Patterns of treatment in Australian men following fracture

Otmar, Renée; Henry, Margaret J.; Kotowicz, Mark A.; Nicholson, Geoffrey C.; Korn, Sam; Pasco, Julie A.

doi:10.1007/s00198-010-1204-7

Cited by 15 publications

(9 citation statements)

References 29 publications

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“…Two separate Australian studies found that 76% of male fracture patients aged 50 years and over remained untreated for osteoporosis despite 27% of these 87 untreated men having prior low trauma fracture [24], and only 25% of the patients who contacted their general practitioner after a fracture were recommended treatment for osteoporosis [25]. Collectively, these studies indicate that both patients and medical staff would benefit from an increased awareness and understanding of osteoporosis in men, including the role of risk factors.…”

Section: Discussionmentioning

confidence: 97%

Pattern of use of DXA scans in men: a cross-sectional, population-based study

et al. 2011

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Section: Discussionmentioning

confidence: 97%

Pattern of use of DXA scans in men: a cross-sectional, population-based study

et al. 2011

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“…Even men who experience two consecutive fractures within a short period of time (less than 1 year) do not receive treatment. A report from Australia noted the treatment rate among this high-risk group is only 24.1% [31]. Finally, a study of nearly 50,000 Canadian adults receiving home care noted, even though men with a history of fracture are less likely to be treated, treatment in the presence of a diagnosis of osteoporosis is similar in men and women [37].…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

Gender Differences in Osteoporosis and Fractures

Cawthon

2011

Clinical Orthopaedics &Amp; Related Research

249

153

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Background Osteoporosis is generally thought of as a ''woman's disease'' because the prevalence of osteoporosis and the rate of fractures are much higher in postmenopausal women than in older men. However, the absolute number of men affected by osteoporosis and fractures is large, as at least 2.8 million men in the United States are thought to have osteoporosis. Questions/purposes The purposes of this review are to (1) highlight gender differences in osteoporosis and fracture risk, (2) describe disparities in treatment and outcomes after fractures between men and women, and (3) propose solutions to reducing disparities in treatment and prevention. Methods A literature survey was conducted using MEDLINE with a variety of search terms and using references from the author's personal collection of articles. A formal search strategy and exclusion criteria were not employed and the review is therefore selective. Where are we now? Postmenopausal women have a higher prevalence of osteoporosis and greater incidence of fracture than older men. Despite the higher fracture risk in postmenopausal women, older men tend to have worse outcomes after fracture and poorer treatment rates, although less is known about the disease course in men.Multifaceted interventions to improve the screening and treatment for osteoporosis were recently developed. Where do we need to go? Improvement in treatment rates of those at risk, regardless of gender, is an important goal in osteoporosis management. How do we get there? Further development and evaluation of cost-effective, multifaceted interventions for screening and treatment of osteoporosis and fractures are needed; such interventions will likely improve the primary prevention of fractures.

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“…Inderjeeth and Smeath suggested one of the main reasons given by GPs for not ordering a BMD test for an elderly patient was that the patient was considered to be at low risk of osteoporosis [12], despite the prevalence of osteoporosis increasing sharply after 70 years of age [14]. Aside from the suboptimal levels of scanning for osteoporosis, there is a worldwide treatment gap where those at high risk of subsequent fracture are left untreated [15], especially men [16], [17].…”

Section: Discussionmentioning

confidence: 99%