AUTHOR=Guillaumin Michel , Poirson Bastien , Gerazime Aurélie , Puyraveau Marc , Tannou Thomas , Mauny Fréderic , Toussirot Éric 

TITLE=Fractures reduction with osteoporotic treatments in patients over 75-year-old: A systematic review and meta-analysis

JOURNAL=Frontiers in Aging

VOLUME=3

YEAR=2022

URL=https://www.frontiersin.org/journals/aging/articles/10.3389/fragi.2022.845886

DOI=10.3389/fragi.2022.845886

ISSN=2673-6217

ABSTRACT=<p><bold>Background:</bold> Osteoporosis consists in the reduction of bone mineral density and increased risk of fracture. Age is a risk factor for osteoporosis. Although many treatments are available for osteoporosis, there is limited data regarding their efficacy in older people.</p><p><bold>Objective:</bold> To evaluate the efficacy of osteoporosis treatments in patients over 75 years old.</p><p><bold>Methods:</bold> We reviewed all published studies in MEDLINE, Cochrane and EMBASE including patients over 75 years old, treated by osteoporosis drugs, and focused on vertebral fractures or hip fractures.</p><p><bold>Results:</bold> We identified 4,393 records for review; 4,216 were excluded after title/abstract review. After full text review, 19 records were included in the systematic review. Most studies showed a reduction in vertebral fracture with osteoporosis treatments, but non-significant results were observed for hip fractures. Meta-analysis of 10 studies showed that lack of treatment was significantly associated with an increased risk of vertebral fractures at one (OR = 3.67; 95%CI = 2.50–5.38) and 3 years (OR = 2.19; 95%CI = 1.44–3.34), and for hip fractures at one (OR = 2.14; 95%CI = 1.09–4.22) and 3 years (OR = 1.31, 95%CI = 1.12–1.53).</p><p><bold>Conclusion:</bold> A reduction in the risk of vertebral fractures with osteoporosis treatments was observed in most of the studies included and meta-analysis showed that lack of treatment was significantly associated with an increased risk of vertebral fractures. Concerning hip fractures, majority of included studies did not show a significant reduction in the occurrence of hip fractures with osteoporotic treatments, but meta-analysis showed an increased risk of hip fractures without osteoporotic treatment. However, most of the data derived from <italic>post hoc</italic> and preplanned analyses or observational studies.</p>