HEALTH
STATUS > HEALTH INDICATORS OSTEOPOROSIS Osteoporosis is the most common underlying cause of fractures
in the elderly, but it is not frequently diagnosed or treated, even
in individuals who have already suffered a fracture. Ten million
Americans have osteoporosis, while another 34 million have low bone
mass and are at risk for developing osteoporosis. Eighty percent
of those affected are women. By 2020, one in two Americans over
age 50 will be at risk for osteoporosis and low bone mass.
Each year about 1.5 million people suffer a bone fracture related
to osteoporosis, with the most common breaks in the wrist, spine,
and hip. One in five individuals who fracture a hip die within a
year of the fracture and about one in five individuals with a hip
fracture end up in a nursing home within a year. The direct care
costs for osteoporotic fractures alone are up to $18 billion each
year.1
Osteoporosis may be prevented and treated by getting the recommended
amounts of calcium, vitamin D, and physical activity, and by taking
prescription medication when appropriate. Bone density tests are
recommended for all women over 65 and for any man or woman who suffers
even a minor fracture after age 50. Treatment of osteoporosis has
been shown to reduce the risk of subsequent fractures by 30-65 percent.1
National data in 2003 indicate that only 18 percent of female Medicare
beneficiaries 67 years of age or older who had a fracture received
either a bone mineral density test or a prescription. Most plans
were in the range of 10 to 26 percent. Based on voluntary reporting
of a subset of plans, it is estimated that about 10 percent of women
received only a prescription and about 8 percent of women received
only the test. Only about 3 percent of women aged 67 or older received
both the bone mineral density test and a prescription. This is considered
the highest standard of care.
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1 U.S. Department of Health and Human Services. Bone
Health and Osteoporosis: A Report of the Surgeon General. Rockville,
MD: U.S. Department of Health and Human Services, Office of the
Surgeon General, 2004.
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