83 0

Access to Anti-osteoporosis Medication after Hip Fracture in Korean Elderly Patients

Title
Access to Anti-osteoporosis Medication after Hip Fracture in Korean Elderly Patients
Author
이주연
Keywords
Hip fractures; Osteoporosis; Anti-osteoporosis medications; Elderly; Bisphosphonates; POSTMENOPAUSAL WOMEN; ZOLEDRONIC ACID; MORTALITY; RISK; MEN; METAANALYSIS; NATIONWIDE
Issue Date
2017-06
Publisher
ELSEVIER IRELAND LTD
Citation
MATURITAS, v. 103, Page. 54-59
Abstract
Purpose: This study aims to evaluate access to anti-osteoporosis medication (AOM) and the factors affecting their prescription for Korean elderly patients with a hip fracture. Methods: A cross-sectional study was conducted on hip fracture patients aged 65 years or more using national level data from 2013 to 2014. The prescription rates of AOM within 3 months after hip fracture were determined and the factors affecting AOM prescriptions were identified through multivariate logistic regression. Results: A total of 6307 elderly patients were selected from a national medical insurance database, giving an estimated 15,768 patients nationally in a nine-month period. One-third of the patients (33.5%) received an AOM prescription and only 9.4% of the patients were prescribed an AOM with calcium and vitamin D supplements. Being 80 years and older (adjusted OR, 0.78; 95% CI, 0.70-0.88) and having three or more comorbid diseases (adjusted OR, 0.66; 95% CI, 0.55-0.78) were associated with a lower likelihood of an AOM prescription. Female sex (adjusted OR, 2.54; 95% CI, 2.17-2.98), an osteoporosis diagnosis (adjusted OR, 2.50; 95% CI, 2.15-2.91), concurrent thiazolidinedione therapy (adjusted OR, 2.11; 95% CI, 1.29-3.45) and a dual-energy X-ray absorptiometry (DXA) examination after hip fracture (adjusted OR 4.11; 95% CI, 3.67-4.62) were all significant predictive factors for AOM prescription. Bisphosphonates were the most frequently prescribed AOMs (92.2%). Conclusions: The AOM prescription rate for elderly patients with hip fractures was suboptimal in Korea. Factors affecting an AOM prescription were age, sex, clinical comorbidity, osteoporosis status, concurrent thiazolidinedione therapy, and receiving a DXA examination after hip fracture.
URI
https://www.maturitas.org/article/S0378-5122(17)30030-0/abstracthttp://repository.hanyang.ac.kr/handle/20.500.11754/72122
ISSN
0378-5122; 1873-4111
DOI
10.1016/j.maturitas.2017.06.021
Appears in Collections:
COLLEGE OF PHARMACY[E](약학대학) > PHARMACY(약학과) > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE