Low acceptance of treatment in the elderly for the secondary prevention of osteoporotic fracture in the acute rehabilitation setting.

Aging Clinical and Experimental Research
Sarah D BerryDouglas P Kiel

Abstract

Given the high risk of subsequent fracture among elderly persons with fracture, it is important to initiate secondary treatment for osteoporosis. Acute rehabilitation centers may offer a unique opportunity to introduce treatment. Therefore, we evaluated willingness-to-participate and compliance with evidence-based interventions for the secondary prevention of osteoporotic fracture in a non-randomized study conducted in the acute rehabilitation setting. We also described differences in baseline characteristics between study participants and non-participants. All consecutive, community dwelling admissions to an acute rehabilitation unit (Boston, MA) with the diagnosis of fracture were screened for enrollment. Eligible subjects were offered a free, 6-month supply of alendronate/cholecalciferol (70 mg/2800 IU weekly), calcium and vitamin D supplements, and fall prevention strategies. Six-month compliance (> or =75% consumption of medication or supplement) with the interventions was determined at a home visit. Among 62 eligible subjects, 25 agreed to participate. Non-participants were older than participants (86 vs 80 yrs, p<0.01). There was no significant difference between other characteristics of participants and non-participants...Continue Reading

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Citations

Mar 25, 2014·Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry·Maria AntonelliMarina Magrey
Apr 21, 2016·Iranian Journal of Nursing and Midwifery Research·Ali Khani JeihooniAlireza Askari
Jun 7, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A NaranjoC Rodríguez-Lozano
Jun 10, 2011·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sarah N HilmerDarrell R Abernethy
Jan 15, 2014·The Cochrane Database of Systematic Reviews·Goran BjelakovicChristian Gluud
Mar 10, 2016·The Journal of Trauma and Acute Care Surgery·Marie CrandallRobert Barraco
Feb 27, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Jana-Carina MorfeldStephanie Stock

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