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    Patterns of treatment in Australian men following fracture

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    Author
    Otmar, R; Henry, MJ; Kotowicz, MA; Nicholson, GC; Korn, S; Pasco, JA
    Date
    2011-01-01
    Source Title
    OSTEOPOROSIS INTERNATIONAL
    Publisher
    SPRINGER LONDON LTD
    University of Melbourne Author/s
    OTMAR, RENEE; Rogers, Margaret; Kotowicz, Mark; NICHOLSON, GEOFFREY; KORN, SAM; Pasco, Julie
    Metadata
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    Document Type
    Journal Article
    Citations
    Otmar, R., Henry, M. J., Kotowicz, M. A., Nicholson, G. C., Korn, S. & Pasco, J. A. (2011). Patterns of treatment in Australian men following fracture. OSTEOPOROSIS INTERNATIONAL, 22 (1), pp.249-254. https://doi.org/10.1007/s00198-010-1204-7.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/29010
    DOI
    10.1007/s00198-010-1204-7
    Abstract
    UNLABELLED: This study aimed to describe treatment initiation rates for men who had recently sustained a fracture. Most (75.9%) men potentially eligible for subsidised treatment at the time of fracture remained untreated even after a subsequent fracture. INTRODUCTION: This study aimed to describe treatment initiation rates for men who had recently sustained a fracture. METHODS: The study was conducted as part of the Geelong Osteoporosis Study in south-eastern Australia. Men in the study area who had sustained an incident fracture in the period July 2006 to December 2007 were identified from hospital radiology reports. A self-report questionnaire was sent to eligible participants approximately 12 months after fracture. Respondents were asked for details of medications prescribed for 'osteoporosis/fracture/low bone mass' before and after fracture, and where applicable, reasons for cessation of treatment. We analysed the results for 109 men aged 50 years and older who had sustained fracture in the study period. RESULTS: Most (75.9%) men potentially eligible for subsidised treatment at the time of fracture remained untreated. Of the 87 men who were untreated, nine had osteoporosis at the hip and/or spine and 29 (26.6%) reported having sustained a low trauma prior fracture. CONCLUSIONS: Our findings are consistent with previously published data showing low rates of treatment initiation in men eligible for osteoporosis treatment. There appear to be barriers involving participants' and medical practitioners' knowledge, beliefs and attitudes regarding osteoporosis and treatment, as well as in the doctor-patient partnership in osteoporosis management. Establishment of clinical pathways for fracture management beyond orthopaedic care may be one of a range of appropriate responses.

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