Management of osteoporosis in women after forearm fracture: Data from a French health insurance database - 11/03/15
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Abstract |
Introduction |
Despite reliable diagnostic methods and effective drugs, the prevention and management of osteoporosis seems insufficient in France. We evaluated bone mineral density (BMD) assessment and prescription of anti-osteoporotic drugs after forearm fracture in women.
Methods |
We used a health insurance database for outpatients from private clinics in a French population of more than 500,000 inhabitants. Medical expenses were analyzed for women 50years of age or older who had a forearm fracture between August 1, 2010 and June 30, 2012.
Results |
We identified 250 forearm fractures in women during the study period. In total, 12 women (4.8%) underwent BMD assessment before the fracture and were not taken into account in the analysis. For the 238 others, 24 (10.1%) had undergone BMD assessment at a median of 4months after the fracture. A total of 32 women (13.4%) received an anti-osteoporotic drug at the time of the fracture and 14 of 206 untreated women (6.8%) received an anti-osteoporotic drug at a median of 3.8months after the fracture. Receipt of an anti-osteoporotic drug was more frequent for women with than without BMD assessment after the fracture (8/19 [40.1%] versus 6/187 [3.2%]; P<0.005).
Conclusion |
This work, performed in a large sample, suggests that only 10% of women 50years of age or older in France undergo BMD assessment after a forearm fracture and that BMD assessment is associated with anti-osteoporotic drug prescription.
Le texte complet de cet article est disponible en PDF.Keywords : Distal forearm fracture, Osteoporosis, Bone mineral density, Medical databases
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Vol 82 - N° 1
P. 52-55 - janvier 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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