Gaps in Osteoporosis Management in a Predominantly Hispanic Population

A total of 462 patients were identified based on predetermined ICD-10 codes. After excluding 75 medical charts, the study sample consisted of 387 women: 225 (58.1%) with osteoporosis and 162 (41.9%) with osteopenia. Moreover, 321 (83%) were Hispanic or Latino. Risk factors included previous fracture in 46% (11.9%), glucocorticoid use for more than three months in 36 patients (9.3%), diagnosis of rheumatoid arthritis in 31 (8%), and smoking in 25 (6.5%). The FRAX score was documented for 145 patients (37.5%). Osteoporosis medication was prescribed to 151 patients (67.1%) with osteoporosis and to 40 patients (71.4%) with high-risk osteopenia. Among our study population, only 157 patients (40.6%) were taking vitamin D and calcium supplements. Conclusion: Our study highlights care gaps in the assessment and management of osteoporosis/osteopenia among our Hispanic community. The most common risk factor identified was a history of previous fracture. Almost one-third of patients with osteoporosis and high-risk osteopenia did not receive pharmacological therapy. Most of our patients were not assessed for a 10-year fracture risk with the FRAX score and were not on vitamin D and calcium.