Erschienen in:
19.02.2019
Overwhelming Underuse of Bisphosphonates in French Nursing Home Residents After Proximal Femoral Fracture
verfasst von:
Paul Le Floch, P. Kermarrec, A. Gentric
Erschienen in:
The journal of nutrition, health & aging
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Ausgabe 4/2019
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Abstract
Objective
To evaluate the prescription of bisphosphonates in female nursing home residents aged 75 and older with a history of proximal femoral fracture.
Design
Observational descriptive study, led in Brest, France, between June and August 2015.
Setting
12 nursing homes in Brest, France.
Participants
Female nursing home residents, aged 75 and older, with a history of proximal femoral fracture were included. Exclusion criteria were contraindications to bisphosphonate treatment and residents restricted to bed and chair.
Measurements
The primary endpoint was the evaluation of prescription of bisphosphonates at the time of the study. The secondary endpoints were to evaluate vitamin D supplementation and factors associated with bisphosphonate prescription.
Results
12 of the 116 included residents (10.3 %) received bisphosphonates. 66.4 % received vitamin D supplementation.
Conclusion
Despite successive French and international recommendations, there is still a very important underuse of treatment by bisphosphonates in old institutionalized female patients with a very high risk of fracture.