Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2009 Apr;102(4):397-404.
doi: 10.1097/SMJ.0b013e31819bc1d3.

Management of osteoporosis among home health and long-term care patients with a prior fracture

Amy H Warriner  1 , Ryan C Outman, Kenneth G Saag, Sarah D Berry, Cathleen Colón-Emeric, Kellie L Flood, Kenneth W Lyles, S Bobo Tanner, Nelson B Watts, Jeffrey R Curtis
Affiliations
Review

Management of osteoporosis among home health and long-term care patients with a prior fracture

Amy H Warriner et al. South Med J. 2009 Apr.

Abstract

Osteoporosis is a growing health concern as the number of senior adults continues to increase worldwide. Falls and fractures are very common among frail older adults requiring home health and long-term care. Preventative strategies for reducing falls have been identified and many therapies (both prescription and nonprescription) with proven efficacy for reducing fracture risk are available. However, many practitioners overlook the fact that a fragility fracture is diagnostic for osteoporosis even without knowledge of bone mineral density testing. As a result, osteoporosis is infrequently diagnosed and treated in the elderly after a fracture. Based on existing literature, we have developed an algorithm for the assessment and treatment of osteoporosis among persons with known prior fracture(s) living in long-term care facilities or receiving home health care based on the data available in the literature.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Osteoporosis Management Recommendation for Home Health and Long Term Care Patients with Prior Fracture
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Toofanny N, et al. Low bone mass and postfall fracture risk among elderly nursing home men. J Am Med Dir Assoc. 2004;5(6):367–370. - PubMed
    1. Zimmerman SI, et al. The prevalence of osteoporosis in nursing home residents. Osteoporos Int. 1999;9(2):151–157. - PubMed
    1. Sallin U, Mellstrom D, Eggertsen R. Osteoporosis in a nursing home, determined by the DEXA technique. Med Sci Monit. 2005;11(2):CR67–CR70. - PubMed
    1. Burge R, et al. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res. 2007;22(3):465–475. - PubMed
    1. Brainsky A, et al. The economic cost of hip fractures in community-dwelling older adults: a prospective study. J Am Geriatr Soc. 1997;45(3):281–287. - PubMed

Publication types