Management of osteoporosis and associated quality of life in post menopausal women
| Autor: | Florence Mercier, Dominique Huas, Chantal Rousseaux, Bernard Cortet, François-Emery Cotté, Véronique Berger, Anne-Françoise Gaudin, Françoise Debiais, Francis Blotman |
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| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system Sports medicine medicine.medical_treatment Osteoporosis Post menopausal Quality of life (healthcare) Rheumatology Strontium ranelate Internal medicine Epidemiology medicine Cadaver Humans Orthopedics and Sports Medicine Osteoporosis Postmenopausal Aged Rehabilitation Bone Density Conservation Agents business.industry Middle Aged medicine.disease Radiography Cross-Sectional Studies Physical therapy Quality of Life Female lcsh:RC925-935 business medicine.drug Research Article |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 12, Iss 1, p 7 (2011) |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/1471-2474-12-7 |
| Popis: | Background The study aimed to describe the characteristics of women treated for recently-diagnosed osteoporosis, to identify variables associated with different treatment regimens and to assess impact on quality of life. Methods This is an observational, cross-sectional pharmacoepidemiological study performed in France. A random sample of 684 general practitioners, gynaecologists and rheumatologists included the first three post-menopausal osteoporotic women consulting in the previous six months on the basis of densitometry or fracture. Data on osteoporosis, fracture risk factors, treatments and comorbidities was collected with a physician questionnaire. Data on quality of life was collected using the SF-12. Results Data were analysed for 1,306 patients, of whom 1,117 (85.5%) had been evaluated by densitometry within the previous six months and 554 (42.4%) had experienced a fracture, most frequently of the spine or wrist within the previous six months. Osteoporotic fracture risk factors were reported in 1,028 women (78.7%). 746 women (57.1%) were currently receiving treatment, most frequently weekly or monthly bisphosphonates. Five variables were associated with prescription choice: age (p < 0.0001), physician speciality (p < 0.0001), previous fracture history (p = 0.0002), ongoing treatment at the time of consultation (p = 0.0091) and paraclinical investigations performed in the previous six months (p = 0.0060). SF-12 scores were lower in women complaining of pain, with recent fractures and with spine or hip fractures and in women consulting rheumatologists. Conclusions A high proportion of women diagnosed with osteoporosis had been evaluated by densitometry, in agreement with national guidelines. Treatment choice varied between physician groups. |
| Databáze: | OpenAIRE |
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