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The journal of nutrition, health & aging

, Volume 23, Issue 4, pp 378–380 | Cite as

Overwhelming Underuse of Bisphosphonates in French Nursing Home Residents After Proximal Femoral Fracture

  • Paul Le FlochEmail author
  • P. Kermarrec
  • A. Gentric
Article

Abstract

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.

Key words

Osteoporosis proximal femoral fracture nursing homes bisphosphonates underuse 

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Copyright information

© Serdi and Springer-Verlag International SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.CHRU de BrestBrestFrance

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