Post-fracture care and predictors of anti-osteoporotic treatment in Switzerland: a nationwide health claims analysis
Authors' conclusion
Osteoporosis treatment rates after hip and vertebral fractures were low, with 88% and 77% of patients, respectively, not receiving treatment within 6 months.
Study context
- Population
- Hospitalised patients aged ≥ 50 years with recent vertebral, hip or other fractures, claims data from the largest Swiss health insurance provider, 2021–2023
- Participants
- 6,229 / 2,458 / 11,314
- Exposure
- Hip fractures vs Vertebral fractures vs Other fractures
- Hip fracturesn = 6,229
- Vertebral fracturesn = 2,458
- Other fracturesn = 11,314
- Outcome
- Treatment rates and predictors of anti-osteoporotic therapies post-fracture
- Follow-up
- 12 months
Methodological detailsnationwide health claims analysis
- Nationwide health claims analysis
Main finding
As reported in the abstract
Anti-osteoporotic treatment rate · within 6 months post-fracture
Denosumab Hip fractures 5.0% · Vertebral fractures 9.4%
Zoledronate Hip fractures 2.6% · Vertebral fractures 4.7%
Alendronate Hip fractures 2.1%
Already on therapy before fracture
Ibandronate Vertebral fractures 3.6%
Anabolic agents Vertebral fractures 2.7%
- Not receiving treatment within 6 months: hip fractures
- 88%
- Not receiving treatment within 6 months: vertebral fractures
- 77%
Observational data: associations, not effects.
Further findings
Strongest predictor of treatment initiation: DXA scan
| OR (CI) | ||
|---|---|---|
| DXA scan | 10.2 (9.1–11.5) | |
| 0.050.21520Odds ratio (log scale) |
Already receiving osteoporosis therapy before the fracture
Strongest predictor of treatment initiation: DXA scan
- Female sex, older age and greater comorbidity showed weaker effects
Care trajectories · within 3 months post-fracture
- Inpatient rehabilitation required
- 8-11%
- Newly transitioned to nursing home placement
- 18-21%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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