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Cited by 152Bone health and osteoporosis researchHip and Femur FracturesPharmaceutical Practices and Patient Outcomes

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

A population-based analysis of the post-fracture care gap 1996–2008: the situation is not improving

Leslie, W. D., Giangregorio, L. M., Yogendran, M., Azimaee, M., Morin, S., Metge, C., Caetano, P., Lix, L. M.·2012·Osteoporosis International
DOI 10.1007/s00198-011-1630-1
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Abstract

Unlabelled The post-fracture care gap has not narrowed in recent years. Following an initial improvement, rates of medication initiation have actually declined. Introduction The current study characterizes temporal changes in post-fracture bone mineral density (BMD) testing or osteoporosis treatment initiation from 1996/1997 to 2007/2008. Methods A population-based administrative data repository for Manitoba, Canada was accessed to identify non-traumatic fractures in individuals aged 50 years and older. Outcomes included BMD testing or dispensation of an osteoporosis medication in the 12 months following the fracture. Results Thirty thousand nine hundred and twenty (30,920) fracture events met the inclusion criteria; 15,670 affected major osteoporotic fracture sites. Based on either BMD testing or treatment initiation, intervention rates reached a maximum of only 15.5% in 2003/2004, compared with 6.3% in 1996/1997, and 13.2% in 2007/2008 (p-for-trend Conclusion Despite increased attention to gaps in osteoporosis management post-fracture in the last 10 years, the situation has not improved: in 2007/20008, fewer than 20% of untreated individuals with a low-trauma fracture received intervention. Novel strategies are required to disseminate and implement best practices at the point of care to reduce the risk of recurrent fractures.

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Research works printed but not linked: 44

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Metadata

Authors
Leslie, W. D., Giangregorio, L. M., Yogendran, M., Azimaee, M., Morin, S., Metge, C., Caetano, P., & Lix, L. M.
Affiliations
  • University of Manitoba (CA)
  • University of Waterloo (CA)
  • McGill University (CA)
  • University of Saskatchewan (CA)
Corresponding author
Leslie, W. D.
ORCID
Venue
Osteoporosis International
Publisher
Springer Science and Business Media LLC
Published
2011-04-08
Volume
23
Issue
5
Pages
1623-1629
ISSN
  • 0937-941X (ISSN-L)
  • 1433-2965
DOI
10.1007/s00198-011-1630-1
OpenAlex
W2063911086
Cited by
152
References
1
Citations by year
2026: 9 · 2025: 9 · 2024: 9 · 2023: 9 · 2022: 9 · 2021: 13 · 2020: 8 · 2019: 19 · 2018: 11 · 2017: 13 · 2016: 9 · 2015: 8 · 2014: 10 · 2013: 7 · 2012: 5
FWCI
8.80
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Osteoporosis International (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
  • Health Sciences › Medicine › Surgery › Hip and Femur Fractures
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
osteoporosis, bone densitometry, fragility fractures, major osteoporotic fracture, older adults, temporal trends, health disparities, Manitoba
MeSH terms
Age Factors, Aged, Delivery of Health Care, Drug Utilization, Female, Humans, Male, Manitoba, Middle Aged, Osteoporosis, Retrospective Studies, Sex Factors, Cohort Studies, Absorptiometry, Photon, Bone Density, Disease Management, Bone Density Conservation Agents, Secondary Prevention, Osteoporotic Fractures

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