Osteoporosis prevalence and characteristics of treated and untreated nursing home residents with osteoporosis

Journal of the American Medical Directors Association
Barbara ZarowitzBradley S Stolshek

Abstract

Our primary objective was to describe the prevalence of osteoporosis (OP) diagnosis in nursing home residents (NHRs). Secondary objectives included assessment of pharmacologic therapies and risk of fracture in NHRs with OP, as well as differentiating clinical characteristics of treated versus untreated male and female NHR with OP. Finally, we sought to evaluate persistence and compliance rates in NHRs treated with OP and determine the prevalence of severe renal impairment in NHRs with OP treated with a bisphosphonate. Retrospective cohort analysis. US NH. NHRs with a Minimum Data Set (MDS) 3.0 record in the Omnicare Senior Health Outcomes (OSHO) data repository during the time period of October 1, 2011, to September 30, 2012. A patient was considered to have an OP diagnosis if MDS item I3800 indicated the NHR had OP or if the MDS record contained ICD-9-CM codes 733.0x. An expanded definition of OP diagnosis was explored, in which an NHR with a previous fracture (MDS items I3900, I4000, J1700C=1) was also considered to have OP. OP pharmacologic therapies were extracted from the pharmacy claims data and included alendronate, calcitonin salmon, denosumab, ibandronate, raloxifene, risedronate, and teriparatide. Using MDS items, cog...Continue Reading

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Jul 28, 2015·Journal of the American Medical Directors Association·John E Morley
Mar 31, 2015·Journal of the American Medical Directors Association·John E Morley
Jul 12, 2018·Medicine·Lia Mara Montagner RossiMelissa Orlandin Premaor
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