Distal Radius Fracture Risk Reduction With a Comprehensive Osteoporosis Management Program

Harness NG, Funahashi T, Dell R, et al (Univ of California Irvine, Orange; Downey Med Ctr, CA; Kaiser Permanente Southern California, Pasadena) J Hand Surg 37A:1543-1549, 2012^§

Abstract

Purpose

To study risk factors associated with osteoporotic distal radius fractures and evaluate the effectiveness of the screening and treatment components of a comprehensive osteoporosis program.

Methods

We retrospectively identified a cohort of patients aged 60 years or older from a large health maintenance organization. For the period 2002 to 2008, information on age, race, sex, diabetes status, osteoporosis diagnosis, osteoporosis screening activity, medications dispensed, and fracture events, including distal radius, proximal humerus, and hip fractures were recorded. We compared demographic and clinical characteristics for patients with and without distal radius fractures. We estimated multivariable estimates of the associations between pharmacologic treatment, and osteoporosis screening and distal radius fracture risk using Cox proportional hazards methods, and adjusted them for age, sex, race, diabetes status, and prior history of hip or proximal humerus fractures.

Results

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