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Trends and geographical variability in osteoporosis treatment after hip fracture: A multilevel analysis of 30,965 patients in the region of Valencia, Spain.

Journal of Bone and Mineral Research Apr 22, 2020

Hurtado I, García‐Sempere A, Peiró S, et al. - A population‐based retrospective cohort was conducted to included a total of 30,965 patients 65 years and older, discharged from hospital after a hip fracture between January 2008 and December 2015, who were followed up for three months after discharge to distinguish the presence of any prescription of osteoporosis medication. A multilevel multiple logistic regression analysis with two levels (individuals and Health Departments, HD) was performed to ascertain which individual covariates were correlated with receiving a prescription of osteoporosis medication in the three months following discharge, as well as the importance of the HD of hospitalization. The findings reveal that this situation pressingly demands action (both at the organizational and professional levels) targeted on populations at a higher risk (as hip fracture patients) that especially address underutilization and unwarranted variation.

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