TY - JOUR
T1 - Osteoporosis is Underdiagnosed in Skilled Nursing Facilities
T2 - A Large-Scale Heel BMD Screening Study
AU - Gloth, F. Michael
AU - Simonson, William
N1 - Funding Information:
The authors received editorial support in the preparation of this article funded by The Alliance for Better Bone Health (Procter & Gamble Pharmaceuticals and Sanofi-Aventis U.S., Inc). The authors, however, were fully responsible for all content and editorial decisions and received no financial support or other form of compensation related to the development of the article.
Funding Information:
The study was funded by Procter & Gamble Pharmaceuticals.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2008/3
Y1 - 2008/3
N2 - Objective: To investigate the common assertion that osteoporosis is underdiagnosed in the skilled nursing facility setting. Methods: Skilled nursing facilities participated in a nationwide heel-screening study conducted by their local consultant pharmacists. The nursing facility residents were categorized into 4 age groups: 59 years and younger; 60 to 69 years; 70 to 79 years; and 80 years and older. Residents were screened on a voluntary basis. Heel scanning was performed using a peripheral dual-energy x-ray absorptiometry (pDXA) machine, and the data were collected by an independent contractor (On-Site Wellness). Residents were grouped by low, moderate, or high risk for osteoporosis based on their bone mineral density (BMD) T-scores. Bedridden patients, patients with a short life expectancy, and those currently receiving osteoporosis therapy were excluded from the study. Results: A total of 34,486 residents of skilled nursing facilities in 26 states were screened, 7728 (22.4%) of whom were grouped as low risk, 12,095 (35.1%) as moderate risk, and 14,663 (42.5%) as high risk for osteoporosis and related fracture. Findings by state were comparable to those for the total study population. Conclusion: This large-scale heel-screening study suggests a considerable prevalence of undiagnosed osteoporosis (as measured by peripheral DXA scans) in skilled nursing facilities, underscoring the need for more vigilant awareness of fracture risk in these patients.
AB - Objective: To investigate the common assertion that osteoporosis is underdiagnosed in the skilled nursing facility setting. Methods: Skilled nursing facilities participated in a nationwide heel-screening study conducted by their local consultant pharmacists. The nursing facility residents were categorized into 4 age groups: 59 years and younger; 60 to 69 years; 70 to 79 years; and 80 years and older. Residents were screened on a voluntary basis. Heel scanning was performed using a peripheral dual-energy x-ray absorptiometry (pDXA) machine, and the data were collected by an independent contractor (On-Site Wellness). Residents were grouped by low, moderate, or high risk for osteoporosis based on their bone mineral density (BMD) T-scores. Bedridden patients, patients with a short life expectancy, and those currently receiving osteoporosis therapy were excluded from the study. Results: A total of 34,486 residents of skilled nursing facilities in 26 states were screened, 7728 (22.4%) of whom were grouped as low risk, 12,095 (35.1%) as moderate risk, and 14,663 (42.5%) as high risk for osteoporosis and related fracture. Findings by state were comparable to those for the total study population. Conclusion: This large-scale heel-screening study suggests a considerable prevalence of undiagnosed osteoporosis (as measured by peripheral DXA scans) in skilled nursing facilities, underscoring the need for more vigilant awareness of fracture risk in these patients.
KW - Osteoporosis
KW - peripheral DXA scan
KW - skilled nursing facilities
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U2 - 10.1016/j.jamda.2007.12.003
DO - 10.1016/j.jamda.2007.12.003
M3 - Article
C2 - 18294602
AN - SCOPUS:39149117021
SN - 1525-8610
VL - 9
SP - 190
EP - 193
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 3
ER -