Profile of patients who visit medical internists for an osteoporosis assessment: The OSTEOMED registry.

Autor:	Blázquez Cabrera JA; Servicio de Medicina Interna, Hospital Universitario Albacete, Albacete, España., Sosa Henriquez M; Servicio de Medicina Interna, Hospital Universitario Insular, Las Palmas de Gran Canaria, Las Palmas, España., Diaz-Curiel M; Servicio de Medicina Interna, Fundación Jiménez Díaz, Madrid, España., Sánchez Molini P; Servicio de Medicina Interna, Hospital de la Princesa, Madrid, España., Arranz Garcia F; Servicio de Medicina Interna, Hospital Clínico San Carlos, Madrid, España., Montoya MJ; Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, España., Filgueira J; Servicio de Medicina Interna, Hospital Universitario Gregorio Marañón, Madrid, España., Olmos JM; Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España., Coco-Martín MB; Grupo de Investigación en Neurociencias Clínicas Aplicadas, Universidad de Valladolid, Valladolid, España., Castrillón JLP; Servicio de Medicina Interna. Hospital Universitario Río Hortega, Valladolid, España. Electronic address: uvacastrv@gmail.com.
Jazyk:	English; Spanish; Castilian
Zdroj:	Revista clinica espanola [Rev Clin Esp] 2021 Jan; Vol. 221 (1), pp. 9-17. Date of Electronic Publication: 2020 Jul 15.
DOI:	10.1016/j.rce.2020.06.004
Abstrakt:	Background and Objectives: Osteoporosis is considered a generalised skeletal disorder in which there is impaired bone resistance, which predisposes the individual to a greater risk of fracture. The aim of this cross-sectional study was to collect and present data on the main clinical characteristics of patients who consult medical internists in Spain. Understanding these characteristics can help in implementing action plans to improve these patients' care more effectively and efficiently. Material and Methods: Through an analysis of the Osteoporosis in Internal Medicine (OSTEOMED) registry, this study presents the main clinical characteristics of patients with osteoporosis who attended internal medicine consultations in 23 Spanish hospital centres between 2012 and 2017. We analysed the reasons for the consultations, the densitometric values, the presence of comorbidities, the prescribed treatment and other lifestyle-related factors. Results: In total, 2024 patients with osteoporosis were assessed (89.87% women, 10.13% men). The patients' mean age was 64.1±12.1 years (women, 64.7±11.5 years; men, 61.2±14.2 years). There was no significant difference between the sexes in their history of recent falls (9.1% and 6.7%); however, there were significant differences in the daily intake of calcium from milk products (553.8±332.6mg for women vs. 450.2±303.3mg for men; P<.001) and in the secondary causes of osteoporosis (13% of men vs. 6.5% of women; P<.001). In the sample, there were 404 fractures (20%), with a notable number of confirmed vertebral fractures (17.2%, 35.6% in men vs. 15.2% in women; P<.001). A large portion of the patients did not undergo the indicated treatment and presented low levels of physical activity and sun exposure. A significant percentage of the patients presented associated comorbidities, the most common of which were hypertension (32%) and dyslipidaemia (28%). Conclusions: These results define the profile of patients with osteoporosis who attend internal medicine consultations in Spain. The results also show the multisystemic character of this condition, which, along with its high prevalence, determine that the specific internal medicine consultations dedicated to managing the condition are the appropriate place for caring for these patients. (Copyright © 2020 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.)
Databáze:	MEDLINE
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