J Clin Outcomes Manage
Osteoporosis therapy after fracture in elderly men
Shepherd AJ, Howrey BT, Cass AR, Wilkinson GS
Abstract Objective: To report the effect of osteoporosis treatment on the rate of subsequent fractures among older men after fragility fracture. Methods: Analysis of claims data of 10,608 men ? 65 years of age who had a fracture that occurred during 2001–2005. Subsequent fractures, prescription drugs dispensed, procedures, therapies, and comorbidities were compared for men who received osteoporosis treatment and those who did not. Results: 4.5% of men (n = 478) received treatment. The rate of subsequent fracture was 13.5% in the treated men and 10.8% in the untreated men. Stratification by site of fracture or age at fracture did not affect results. There was no difference in number of days to subsequent fracture in the treated and untreated men. Conclusions: Few men receive treatment after an osteoporotic fracture and adherence to treatment was poor. There was no reduction in subsequent fracture with osteoporosis pharmacotherapy. The low treatment rate precludes definitive conclusions about efficacy in the clinical setting but may suggest a lack of consensus among practicing physicians about the utility of treatment in elderly men with fragility fractures.
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