Osteoporosis care after hip fracture: Observation from national health insurance database and fracture liaison services

Chun Feng Huang, Sheng Chieh Lin, Ho Min Chen, Chih Hsing Wu, Shih Te Tu, Rong Sen Yang, Wei Jia Huang, Jawl Shan Hwang, Ding Cheng Chan

Research output: Contribution to journalArticlepeer-review

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Abstract

Background: The objective of this research was to report the trend of osteoporosis care after hip fractures from usual care (UC) and to compare the quality of care with those who received fracture liaison services (FLSs). Methods: Data on osteoporosis care for patients with hip fracture were acquired from the National Health Insurance claims (UC group), and surveys from FLS programs (FLS group). A total of 183,300 patients receiving UC and 3010 patients receiving FLS were studied. For the two groups, common osteoporosis care indicators, such as bone mineral density (BMD) testing rate, antiosteoporosis medication commencement rate, and adherence rate were described. Results: There were 2488 participants (82.7%) in the FLS group who completed Dual-energy X-ray absorptiometry (DXA) in 8 weeks, 155 (5.1%) who finished it between 8 weeks and 1 year. Even in 2018, when the DXA completion rate was at its highest, the completion rate in the UC group was only 23.5%. In terms of medication commencement, 2372 FLS patients (78.8%) received treatment within 3 months. Only 24.9% of the UC patients received antiosteoporosis medication within 3 months. Furthermore, antiosteoporosis medication adherence rate was 92.2% after 1 year and 83.9% after 2 years in the FLS group, but these were only 66.5% and 42.7%, respectively, in the UC group. Conclusion: Patients who received FLS had more timely BMD exams, antiosteoporosis medication treatment, and higher adherence to antiosteoporosis therapy than those who received UC. The discrepancy in rates of continuing treatment became more significant over time between both groups.

Original languageEnglish
Pages (from-to)S74-S81
JournalJournal of the Formosan Medical Association
Volume122
DOIs
Publication statusPublished - 2023 Jan

All Science Journal Classification (ASJC) codes

  • General Medicine

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