JAMDA
Volume 9, Issue 3 , Pages 190-193 , March 2008

Osteoporosis is Underdiagnosed in Skilled Nursing Facilities: A Large-Scale Heel BMD Screening Study

  • F. Michael Gloth III, MD, FACP, AGSF, CMD

      Affiliations

    • Johns Hopkins University School of Medicine, University of Maryland School of Medicine, Victory Springs Senior Health Associates, Reisterstown, MD
    • ,
  • William Simonson, PharmD, FASCP, CGP

      Affiliations

    • Independent Consultant Pharmacist, Suffolk, VA.
    • Corresponding Author InformationAddress correspondence to William Simonson, PharmD, FASCP, CGP, PO Box 5446, Suffolk, VA, 23435.

References 

  1. Gelbach SH, Bigelow C, Heimisdottir M, et al. Recognition of vertebral fracture in a clinical setting. Osteoporos Int. 2000;11:577–582
  2. US Department of Health and Human ServicesHealth Resources and Services Administration. Women’s Health USA 2005. Rockville, MD: US Department of Health and Human Services; 2005;
  3. Girman CJ, Chandler JM, Zimmerman SI, et al. Prediction of fracture in nursing home residents. J Am Geriatr Soc. 2002;50:1341–1347
  4. US Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General; 2004;
  5. National Osteoporosis Foundation. About osteoporosis: fast facts. 2006;Available at: www.nof.org/osteoporosis/diseasefacts.htm. Accessed December 15
  6. Kanis JA, Johnell O, Oden A, et al. The risk and burden of vertebral fractures in Sweden. Osteoporos Int. 2004;15:20–26
  7. Johnell O, Kanis JA, Oden A, et al. Mortality after osteoporotic fractures. Osteoporos Int. 2004;15:38–42
  8. Klotzbuecher CM, Ross PD, Landsman PB, et al. Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res. 2000;15:721–739
  9. National Osteoporosis Foundation. Physician’s Guide to Prevention and Treatment of Osteoporosis. Washington, DC: National Osteoporosis Foundation; 2003;
  10. National Institutes of Health. Osteoporosis prevention, diagnosis, and therapy. NIH Consens Statement. 2000;17:1–45
  11. NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis and, Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA. 2001;285:785–795
  12. Kanis JA. Diagnosis of osteoporosis and assessment of fracture risk. Lancet. 2002;359:1929–1936
  13. Myers AH, Baker SP, Van Natta ML, et al. Risk factors associated with falls and injuries among elderly institutionalized persons. Am J Epidemiol. 1991;133:1179–1190
  14. Kiely DK, Kiel DP, Burrows AB, Lipsitz LA. Identifying nursing home residents at risk for falling. J Am Geriatr Soc. 1998;46:551–555
  15. American Geriatrics SocietyBritish Geriatrics SocietyAmerican Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older person. J Am Geriatr Soc. 2001;49:664–672
  16. Siris ES, Miller PD, Barrett-Connor E, et al. Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women: Results from the National Osteoporosis Risk Assessment. JAMA. 2001;286:2815–2822
  17. Sweeney AT, Malabanan AO, Blake MA, et al. Bone mineral density assessment: Comparison of dual-energy x-ray absorptiometry measurements at the calcaneus, spine, and hip. J Clin Densitom. 2002;5:57–62
  18. Zimmerman SI, Girman CJ, Buie VC, et al. The prevalence of osteoporosis in nursing home residents. Osteoporos Int. 1999;9:151–157
  19. Gupta G, Aronow WS. Underuse of procedures for diagnosing osteoporosis and of therapies for osteoporosis in older nursing home residents. J Am Med Dir Assoc. 2003;4:200–202
  20. Rojas-Fernandez CH, Lapane KL, MacKnight C, Howard KA. Undertreatment of osteoporosis in residents of nursing homes: Population-based study with use of the Systematic Assessment of Geriatric Drug Use via Epidemiology (SAGE) database. Endocr Pract. 2002;8:335–342
  21. Chandler JM, Zimmerman SI, Girman CJ, et al. Low bone mineral density and risk of fracture in white female nursing home residents. JAMA. 2000;284:972–977
  22. Vu MQ, Weintraub N, Rubenstein LZ. Falls in the nursing home: Are they preventable?. J Am Med Dir Assoc. 2006;7:S53–S58
  23. American Medical Directors Association. American Medical Directors Association Clinical Practice Guidelines for Falls and Osteoporosis. 2006;December. Available at: http://www.amda.com/cmedirect/osteoporosis/slides_dr_falls_rev2.pdf. Accessed April 4, 2007
  24. Kamel HK. Underutilization of calcium and vitamin D supplements in an academic long-term care facility. J Am Med Dir Assoc. 2004;5:98–100
  25. Smith RL. Calcium and vitamin D supplementation in nursing home residents. J Am Med Dir Assoc. 2001;2:289–296

 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.The study was funded by Procter & Gamble Pharmaceuticals.

PII: S1525-8610(07)00527-0

doi: 10.1016/j.jamda.2007.12.003

JAMDA
Volume 9, Issue 3 , Pages 190-193 , March 2008

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