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dc.contributor.author이주연-
dc.date.accessioned2018-06-18T05:19:17Z-
dc.date.available2018-06-18T05:19:17Z-
dc.date.issued2017-06-
dc.identifier.citationMATURITAS, v. 103, Page. 54-59en_US
dc.identifier.issn0378-5122-
dc.identifier.issn1873-4111-
dc.identifier.urihttps://www.maturitas.org/article/S0378-5122(17)30030-0/abstract-
dc.identifier.urihttps://repository.hanyang.ac.kr/handle/20.500.11754/72122-
dc.description.abstractPurpose: 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.en_US
dc.description.sponsorshipThis work was supported by the Seoul National University Research Grant. This work was supported by Creative-Pioneering Researchers Program through Seoul National University.en_US
dc.language.isoen_USen_US
dc.publisherELSEVIER IRELAND LTDen_US
dc.subjectHip fracturesen_US
dc.subjectOsteoporosisen_US
dc.subjectAnti-osteoporosis medicationsen_US
dc.subjectElderlyen_US
dc.subjectBisphosphonatesen_US
dc.subjectPOSTMENOPAUSAL WOMENen_US
dc.subjectZOLEDRONIC ACIDen_US
dc.subjectMORTALITYen_US
dc.subjectRISKen_US
dc.subjectMENen_US
dc.subjectMETAANALYSISen_US
dc.subjectNATIONWIDEen_US
dc.titleAccess to Anti-osteoporosis Medication after Hip Fracture in Korean Elderly Patientsen_US
dc.typeArticleen_US
dc.relation.volume103-
dc.identifier.doi10.1016/j.maturitas.2017.06.021-
dc.relation.page54-59-
dc.relation.journalMATURITAS-
dc.contributor.googleauthorYu, Yun Mi-
dc.contributor.googleauthorLee, Ju-Yeun-
dc.contributor.googleauthorLee, Euni-
dc.relation.code2017002494-
dc.sector.campusE-
dc.sector.daehakCOLLEGE OF PHARMACY[E]-
dc.sector.departmentDEPARTMENT OF PHARMACY-
dc.identifier.pidjypharm-
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COLLEGE OF PHARMACY[E](약학대학) > PHARMACY(약학과) > Articles
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