Osteoporosis Prescribing in Long-Term Care: Impact of a Provincial Knowledge Translation Strategy

This study described prescribing trends before and after implementing a provincial strategy aimed at improving osteoporosis and fracture prevention in Ontario long-term care (LTC) homes. Data were obtained from a pharmacy provider for 10 LTC homes in 2007 and 166 homes in 2012. We used weighted, mul...

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Bibliographic Details
Published in:Canadian journal on aging 2015-06, Vol.34 (2), p.137-148
Main Authors: Kennedy, Courtney C, Ioannidis, George, Thabane, Lehana, Adachi, Jonathan D, O’Donnell, Denis, Giangregorio, Lora M, Pickard, Laura E, Papaioannou, Alexandra
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Bone density
Bone Density Conservation Agents - therapeutic use
Calcium - therapeutic use
Canada
Causality
Cohort Studies
Drug stores
Education
Educational materials
Estimation
Female
Fractures
Health facilities
Health Policy
Humans
Knowledge
Linear Models
Long Term Care
Long term health care
Male
Multivariate Analysis
Nursing care
Nursing Homes
Ontario
Osteoporosis
Osteoporosis - drug therapy
Osteoporotic Fractures - prevention & control
Pharmacy
Practice Patterns, Physicians
Prescription drugs
Prevention
Professionals
Provinces
Regression analysis
Translational Medical Research
Vitamin D
Vitamin D - therapeutic use
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Summary:This study described prescribing trends before and after implementing a provincial strategy aimed at improving osteoporosis and fracture prevention in Ontario long-term care (LTC) homes. Data were obtained from a pharmacy provider for 10 LTC homes in 2007 and 166 homes in 2012. We used weighted, multiple linear regression analyses to examine facility-level changes in vitamin D, calcium, and osteoporosis medication prescribing rates between 2007 and 2012. After five years, the estimated increase in vitamin D, calcium, and osteoporosis medication prescribing rates, respectively, was 38.2 per cent (95% confidence interval [CI]: 29.0, 47.3; p < .001), 4.0 per cent (95% CI: -3.9, 12.0; p = .318), and 0.2 per cent (95% CI: -3.3, 3.7; p = .91). Although the study could not assess causality, findings suggest that wide-scale knowledge translation activities successfully improved vitamin D prescribing rates, although ongoing efforts are needed to target homes with low uptake.
ISSN:0714-9808
1710-1107
DOI:10.1017/S0714980815000057