Recommendations for preventing fracture in long-term care

doi:10.1503/cmaj.141331

Practice Guideline

. 2015 Oct 20;187(15):1135-1144.

doi: 10.1503/cmaj.141331. Epub 2015 Sep 14.

Recommendations for preventing fracture in long-term care

[Article in English, French]

Alexandra Papaioannou¹, Nancy Santesso², Suzanne N Morin², Sidney Feldman², Jonathan D Adachi², Richard Crilly², Lora M Giangregorio², Susan Jaglal², Robert G Josse², Sharon Kaasalainen², Paul Katz², Andrea Moser², Laura Pickard², Hope Weiler², Susan Whiting², Carly J Skidmore², Angela M Cheung²; Scientific Advisory Council of Osteoporosis Canada

Affiliations

¹ Department of Medicine (Papaioannou, Adachi, Pickard), Department of Clinical Epidemiology and Biostatistics (Papaioannou, Santesso) and School of Nursing (Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Geriatric Education and Research in Aging Sciences Centre (Papaioannou, Pickard, Skidmore), St. Peter's Hospital, Hamilton, Ont.; Department of Medicine (Morin), McGill University Health Centre, Montréal, Que.; Montreal General Hospital (Morin), Montréal, Que.; Department of Medicine (Feldman, Josse, Moser, Cheung) and Department of Physical Therapy (Jaglal), University of Toronto, Toronto, Ont.; Baycrest Geriatric Health Care System (Feldman, Katz, Moser), Toronto, Ont.; St. Joseph's Healthcare (Adachi), Hamilton, Ont.; Division of Geriatric Medicine, Department of Medicine (Crilly), University of Western Ontario, London, Ont.; Department of Kinesiology (Giangregorio), University of Waterloo, Waterloo, Ont.; Institute for Clinical Evaluative Sciences (Jaglal), Toronto, Ont.; Li Ka Shing Knowledge Institute (Josse), St Michael's Hospital, Toronto, Ont.; School of Dietetics and Human Nutrition (Weiler), McGill University, Montréal. Que.; Department of Nutrition and Dietetics (Whiting), University of Saskatchewan, Saskatoon, Sask.; Toronto General Hospital (Cheung), Toronto, Ont. papaioannou@hhsc.ca.
² Department of Medicine (Papaioannou, Adachi, Pickard), Department of Clinical Epidemiology and Biostatistics (Papaioannou, Santesso) and School of Nursing (Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Geriatric Education and Research in Aging Sciences Centre (Papaioannou, Pickard, Skidmore), St. Peter's Hospital, Hamilton, Ont.; Department of Medicine (Morin), McGill University Health Centre, Montréal, Que.; Montreal General Hospital (Morin), Montréal, Que.; Department of Medicine (Feldman, Josse, Moser, Cheung) and Department of Physical Therapy (Jaglal), University of Toronto, Toronto, Ont.; Baycrest Geriatric Health Care System (Feldman, Katz, Moser), Toronto, Ont.; St. Joseph's Healthcare (Adachi), Hamilton, Ont.; Division of Geriatric Medicine, Department of Medicine (Crilly), University of Western Ontario, London, Ont.; Department of Kinesiology (Giangregorio), University of Waterloo, Waterloo, Ont.; Institute for Clinical Evaluative Sciences (Jaglal), Toronto, Ont.; Li Ka Shing Knowledge Institute (Josse), St Michael's Hospital, Toronto, Ont.; School of Dietetics and Human Nutrition (Weiler), McGill University, Montréal. Que.; Department of Nutrition and Dietetics (Whiting), University of Saskatchewan, Saskatoon, Sask.; Toronto General Hospital (Cheung), Toronto, Ont.

PMID: 26370055
PMCID: PMC4610837
DOI: 10.1503/cmaj.141331

Practice Guideline

Recommendations for preventing fracture in long-term care

[Article in English, French]

Alexandra Papaioannou et al. CMAJ. 2015.

. 2015 Oct 20;187(15):1135-1144.

doi: 10.1503/cmaj.141331. Epub 2015 Sep 14.

Authors

Affiliations

¹ Department of Medicine (Papaioannou, Adachi, Pickard), Department of Clinical Epidemiology and Biostatistics (Papaioannou, Santesso) and School of Nursing (Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Geriatric Education and Research in Aging Sciences Centre (Papaioannou, Pickard, Skidmore), St. Peter's Hospital, Hamilton, Ont.; Department of Medicine (Morin), McGill University Health Centre, Montréal, Que.; Montreal General Hospital (Morin), Montréal, Que.; Department of Medicine (Feldman, Josse, Moser, Cheung) and Department of Physical Therapy (Jaglal), University of Toronto, Toronto, Ont.; Baycrest Geriatric Health Care System (Feldman, Katz, Moser), Toronto, Ont.; St. Joseph's Healthcare (Adachi), Hamilton, Ont.; Division of Geriatric Medicine, Department of Medicine (Crilly), University of Western Ontario, London, Ont.; Department of Kinesiology (Giangregorio), University of Waterloo, Waterloo, Ont.; Institute for Clinical Evaluative Sciences (Jaglal), Toronto, Ont.; Li Ka Shing Knowledge Institute (Josse), St Michael's Hospital, Toronto, Ont.; School of Dietetics and Human Nutrition (Weiler), McGill University, Montréal. Que.; Department of Nutrition and Dietetics (Whiting), University of Saskatchewan, Saskatoon, Sask.; Toronto General Hospital (Cheung), Toronto, Ont. papaioannou@hhsc.ca.
² Department of Medicine (Papaioannou, Adachi, Pickard), Department of Clinical Epidemiology and Biostatistics (Papaioannou, Santesso) and School of Nursing (Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Geriatric Education and Research in Aging Sciences Centre (Papaioannou, Pickard, Skidmore), St. Peter's Hospital, Hamilton, Ont.; Department of Medicine (Morin), McGill University Health Centre, Montréal, Que.; Montreal General Hospital (Morin), Montréal, Que.; Department of Medicine (Feldman, Josse, Moser, Cheung) and Department of Physical Therapy (Jaglal), University of Toronto, Toronto, Ont.; Baycrest Geriatric Health Care System (Feldman, Katz, Moser), Toronto, Ont.; St. Joseph's Healthcare (Adachi), Hamilton, Ont.; Division of Geriatric Medicine, Department of Medicine (Crilly), University of Western Ontario, London, Ont.; Department of Kinesiology (Giangregorio), University of Waterloo, Waterloo, Ont.; Institute for Clinical Evaluative Sciences (Jaglal), Toronto, Ont.; Li Ka Shing Knowledge Institute (Josse), St Michael's Hospital, Toronto, Ont.; School of Dietetics and Human Nutrition (Weiler), McGill University, Montréal. Que.; Department of Nutrition and Dietetics (Whiting), University of Saskatchewan, Saskatoon, Sask.; Toronto General Hospital (Cheung), Toronto, Ont.

PMID: 26370055
PMCID: PMC4610837
DOI: 10.1503/cmaj.141331

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Figures

**Figure 1:**
Fracture prevention for residents of long-term care facilities. CrCl = creatinine clearance, IU = international units, IV = intravenous.

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Comment in

Benefits of pharmacotherapy for preventing hip fracture.
Quail P. Quail P. CMAJ. 2016 Apr 19;188(7):531. doi: 10.1503/cmaj.1150090. CMAJ. 2016. PMID: 27091937 Free PMC article. No abstract available.

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Morin SN, Feldman S, Funnell L, Giangregorio L, Kim S, McDonald-Blumer H, Santesso N, Ridout R, Ward W, Ashe MC, Bardai Z, Bartley J, Binkley N, Burrell S, Butt D, Cadarette SM, Cheung AM, Chilibeck P, Dunn S, Falk J, Frame H, Gittings W, Hayes K, Holmes C, Ioannidis G, Jaglal SB, Josse R, Khan AA, McIntyre V, Nash L, Negm A, Papaioannou A, Ponzano M, Rodrigues IB, Thabane L, Thomas CA, Tile L, Wark JD; pour le groupe d’actualisation des lignes directrices 2023 d’Ostéoporose Canada. Morin SN, et al. CMAJ. 2023 Nov 26;195(46):E1585-E1603. doi: 10.1503/cmaj.221647-f. CMAJ. 2023. PMID: 38011931 Free PMC article. French.
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References

1. Papaioannou A, Morin S, Cheuxong AM, et al. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 2010;182:1864–73. - PMC - PubMed
1. Crilly RG, Tanner DA, Kloseck M, et al. Hip fractures in long-term care: Is the excess explained by the age and gender distribution of the residents? J Aging Res 2010;2010:291258. - PMC - PubMed
1. Ronald LA, McGregor MJ, McGrail KM, et al. Hospitalization rates of nursing home residents and community-dwelling seniors in British Columbia. Can J Aging 2008;27:109–15. - PubMed
1. Zimmerman S, Chandler JM, Hawkes W, et al. Effect of fracture on the health care use of nursing home residents. Arch Intern Med 2002;162:1502–8. - PubMed
1. Nikitovic M, Wodchis WP, Krahn MD, et al. Direct health-care costs attributed to hip fractures among seniors: a matched cohort study. Osteoporos Int 2013;24:659–69. - PMC - PubMed

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[1] Papaioannou A, Morin S, Cheuxong AM, et al. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 2010;182:1864–73. - PMC - PubMed

[2] Papaioannou A, Morin S, Cheuxong AM, et al. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 2010;182:1864–73. - PMC - PubMed

[3] Crilly RG, Tanner DA, Kloseck M, et al. Hip fractures in long-term care: Is the excess explained by the age and gender distribution of the residents? J Aging Res 2010;2010:291258. - PMC - PubMed

[4] Crilly RG, Tanner DA, Kloseck M, et al. Hip fractures in long-term care: Is the excess explained by the age and gender distribution of the residents? J Aging Res 2010;2010:291258. - PMC - PubMed

[5] Ronald LA, McGregor MJ, McGrail KM, et al. Hospitalization rates of nursing home residents and community-dwelling seniors in British Columbia. Can J Aging 2008;27:109–15. - PubMed

[6] Ronald LA, McGregor MJ, McGrail KM, et al. Hospitalization rates of nursing home residents and community-dwelling seniors in British Columbia. Can J Aging 2008;27:109–15. - PubMed

[7] Zimmerman S, Chandler JM, Hawkes W, et al. Effect of fracture on the health care use of nursing home residents. Arch Intern Med 2002;162:1502–8. - PubMed

[8] Zimmerman S, Chandler JM, Hawkes W, et al. Effect of fracture on the health care use of nursing home residents. Arch Intern Med 2002;162:1502–8. - PubMed

[9] Nikitovic M, Wodchis WP, Krahn MD, et al. Direct health-care costs attributed to hip fractures among seniors: a matched cohort study. Osteoporos Int 2013;24:659–69. - PMC - PubMed

[10] Nikitovic M, Wodchis WP, Krahn MD, et al. Direct health-care costs attributed to hip fractures among seniors: a matched cohort study. Osteoporos Int 2013;24:659–69. - PMC - PubMed

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Recommendations for preventing fracture in long-term care

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