited by
- 186
- References
- 2
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 11 · 2023: 11 · 2022: 9 · 2021: 14 · 2020: 8 · 2019: 9 · 2018: 12 · 2017: 8 · 2016: 9 · 2015: 10 · 2014: 11 · 2013: 19 · 2012: 14
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Osteoporosis International (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Procter and Gamble
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Keywords
- fragility fractures, osteoporosis, underdiagnosis of osteoporosis, postmenopausal women, care gaps, fracture risk assessment
- MeSH terms
- Aged, Aged, 80 and over, Continuity of Patient Care, Female, Fractures, Spontaneous, Humans, Middle Aged, Osteoporosis, Prospective Studies, Quebec, Episode of Care, Fractures, Bone
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