{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:40:04Z","timestamp":1777725604706,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"VA Special Fellowship Program in Advanced Geriatrics"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>We compared osteoporosis case-finding, evaluation and treatment in groups of Older Men and Older Women with age alone as a significant risk for fracture and Older Men with Higher Risk (older men additionally having previous hip fracture, corticosteroid use or androgen deprivation therapy). We studied 13,704 older men and women (\u226570 years old) receiving care at a Veterans Affairs medical center from January 2000 to August 2010 whose 10-year hip fracture risk was assessed by limited FRAX score. The main outcome measures were the proportion of patients who had bone mineral density (by dual-energy X-ray absorptiometry [DXA]) and serum 25-hydroxy vitamin D (25-OH D) measurements performed, and calcium\/vitamin D or bisphosphonates prescribed. The proportion of men with a 10-year hip fracture risk \u22653% with age alone as a risk was 48% and 88% in men aged 75\u201379 and \u226580 years, respectively. Compared with Older Women, fewer Older Men underwent DXA (12% vs 63%, respectively) and 25-OH D measurements (18% vs 39%), and fewer received calcium\/vitamin D (20% vs 63%) and bisphosphonate (5% vs 44%) prescriptions. In Older Men with Higher Risk category, the proportion of men with 10-year hip fracture risk \u22653% ranged from 69% to 95%. Despite a higher risk and expectation that this group would have greater case detection and screening, few Older Men with Higher risk underwent DXA screening (27%\u201336%) and 25-OH D measurements (23%\u201328%), and received fewer calcium\/vitamin D (40%\u201350%) and bisphosphonate (13%\u201324%) prescriptions. Considering the known morbidity and mortality, our findings underscore the need for improved evaluation and management of osteoporosis in older men at high risk for fracture.<\/jats:p>","DOI":"10.1136\/jim-2018-000907","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T23:55:14Z","timestamp":1549410914000},"page":"743-749","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Suboptimal osteoporosis evaluation and treatment in older men with and without additional high-risk factors for fractures"],"prefix":"10.1177","volume":"67","author":[{"given":"Radhika Rao","family":"Narla","sequence":"first","affiliation":[{"name":"Division of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington, School of Medicine, Seattle, Washington, USA"},{"name":"Division of Endocrinology, Metabolism and Nutrition, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lianne A","family":"Hirano","sequence":"additional","affiliation":[{"name":"Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA"},{"name":"Geriatric Research, Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serena H Y","family":"Lo","sequence":"additional","affiliation":[{"name":"Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley D","family":"Anawalt","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of Washington, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A","family":"Phelan","sequence":"additional","affiliation":[{"name":"Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA"},{"name":"Department of Health Services, School of Public Health, University of Washington, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvin M","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA"},{"name":"Geriatric Research, Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,1]]},"reference":[{"key":"bibr1-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.2269"},{"key":"bibr2-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1053\/beem.2000.0067"},{"key":"bibr3-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.061113"},{"key":"bibr4-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02769.x"},{"key":"bibr5-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.2000.15.4.710"},{"key":"bibr6-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-9-200805060-00008"},{"key":"bibr7-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-154-5-201103010-00307"},{"key":"bibr8-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2011-3045"},{"key":"bibr9-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-014-2794-2"},{"key":"bibr10-jim-2018-000907","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-012-2074-y"},{"key":"bibr11-jim-2018-000907","first-page":"31","volume":"29","author":"Adler 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