期刊
AGE AND AGEING
卷 40, 期 5, 页码 602-607出版社
OXFORD UNIV PRESS
DOI: 10.1093/ageing/afr085
关键词
osteoporosis; resource utilisation; post-acute care; informal care; osteoporotic fracture
资金
- Eli Lilly and Company
- Merck Frosst Canada, Amgen, Inc.
- Proctor & Gamble Pharmaceuticals
- Sanofi-aventis Pharmaceutical Corporation
- Novartis Pharmaceutical Corporation
- Warner Chillcott
- Aventis Pharma
- Lundbeck Canada Inc
- Servier
- Wyeth-Ayerst
- Amgen
- Astra Zeneca
- Eli Lilly
- GlaxoSmithKline
- Merck Frosst
- Novartis
- Nycomed
- Pfizer
- Proctor Gamble
- Roche
- Sanofi-aventis
- Wyeth
- Bristol-Myers Squibb
- Ontario Ministry of Health and Long-term Care (MOHLTC)
- Ontario Premier's Research Excellence Award
- Canadian Institutes of Health Research (CIHR)
- Merck Frosst Canada Ltd.
- Eli Lilly Canada, Inc.
- Novartis Pharmaceuticals, Inc.
- Procter and Gamble Pharmaceuticals Canada, Inc.
- Servier Canada, Inc.
- Amgen Canada, Inc.
- Dairy Farmers of Canada
- Arthritis Society
Methods: the study sample consisted of 1,116 men and women from the Canadian Multicentre Osteoporosis Study (CaMos) who sustained a fracture. We assessed utilisation of post-acute care including rehabilitative and home care services, as well as informal care in persons with a hip, vertebral, or non-hip-non-vertebral fractures. Results: use of rehabilitative and home care services was reported by 37.1% and 18.2% of men and women, respectively. Persons with hip fracture were more likely to report use of these services compared with persons with non-hip-non-vertebral fractures; those with vertebral fracture were less likely to report using these services. Use of informal care was reported by 47.2% of participants. Individuals with multiple fractures made more extensive use of post-acute resources compared with those with single fractures. Conclusions: use of post-acute care in individuals with fracture is extensive and the contribution of use of these resources to the overall burden of fractures cannot be ignored. Our findings have implications for future economic analyses and policy-making related to care of osteoporotic fractures.
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