Undertreatment of osteoporosis in regional Western Australia.

Abstract:

AIM:To identify the geographic differences in osteoporosis management. METHODS:In this cross-sectional study, osteoporosis treatments in older patients presented to a hip fracture unit from mid 2005-2009 were analysed. Logistic regression was used to examine the association of rural residency with osteoporosis treatments. RESULTS:Among 1130 patients (20% rural, mean age 81.1 years), there was a low prescription rate for osteoporosis among rural patients. Rural patients were 65% less likely to use vitamin D, 60% less likely to use calcium and 46% less likely to use bisphosphonates before a hip fracture than their urban counterparts. Their compliance with vitamin D and calcium was also lower at 1 year but improved significantly over the study period, whereas compliance with bisphosphonate decreased in both regions. CONCLUSION:Undertreatment of osteoporosis was common in rural patients. These findings need to be confirmed by larger population-based studies.

journal_name

Australas J Ageing

authors

Lai MM,Ang WM,McGuiness M,Larke AB

doi

10.1111/j.1741-6612.2011.00544.x

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

110-4

issue

2

eissn

1440-6381

issn

1741-6612

journal_volume

31

pub_type

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