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Management of Osteoporosis Among Home Health and Long-Term Care Patients with a Prior Fracture

Year: 2009
Type: review
Abstract: Osteoporosis is a growing health concern as the number of senior adults continues to increase worldwide. Falls and fractures are very common among frail older adults requiring home health and long-term care. Preventative strategies for reducing falls have been identified and many therapies (both prescription and nonprescription) with proven efficacy for reducing fracture risk are available. However, many practitioners overlook the fact that a fragility fracture is diagnostic for osteoporosis even without knowledge of bone mineral density testing. As a result, osteoporosis is infrequently diagnosed and treated in the elderly after a fracture. Based on existing literature, we have developed an algorithm for the assessment and treatment of osteoporosis among persons with known prior fracture(s) living in long-term care facilities or receiving home health care based on the data available in the literature.
DOI: 10.1097/smj.0b013e31819bc1d3
Authors: Amy H. Warriner, Ryan C. Outman, Kenneth G. Saag, Sarah D. Berry, Cathleen Colón-Emeric, Kellie L. Flood, Kenneth W. Lyles, S Bobo Tanner, Nelson B. Watts, Jeffrey R. Curtis
Language: English
Field: Medicine
Open Access status: green
Awards: DEEP SOUTH MUSCULOSKELETAL (DSM) CERTS, G2574186807, Ethnic Differences in the Risk of Fracture and Vascular Disease, Evidence-Based Medicine in the Skilled Nursing Facility, Mid-Career Investigator Award (for Kenneth G. Saag, MD, MSc), G6516033632
OpenAlex ID: W203969999
FWCI: 0.359
Cites: 109
Cited by: 14
Related to: 10