Prevalence of Osteoporosis and Indications for Bone-Treatment In Older Adults Living with Frailty Enrolled in a Local Integrated Care Programme
Abstract Background Osteoporosis is estimated to affect more than 250,000 adults in Ireland, with 29.4% (€463.3 million) of the total healthcare cost attributable to osteoporosis-related fracture management, resulting in significant health and economic impact.(1,2) As such, early identification of o...
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| creator | Hamza, Alaa Koay, Wen Jie Alvarez, Via Leahy, Aoife |
| description | Abstract
Background
Osteoporosis is estimated to affect more than 250,000 adults in Ireland, with 29.4% (€463.3 million) of the total healthcare cost attributable to osteoporosis-related fracture management, resulting in significant health and economic impact.(1,2) As such, early identification of osteoporosis and addressing associated risk factors are crucial steps in reducing osteoporosis-associated morbidity and mortality. This retrospective audit aims to assess the prevalence of osteoporosis and indications for initiating bone treatment among older adults living with frailty enrolled in the Limerick Integrated Care Programme for Older Persons (ICPOP).
Methods
All older adults attending ICPOP between 01/06/2023 to 29/02/2024 were included in the data collection. Data collected included patient age, gender, presence of vitamin D deficiency ( |
| doi_str_mv | 10.1093/ageing/afae178.348 |
| format | Article |
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Background
Osteoporosis is estimated to affect more than 250,000 adults in Ireland, with 29.4% (€463.3 million) of the total healthcare cost attributable to osteoporosis-related fracture management, resulting in significant health and economic impact.(1,2) As such, early identification of osteoporosis and addressing associated risk factors are crucial steps in reducing osteoporosis-associated morbidity and mortality. This retrospective audit aims to assess the prevalence of osteoporosis and indications for initiating bone treatment among older adults living with frailty enrolled in the Limerick Integrated Care Programme for Older Persons (ICPOP).
Methods
All older adults attending ICPOP between 01/06/2023 to 29/02/2024 were included in the data collection. Data collected included patient age, gender, presence of vitamin D deficiency (<50), presence of osteopenia or osteoporosis via DEXA scan results, history of fragility fractures, and bone health treatment and its indication.
Results
A total of 310 patients (192 female, 118 male; age 70–98) attended ICPOP during the specified time period. DEXA scans identified osteopenia in 109 patients and osteoporosis in 69 patients. 86 patients experienced a history of fragility fractures, of which 30 were confirmed to have osteoporosis on DEXA. 93 patients (30.3%) displayed vitamin D deficiency, with the majority (81.7%) not previously receiving vitamin D supplementation. 151 patients were in receipt of bone treatment, of which 86 patients (56.9%) were newly commenced on bone treatment following interaction with ICPOP. The indications were osteoporosis on DEXA scan (44 patients), history of recent fragility fracture (20 patients), and high FRAX score (22 patients).
Conclusion
The increase in detection of risk factors and presence for osteoporosis, and initiating bone health treatment, achieved by way of an integrated care programme for older persons highlights the importance of proactive screening and timely initiation of treatment.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afae178.348</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Bone ; Bones ; Data collection ; Dietary supplements ; Dual energy X-ray absorptiometry ; Economic impact ; Fractures ; Health care expenditures ; Integrated care ; Integrated delivery systems ; Medical screening ; Morbidity ; Older people ; Osteopenia ; Osteoporosis ; Patients ; Risk assessment ; Risk factors ; Vitamin D ; Vitamin deficiency</subject><ispartof>Age and ageing, 2024-09, Vol.53 (Supplement_4)</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com 2024</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902,30976</link.rule.ids></links><search><creatorcontrib>Hamza, Alaa</creatorcontrib><creatorcontrib>Koay, Wen Jie</creatorcontrib><creatorcontrib>Alvarez, Via</creatorcontrib><creatorcontrib>Leahy, Aoife</creatorcontrib><title>Prevalence of Osteoporosis and Indications for Bone-Treatment In Older Adults Living with Frailty Enrolled in a Local Integrated Care Programme</title><title>Age and ageing</title><description>Abstract
Background
Osteoporosis is estimated to affect more than 250,000 adults in Ireland, with 29.4% (€463.3 million) of the total healthcare cost attributable to osteoporosis-related fracture management, resulting in significant health and economic impact.(1,2) As such, early identification of osteoporosis and addressing associated risk factors are crucial steps in reducing osteoporosis-associated morbidity and mortality. This retrospective audit aims to assess the prevalence of osteoporosis and indications for initiating bone treatment among older adults living with frailty enrolled in the Limerick Integrated Care Programme for Older Persons (ICPOP).
Methods
All older adults attending ICPOP between 01/06/2023 to 29/02/2024 were included in the data collection. Data collected included patient age, gender, presence of vitamin D deficiency (<50), presence of osteopenia or osteoporosis via DEXA scan results, history of fragility fractures, and bone health treatment and its indication.
Results
A total of 310 patients (192 female, 118 male; age 70–98) attended ICPOP during the specified time period. DEXA scans identified osteopenia in 109 patients and osteoporosis in 69 patients. 86 patients experienced a history of fragility fractures, of which 30 were confirmed to have osteoporosis on DEXA. 93 patients (30.3%) displayed vitamin D deficiency, with the majority (81.7%) not previously receiving vitamin D supplementation. 151 patients were in receipt of bone treatment, of which 86 patients (56.9%) were newly commenced on bone treatment following interaction with ICPOP. The indications were osteoporosis on DEXA scan (44 patients), history of recent fragility fracture (20 patients), and high FRAX score (22 patients).
Conclusion
The increase in detection of risk factors and presence for osteoporosis, and initiating bone health treatment, achieved by way of an integrated care programme for older persons highlights the importance of proactive screening and timely initiation of treatment.</description><subject>Bone</subject><subject>Bones</subject><subject>Data collection</subject><subject>Dietary supplements</subject><subject>Dual energy X-ray absorptiometry</subject><subject>Economic impact</subject><subject>Fractures</subject><subject>Health care expenditures</subject><subject>Integrated care</subject><subject>Integrated delivery systems</subject><subject>Medical screening</subject><subject>Morbidity</subject><subject>Older people</subject><subject>Osteopenia</subject><subject>Osteoporosis</subject><subject>Patients</subject><subject>Risk assessment</subject><subject>Risk factors</subject><subject>Vitamin D</subject><subject>Vitamin deficiency</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNUMtOwzAQtBBIlMIPcLLEOa0d53ksVQuVKrWHco428aa4Suxiu6B-Bb-Mq_QDOK1md2Z3dgh55mzCWSmmsEel91NoAXleTERS3JART7IiiguR3JIRYyyOWB6X9-TBuUOAPOXxiPxuLX5Dh7pBalq6cR7N0VjjlKOgJV1pqRrwymhHW2Ppq9EY7SyC71H7MKabTqKlM3nqvKNr9R180B_lP-nSgur8mS60NV2HkipNga5NA13Qedxb8KE7B4t0a02AfY-P5K6FzuHTtY7Jx3Kxm79H683baj5bR83l3ygXTVozUcuWS1nUkhVZDnWd1kmcspox4CUTTSlKXmRZCaLJcx4EXOQsjvMyFWPyMuw9WvN1QuergzlZHU5WgnORZCwRIrDigdWERJzFtjpa1YM9V5xVFyPVEHx1Db4KwQdRNIjM6fgf_h-hbYiO</recordid><startdate>20240929</startdate><enddate>20240929</enddate><creator>Hamza, Alaa</creator><creator>Koay, Wen Jie</creator><creator>Alvarez, Via</creator><creator>Leahy, Aoife</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20240929</creationdate><title>Prevalence of Osteoporosis and Indications for Bone-Treatment In Older Adults Living with Frailty Enrolled in a Local Integrated Care Programme</title><author>Hamza, Alaa ; Koay, Wen Jie ; Alvarez, Via ; Leahy, Aoife</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1093-73c5b03bdf1dd8bd0867abb5b4250b00a1903c93918669a3c7715b01370227953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Bone</topic><topic>Bones</topic><topic>Data collection</topic><topic>Dietary supplements</topic><topic>Dual energy X-ray absorptiometry</topic><topic>Economic impact</topic><topic>Fractures</topic><topic>Health care expenditures</topic><topic>Integrated care</topic><topic>Integrated delivery systems</topic><topic>Medical screening</topic><topic>Morbidity</topic><topic>Older people</topic><topic>Osteopenia</topic><topic>Osteoporosis</topic><topic>Patients</topic><topic>Risk assessment</topic><topic>Risk factors</topic><topic>Vitamin D</topic><topic>Vitamin deficiency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamza, Alaa</creatorcontrib><creatorcontrib>Koay, Wen Jie</creatorcontrib><creatorcontrib>Alvarez, Via</creatorcontrib><creatorcontrib>Leahy, Aoife</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamza, Alaa</au><au>Koay, Wen Jie</au><au>Alvarez, Via</au><au>Leahy, Aoife</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Osteoporosis and Indications for Bone-Treatment In Older Adults Living with Frailty Enrolled in a Local Integrated Care Programme</atitle><jtitle>Age and ageing</jtitle><date>2024-09-29</date><risdate>2024</risdate><volume>53</volume><issue>Supplement_4</issue><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
Background
Osteoporosis is estimated to affect more than 250,000 adults in Ireland, with 29.4% (€463.3 million) of the total healthcare cost attributable to osteoporosis-related fracture management, resulting in significant health and economic impact.(1,2) As such, early identification of osteoporosis and addressing associated risk factors are crucial steps in reducing osteoporosis-associated morbidity and mortality. This retrospective audit aims to assess the prevalence of osteoporosis and indications for initiating bone treatment among older adults living with frailty enrolled in the Limerick Integrated Care Programme for Older Persons (ICPOP).
Methods
All older adults attending ICPOP between 01/06/2023 to 29/02/2024 were included in the data collection. Data collected included patient age, gender, presence of vitamin D deficiency (<50), presence of osteopenia or osteoporosis via DEXA scan results, history of fragility fractures, and bone health treatment and its indication.
Results
A total of 310 patients (192 female, 118 male; age 70–98) attended ICPOP during the specified time period. DEXA scans identified osteopenia in 109 patients and osteoporosis in 69 patients. 86 patients experienced a history of fragility fractures, of which 30 were confirmed to have osteoporosis on DEXA. 93 patients (30.3%) displayed vitamin D deficiency, with the majority (81.7%) not previously receiving vitamin D supplementation. 151 patients were in receipt of bone treatment, of which 86 patients (56.9%) were newly commenced on bone treatment following interaction with ICPOP. The indications were osteoporosis on DEXA scan (44 patients), history of recent fragility fracture (20 patients), and high FRAX score (22 patients).
Conclusion
The increase in detection of risk factors and presence for osteoporosis, and initiating bone health treatment, achieved by way of an integrated care programme for older persons highlights the importance of proactive screening and timely initiation of treatment.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/ageing/afae178.348</doi></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current) |
| subjects | Bone Bones Data collection Dietary supplements Dual energy X-ray absorptiometry Economic impact Fractures Health care expenditures Integrated care Integrated delivery systems Medical screening Morbidity Older people Osteopenia Osteoporosis Patients Risk assessment Risk factors Vitamin D Vitamin deficiency |
| title | Prevalence of Osteoporosis and Indications for Bone-Treatment In Older Adults Living with Frailty Enrolled in a Local Integrated Care Programme |
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