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01-12-2017 | Original Article

Equal treatment: no evidence of gender inequity in osteoporosis management in a coordinator-based fragility fracture screening program

Authors: H. Ansari, D. E. Beaton, R. Sujic, N. K. Rotondi, J. D. Cullen, M. Slater, J. E. M. Sale, R. Jain, E. R. Bogoch, the Ontario Osteoporosis Strategy Fracture Screening and Prevention Program Evaluation Team

Published in: Osteoporosis International | Issue 12/2017

Abstract

Summary

We evaluated gender imbalance in osteoporosis management in a provincial coordinator-based fracture prevention program and found no difference by gender in treatment of high-risk fragility fracture patients. This establishes that a systemic approach with interventions for all fragility fracture patients can eliminate the gender inequity that is often observed.

Inroduction

The purpose of this study was to evaluate an Ontario-based fracture prevention program for its ability to address the well-documented gender imbalance in osteoporosis (OP) management, by incorporating its integrated fracture risk assessments within a needs-based evaluation of equity.

Methods

Fragility fracture patients (≥ 50 years) who were treatment naïve at screening and completed follow-up within 6 months of screening were studied. Patients who underwent bone mineral density (BMD) testing done in the year prior to their current fracture were excluded. All participants had BMD testing conducted through the Ontario OP Strategy Fracture Screening and Prevention program, thus providing us with fracture risk assessment data. Our primary study outcome was treatment initiation at follow-up within 6 months of screening. Gender differences were compared using Fisher’s exact test, at p < 0.05.

Results

After adjusting for subsequent fracture risk, study participants did not show a statistically significant gender difference in pharmacotherapy initiation at follow-up (p > 0.05). 68.4% of women and 66.2% of men at high risk were treated within 6 months of screening.

Conclusion

Needs-based analyses show no difference by gender in treatment of high-risk fragility fracture patients. An intensive coordinator-based fracture prevention model adopted in Ontario, Canada was not associated with gender inequity in OP treatment of fragility fracture patients after fracture risk adjustment.

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Title: Equal treatment: no evidence of gender inequity in osteoporosis management in a coordinator-based fragility fracture screening program
Authors: H. Ansari
D. E. Beaton
R. Sujic
N. K. Rotondi
J. D. Cullen
M. Slater
J. E. M. Sale
R. Jain
E. R. Bogoch
the Ontario Osteoporosis Strategy Fracture Screening and Prevention Program Evaluation Team
Publication date: 01-12-2017
Publisher: Springer London
Published in: Osteoporosis International / Issue 12/2017
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-017-4206-x

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Equal treatment: no evidence of gender inequity in osteoporosis management in a coordinator-based fragility fracture screening program

Abstract

Summary

Inroduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Summary

Inroduction

Methods

Results

Conclusion

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