Race and Age Impact Osteoporosis Screening Rates in Women Prior to Hip Fracture

Benes, Gregory; David, Justin M.; Synowicz, Molly; Betech, Alex; Dasa, Vinod; Krause, Peter C.; Jones, Deryk G.; Hall, Lauren; Leslie, Lauren; Chapple, Andrew G.

doi:10.1007/s11657-022-01076-y

Cited by 3 publications

(1 citation statement)

References 34 publications

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“…18 Even after a fracture occurs, the rate of testing and treatment remains low according to the literature, and reduced reimbursement for DXA scans in recent years may have contributed to a reduction in screening as well. [19][20][21] The objective of the study was to raise awareness regarding the high prevalence of risk factors since many are likely not yet diagnosed or treated.…”

Section: Discussionmentioning

confidence: 99%

Bone Health Management in Elective Orthopaedic Surgery: A Claims-Based Observational Study

Jeray,

Williams,

Wang

et al. 2023

Geriatr Orthop Surg Rehabil

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Introduction There are limited data on the management of bone health, including bone mineral density (BMD) evaluation and osteoporosis (OP) treatment, in patients undergoing elective orthopaedic surgeries. Methods This was a retrospective cohort study using administrative claims data from Symphony Health, PatientSource for patients aged ≥50 years with documented kyphoplasty/vertebroplasty (KP/VP), total knee arthroplasty (TKA), and total hip arthroplasty (THA). Risk stratification to identify patients at very high risk for fracture (VHRFx) was based on clinical practice guideline recommendations to the extent information on variables of interest were available from the claims database. Results A total of 251 919 patients met inclusion criteria: KP/VP (31 018), TKA (149 849), and THA (71 052). The majority were female (80.3%) with a mean (SD) age of 68.5 (7.5) years. Patients undergoing KP/VP were older and had a greater comorbidity burden associated with risk for falls, mobility issues, muscle weakness, and respiratory and cardiovascular diseases. In the 6 months before surgery, 11.8% of patients were tested and/or received treatment for OP. Patients undergoing KP/VP were more likely to be tested and/or treated (17.5%) than patients undergoing TKA (11.0%) or THA (10.9%). Overall, men had a lower rate of testing and/or treatment than women (4.6% vs 13.5%). In the 12 months before surgery, patients with an OP diagnosis and at VHRFx (30.8%) had a higher rate of treatment and/or testing than those without OP (11.5%), or those without OP but with a fracture in the year preceding surgery (10.2%). Conclusions Bone health management is suboptimal in patients undergoing elective orthopaedic surgeries and is worse in men than in women. Proper management of OP before and after surgery may improve outcomes.

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Section: Discussionmentioning

confidence: 99%