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Osteoporosis Testing and Management in Older Women

These HEDIS Measures

Osteoporosis Testing in Older Women: This survey-based measure assesses women 65–85 years of age who report ever having received a bone density test to check for osteoporosis.

Osteoporosis Management in Women Who Had a Fracture: Assesses women 65–85 years of age who suffered a fracture and who had either a bone mineral density test or a prescription for a drug to treat osteoporosis in the six months after the fracture.

So What?

Osteoporosis is a serious disease in the elderly that can impact their quality of life. Osteoporosis is a bone disease characterized by low bone mass, which leads to bone fragility and increased susceptibility to fractures of the hip, spine and wrist.1 Osteoporotic fractures, particularly hip fractures, are associated with chronic pain and disability, loss of independence, decreased quality of life and increased mortality.2 With appropriate screening and treatment, the risk of osteoporosis-related fractures can be reduced.

References

  1. National Institutes of Health. National Institute of Arthritis and Musculoskeletal and Skin Disorders (NIH NIAMS). January 2012. “Osteoporosis: Overview.”
  2. U.S. Preventive Services Task Force. January 2011. “Recommendations and Rationale: Screening for Osteoporosis in Postmenopausal Women.”  http://www.ahrq.gov/clinic/3rduspstf/osteoporosis/osteorr.htm
tables
Bone Density Testing Rate
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  -- -- -- 73.8 79.3
2015 73.8 79.3
2014 74.2 78.5
2013 73.6 76.3
2012 72.1 75.4
2011 71.0 75.0
2010 68.5 73.4
2009 68.0 72.8
2008 66.7 72.0
2007 65.7 70.3
2006 64.4 71.3
Testing/Treatment Rate in Women Who Had a Fracture
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  -- -- -- 41.9 34.2 
2015 40.7 32.8
2014 38.1 30.2
2013 29.2 22.4
2012 25.0 19.1
2011 22.8 19.3
2010 20.7 18.5
2009 20.7 18.1
2008 20.7 18.0
2007 20.4 17.8