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Published on: March 3, 2023
Overwhelming Underuse of Bisphosphonates in French Nursing Home Residents After Proximal Femoral Fracture
P Le Floch1, P Kermarrec, A Gentric
1Paul Le Floch, CHRU de Brest, Brest, France, paul.lefloch@ildys.org.
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.
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