{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:26:18Z","timestamp":1792664778228,"version":"4.5.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T00:00:00Z","timestamp":1676332800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To understand national trends and costs associated with the utilization of anti-osteoporotic medication and DEXA screening within the year following a sentinel\/primary distal radius fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The 2008-2015Q1 Humana Administrative Claims database was queried to identify patients aged \u226550 years, with a \u201csentinel\u201d occurrence of a primary closed distal radius fracture. Linear regression models were used to report and assess for significant trends in utilization of anti-osteoporotic medication and DEXA screenings within the year following the fracture. Multivariate logistic regression analyses were used to assess for factors associated with receiving or not receiving anti-osteoporotic medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 14\u2009526 sentinel distal radius fractures were included in the study. Only 7.2% (n = 1046) of patients received anti-osteoporosis medication in the year following the distal radius fracture. Treatment with medication for osteoporosis declined from 8.2% in 2008 to 5.9% in 2015, whereas the rate of DEXA screening increased from 14.8% in 2008 to 23.6% in 2015. The most common prescribed treatment was alendronate sodium (n = 835; 79.8%\u2014$49\/patient). Factors associated with increased odds of receiving anti-osteoporotic medication were age 70 to 79 years (odds ratio [OR], 1.45; P = .014), age 80 to 89 years (OR, 1.66; P = .001), Asian (OR, 2.95; P = .002) or Hispanic (OR, 1.77; P = .006) ethnicity, belonging to South (OR, 1.19; P = .029) or West (OR, 1.37; P = .010), and having an Elixhauser Comorbidity Index score of 3 (OR, 2.14; P = .024) or &gt; 3 (OR, 2.05; P = .022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite a rising utilization of DEXA screening following \u201csentinel\u201d distal radius fractures, the proportion of individuals who receive anti-osteoporotic treatment is decreasing over time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231153176","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T01:50:16Z","timestamp":1676425816000},"page":"978-985","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Declining Trend in Anti-osteoporotic Treatment, Despite a Rise in DEXA Screening Following \u201cSentinel\u201d Distal Radius Fractures"],"prefix":"10.1177","volume":"19","author":[{"given":"Azeem Tariq","family":"Malik","sequence":"first","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Gordon","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham","family":"Awan","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7879-8177","authenticated-orcid":false,"given":"Safdar N.","family":"Khan","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5507-0351","authenticated-orcid":false,"given":"Kanu S.","family":"Goyal","sequence":"additional","affiliation":[{"name":"The Ohio State University Wexner Medical Center, Columbus, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,14]]},"reference":[{"key":"bibr1-15589447231153176","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2005.11.024"},{"key":"bibr2-15589447231153176","unstructured":"Porter JL, Varacallo M. StatPearls. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28722930. Published 2020. Accessed June 14, 2020."},{"key":"bibr3-15589447231153176","unstructured":"International Osteoporosis Foundation. Key Statistics for North America. https:\/\/www.iofbonehealth.org\/facts-statistics#category-23. Published 2017. 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What is secondary prevention of osteoporosis? https:\/\/americanbonehealth.org\/osteoporosis\/what-is-secondary-prevention-of-osteoporosis\/. Published 2021. Accessed September 30, 2022."},{"key":"bibr13-15589447231153176","unstructured":"American Academy of Orthopaedic Surgeons. Position statement: osteoporosis\/bone health in adults as a national public health priority. https:\/\/aaos.org\/contentassets\/1cd7f41417ec4dd4b5c4c48532183b96\/1113-osteoporosis-bone-health-in-adults-as-a-national-public-health-priority.pdf. Published 2014. Accessed September 30, 2022."},{"key":"bibr14-15589447231153176","unstructured":"American Society for Bone Mineral Research. https:\/\/www.ajmc.com\/conferences\/asbmr-2014\/the-current-state-of-fracture-liaison-services-in-the-united-states. Published 2014. Accessed September 30, 2022."},{"key":"bibr15-15589447231153176","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00682"},{"key":"bibr16-15589447231153176","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.06.025"},{"key":"bibr17-15589447231153176","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.09.025"},{"key":"bibr18-15589447231153176","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09531-z"},{"key":"bibr19-15589447231153176","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01121"},{"key":"bibr20-15589447231153176","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-015-3103-4"},{"key":"bibr21-15589447231153176","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01871"},{"key":"bibr22-15589447231153176","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.0826"},{"key":"bibr23-15589447231153176","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2019.10.020"},{"key":"bibr24-15589447231153176","unstructured":"PearlDiver. http:\/\/www.pearldiverinc.com. 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