Patient-reported barriers to osteoporosis therapy
| Autor: | Jane Babrowicz, Jennifer Bauer, Rebecca Hahn, Temitope Olufade, Brianna Lindsay |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Drug-Related Side Effects and Adverse Reactions Health surveys Osteoporosis Alternative medicine Medication adherence 030209 endocrinology & metabolism Persistence 03 medical and health sciences 0302 clinical medicine Humans Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Intensive care medicine Patient compliance Self report Osteoporosis Postmenopausal Aged Bone Density Conservation Agents Reason for Treatment business.industry Health knowledge attitudes practice Osteoporosis postmenopausal/drug therapy Fear Middle Aged medicine.disease United States Discontinuation Postmenopause Physical therapy Original Article Female Self Report business |
| Zdroj: | Archives of Osteoporosis |
| ISSN: | 1862-3514 1862-3522 |
| Popis: | Summary We investigated reasons for non-treatment of osteoporosis and discontinuation of osteoporosis therapy. Barriers to treatment include patients’ preference for alternative treatments and a fear of possible side effects. Side effects are a common reason for treatment discontinuation, and they may be associated with a lack of willingness to restart treatment. Purpose/introduction Osteoporosis patients commonly cite treatment-related side effects, or the fear thereof, as a reason for discontinuing or not initiating anti-osteoporosis medications. The purpose of this study was to investigate, from the patient’s perspective, reasons for (i) non-treatment of osteoporosis and (ii) discontinuation of osteoporosis therapy. Methods This was an internet-based survey of postmenopausal women in the USA who self-reported having been diagnosed with osteoporosis. Respondents were recruited from consumer research panels and received nominal compensation. Results Within the surveyed population (N = 1407), 581 patients were currently being treated, 503 had never been treated, and 323 had previously been treated. Among patients never treated for osteoporosis, the highest ranking reasons for non-treatment were the use of alternative treatments such as over-the-counter vitamins/supplements (57.5 % of respondents) and fear of side effects (43.9 %). Among previously treated patients, frequent reasons for discontinuation included the direction of the physician (41.2 % of respondents), concerns about long-term safety (30.3 %), and the experience of side effects (29.8 %). When asked about their willingness to restart their osteoporosis medication, previously treated patients who were not willing (N = 104) to restart had a higher frequency of experiencing side effects (44.2 versus 20.5 % of those willing; P |
| Databáze: | OpenAIRE |
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