Introduction of an order set after hip fracture improves osteoporosis medication initiation and persistence: a population-based before-after analysis
Authors' conclusion
Introduction of a hip fracture OS significantly increased AOM initiation and persistence at 1-year post-fracture. There was no significant difference in secondary fractures.
Study context
- Population
- Individuals 50+ years with surgical treatment for low-energy hip fracture, 2010–2019, Manitoba, Canada
- Participants
- 2,150 vs 813
- Exposure
- Hip fracture order set vs control hospitals without order set (OS)
- Controln = 2,150reference
- OSn = 813
- Outcome
- Anti-osteoporosis medication (AOM) initiation after fracture, OS group year before vs year after OS introduction
Methodological detailspopulation-based, before-after analysis, linked administrative health data
- Population-based
- Before-after analysis
- Linked administrative health data
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Further findings
Secondary fractures
P = 0.38
| Outcome | P value |
|---|---|
| Persistence on AOM, OS group year before vs year after | P < 0.001 |
- Persistence on anti-osteoporosis medication (AOM), OS group year before vs year after: OS, year before 17.7%
- Persistence on AOM, OS group year before vs year after: OS, year after 28.4%
Original publication
Introduction of an order set after hip fracture improves osteoporosis medication initiation and persistence: a population-based before-after analysis. Osteoporos Int. Published 5 June 2024. doi:10. 1007/ s00198-024-07131-3
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