Treatment Patterns in Hospitalized Hip Fracture Patients: An Interrupted Time-Series Analysis Around the New Fee for Secondary Fracture Prevention in Japan

Key Points

• This analysis examines treatment patterns for osteoporosis in hospitalized hip fracture patients following a new reimbursement policy in Japan.
• Conducted an interrupted time-series analysis to evaluate medication initiation rates.
• Analyzed hospital records of patients with hip fractures before and after the policy change.
• Assessed the impact of the secondary fracture prevention reimbursement policy on osteoporosis treatment initiation.
• In-hospital initiation of osteoporosis treatment improved following the reimbursement policy.
• Despite policy success, actual medication usage remains low and below optimal levels.
• Findings highlight the gap between treatment initiation and ongoing medication adherence.