A Practical Approach to Osteoporosis Management in the Geriatric Population

Liberman, Dan; Cheung, Angela M.

doi:10.5770/cgj.18.129

Cited by 12 publications

(9 citation statements)

References 42 publications

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“…In the report in the United States, when the elderly comprised 17% of the population, they were responsible for nearly half of all hospitalization for low back conditions [19]. Osteoporosis is a common disorder associated with a large burden of morbidity and mortality in the elderly [24]. In addition to pain and disability, osteoporosis may cause morbidity, fragility fractures, and increased risk of mortality [24].…”

Section: Discussionmentioning

confidence: 99%

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Chronic pain and use of analgesics in the elderly: a nationwide population-based study

Huang

Tsay

Her

et al. 2020

aoms

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Introduction: Chronic pain may cause many comorbidities in the elderly; however, nationwide data about this issue remain insufficient. We conducted this study to address the data gap. Material and methods: We identified geriatric participants (≥ 65 years) with chronic pain between 2000 and 2013 from the Taiwan National Health Insurance Research Database. The causes of chronic pain and use of analgesics between two sexes and among three age subgroups were compared. Results: A total of 21,018 participants were identified with the mean age (standard deviation) of 72.7 years (5.6) and the female percentage of 50.8%. The prevalence of chronic pain in the elderly was 21.5%, and it was higher in the females than males. The proportions of each age subgroup were 65-74 (66.8%), 75-84 (29.4%), and ≥ 85 years (3.8%). Common causes of chronic pain were osteoarthritis (21.9%), spinal disorders (19.0%), peripheral vascular diseases (12.4%), and osteoporosis (11.4%). Non-steroidal anti-inflammatory drugs were the most common medication, followed by acetaminophen and opioids. The most commonly used opioid was morphine. The use of opioids increased with age. Conclusions: This study delineated the causes of chronic pain and use of analgesics in a geriatric population, which may help further studies about this issue in the future.

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Section: Discussionmentioning

confidence: 99%

“…Osteoporosis is a common disorder associated with a large burden of morbidity and mortality in the elderly [24]. In addition to pain and disability, osteoporosis may cause morbidity, fragility fractures, and increased risk of mortality [24]. Peripheral vascular diseases are chronic arterial occlusive diseases of the lower extremities [25].…”

Section: Discussionmentioning

confidence: 99%

Chronic pain and use of analgesics in the elderly: a nationwide population-based study

Huang

Tsay

Her

et al. 2020

aoms

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“…During the PAC facility stay, nutritional status should be assessed, and vitamin D levels should be measured, if not checked in the hospital, and supplemental vitamin D prescribed if indicated. 129 Although the quality of the evidence regarding their effectiveness is variable, lifestyle modifications such as exercise and diet should be part of the treatment plan. 130 - 132 Conditions that can contribute to osteoporosis should be considered, including thyroid, parathyroid, kidney, neurological, obesity, hypogonadism, malignancies, and malabsorption disorders based on the patient’s history, symptoms, and physical signs.…”

Section: Secondary Prevention Of Osteoporosismentioning

confidence: 99%

Postacute Management of Older Adults Suffering an Osteoporotic Hip Fracture: A Consensus Statement From the International Geriatric Fracture Society

Reyes

Mendelson

Mujahid

et al. 2020

Geriatr Orthop Surg Rehabil

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Background: The majority of patients require postacute care (PAC) after a hip fracture. Despite its importance, there is no established consensus regarding the standards of care provided to hip fracture patients in PAC facilities. Methodology: A writing group was created by professionals from the International Geriatric Fracture Society (IGFS) with representation from other organizations. The focus of the statements included in this article is toward PAC providers located in nursing facilities. Contributions were integrated in a single document that underwent several reviews by each author and then underwent a final review by the lead and senior authors. After this process was completed, the document was appraised by reviewers from IGFS. Results/Conclusion: A total of 15 statements were crafted. These statements summarize the best available evidence and is intended to help PAC facilities managing older adults with hip fractures more efficiently, aiming toward overall better outcomes in the areas of function, quality of life, and with less complications that could interfere with their optimal recovery.

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“…In general, the authors take about a period that ranges from between 6 months to prevent vertebral fractures and 18-24 months to reduce the risk of new hip fractures, and of a half year. 14,37,70,115,116 Adherence directly influences the efficacy of the drug and in this concept, denosumab and teriparatide are the drugs that achieve the greatest adherence. 117 This detail, along with the time necessary for the drug to show its effectiveness, becomes especially important in the elderly population, for which we have to estimate survival longer than the value mentioned (6-12 months) before initiating treatment, if what we want to do is prevent new fractures.…”

Section: Time That It Takes the Treatment To Be Effectivementioning

confidence: 99%

Efficacy, cost, and aspects to take into account in the treatment of osteoporosis in the elderly

Sáez-López

Etxebarría-Foronda

Lampré³

et al. 2019

Revista Española de Geriatría y Gerontología

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Age is one of the principal risk factors for development of frailty fractures. Age pyramids show a population that is becoming increasingly more elderly, with an increasing incidence of fractures, and the forecasts for the future are truly alarming. Adequate handling of these patients who are especially at risk, at both the preventive and care levels, with a well-defined orthogeriatric model is necessary to respond to this clinical challenge. The objective of this review is to analyze the efficacy of the different strategies for the handling of geriatric patients with fracture risk.

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A Practical Approach to Osteoporosis Management in the Geriatric Population

Abstract: Osteoporosis is a medical condition that is seen commonly in elderly patients, and it is associated with a large burden of morbidity and mortality. This article provides a practical approach to the workup and management of osteoporosis in patients 65 years or older.

Cited by 12 publications

References 42 publications

Chronic pain and use of analgesics in the elderly: a nationwide population-based study

Chronic pain and use of analgesics in the elderly: a nationwide population-based study

Postacute Management of Older Adults Suffering an Osteoporotic Hip Fracture: A Consensus Statement From the International Geriatric Fracture Society

Efficacy, cost, and aspects to take into account in the treatment of osteoporosis in the elderly

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