Osteoporosis‐Related Health Services Utilization Following First Hip Fracture Among a Cohort of Privately‐Insured Women in the United States, 2008–2014: An Observational Study

ABSTRACT Timely identification and treatment of osteoporosis following hip fracture is recommended to mitigate future fracture risk, yet prior work has demonstrated a disconnect between evidence‐based recommendations and real‐world implementation. We sought to describe contemporary patterns of osteo...

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Bibliographic Details
Published in:Journal of bone and mineral research 2017-05, Vol.32 (5), p.1052-1061
Main Authors: Gillespie, Catherine W, Morin, Pamela E
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Bone mass
Drug therapy
EPIDEMIOLOGY
Female
FRACTURE PREVENTION
Fractures
HEALTH SERVICES RESEARCH
Health services utilization
Hip
Hip Fractures - complications
Hip Fractures - epidemiology
Hip joint
Humans
Insurance, Health
Middle Aged
Observational studies
OSTEOPOROSIS
Osteoporosis - epidemiology
Osteoporosis - etiology
PRACTICE/POLICY‐RELATED ISSUES
SCREENING
THERAPEUTICS
United States - epidemiology
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Summary:ABSTRACT Timely identification and treatment of osteoporosis following hip fracture is recommended to mitigate future fracture risk, yet prior work has demonstrated a disconnect between evidence‐based recommendations and real‐world implementation. We sought to describe contemporary patterns of osteoporosis screening and initiation of pharmacotherapy following hip fracture based on medical and pharmacy claims in the OptumLabs™ Data Warehouse. From a national sample, we identified 8349 women aged 50+ years enrolled in private commercial or Medicare Advantage plans with no prior history of osteoporosis diagnosis, osteoporosis pharmacotherapy, or hip fracture who experienced a hip fracture between 2008 and 2013. Just 17.1% and 23.1% of these women had evidence of osteoporosis assessment and/or treatment within 6 or 12 months of their fractures, respectively. Women aged 80+ years were one‐third less likely to utilize recommended services within 6 months, compared to those aged 50 to 79 years (13.8% versus 20.8%; p 
ISSN:0884-0431
1523-4681
DOI:10.1002/jbmr.3079