Knowledge on Osteoporosis of Prescriber According to Level of Medical Institute

Yoon, Byung‐Ho; Baek, Ji‐Hoon; Lee, Yong Seuk; Ha, Yong‐Chan; Koo, Kyung‐Hoi

doi:10.3349/ymj.2014.55.4.1058

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…[ 40 – 42 ] In this study, we also evaluated the influence of the level of institutions where the SERMs were prescribed on the subsequent fracture risk, but no significant difference was found. This is in line with the previous reports by Yoon et al [ 43 ] where the knowledge on osteoporosis of prescribers were not related to the level of medical institute. As osteoporotic fracture risk and the knowledge for treatment does not vary among the level of institutions, patients need not be treated from higher level of medical institutions expecting for higher treatment outcomes.…”

Section: Discussionsupporting

confidence: 93%

Osteoporotic Fractures among Selective Estrogen Receptor Modulator Users in South Korea: Analysis Using National Claims Database

et al. 2022

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Background: We evaluated (1) compliance with selective estrogen receptor modulator (SERM) use in postmenopausal women; and (2) the risk of osteoporotic fractures according to compliance and other patient characteristics.Methods: National claims data of postmenopausal women from January 2013 to December 2014 were reviewed. Demographics, comorbidities, type of medical institution, and patient compliance were investigated. Compliance was measured according to medication possession ratio (MPR) and the patients were classified into compliant (MPR ≥80%) or non-compliant (MPR <80%) groups. Osteoporotic fractures were followed up for 2 years after prescription.Results: Among 15,166 postmenopausal women, 4,130 were categorized as compliant. Osteoporotic fractures were confirmed in 669 patients. The hip fracture rate in the non-compliant group (0.39%) was marginally higher than that in the compliant group (0.36%; P=0.06). Compared to age 50 to 54 years, age 55 to 59 years showed protection against fractures (hazard ratio [HR], 0.57; 95% confidence interval [CI], 0.379–0.857; P=0.007), while those over 70 years showed a higher risk of fractures (HR, 2.035; 95% CI, 1.485–2.789; P<0.0001 for age 70–74 years; HR, 2.197; 94% CI, 1.588–3.041; P<0.0001 for age 75–79 years; and HR, 3.53; 95% CI, 2.493–4.999; P<0.0001 for age ≥80 years). Patients with mild (HR, 1.29; 95% CI, 1.088-1.530; P=0.0034) and moderate (HR, 1.286; 95% CI, 1.002–1.652; P=0.0486) comorbidities were associated with higher risks of fractures compared to those without comorbidities.Conclusions: Among postmenopausal women with osteoporosis, only 27.2% complied with SERM therapy. A marginal difference in hip fracture rate was observed between the compliant and non-compliant groups. Older age and severe comorbidities were associated with higher risks of osteoporotic fractures.

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Section: Discussionsupporting

confidence: 93%

Osteoporotic Fractures among Selective Estrogen Receptor Modulator Users in South Korea: Analysis Using National Claims Database

et al. 2022

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“…Previous studies using FOOQ reported that most physicians, another healthcare provider rather than nurses, did not answer correctly in item 14 (“walking has a great impact on bone health”). [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 16 17 18 ] We modified 2 (item 10 and 15) among the 20 items, according to recent epidemiologic studies from Korean and recommendation by Korean Society for Bone and Mineral Research. [ 1 20 ] In modified item 10, the residual lifetime risk of osteoporotic fractures was about 60% in Korean women older than 50 years. [ 1 ] In modified item 15, the recommendation of daily calcium intake was 1,200 mg/day for the Korean population.…”

Section: Methodsmentioning

confidence: 99%

Knowledge on Osteoporosis among Nurses

2017

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BackgroundIt is crystal clear how important healthcare providers are well-aware of reasonable knowledge on osteoporosis, because they are at the forefront of such management. However, no study has been yet assessed in the knowledge on osteoporosis among healthcare providers particularly in nurse. Therefore, we evaluated the knowledge on osteoporosis of nurses.MethodsIn April 2017, 67 nurses were evaluated using a modified Facts on Osteoporosis Quiz (FOOQ).ResultsAlthough nurses grasped some points of osteoporosis, their knowledge was insufficient concerning effects of weight, physical exercise and calcium intake during adolescence.ConclusionsThe level of knowledge on osteoporosis was evaluated in nurses, and the effect of weight, physical exercise, and calcium intake during adolescence should be focused in an educational program on osteoporosis for nurses.

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“…Lack of recognition and knowledge of orthopedic surgeon for the osteoporotic fracture may be one of the reasons. 11 21 22 23 24 25) Sorbi and Aghamirsalim 25) reported that the typical orthopedic surgeon is not inclined to manage patients with osteoporotic fracture appropriately due to lack of knowledge in comparison with internist, which raised questions concerning their role in the management of osteoporosis. Several reports suggested that awareness of orthopedic surgeon reduces the risk of osteoporotic fracture and education is the way to improve management for osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

The Adequacy of Diagnosis and Treatment for Osteoporosis in Patients with Proximal Humeral Fractures

Kim

Choi²,

Kim

et al. 2016

Clin Orthop Surg

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BackgroundThe purpose of this study was to evaluate whether physicians' practice was adequate for the diagnosis and treatment of osteoporosis in patients with proximal humeral fracture over the age of 50 years, which is one of major osteoporotic fractures.MethodsA retrospective nation-wide cohort study was performed using data collected in 2010 by the Korean Health Insurance Review Agency. The incidences of fractures around the hip, spine, and proximal humerus in patients more than 50 years of age, the frequencies of diagnostic bone density scan for osteoporosis, and the prescription for the osteoporosis medication were analyzed and compared.ResultsA search of database identified 48,351 hip fractures, 141,208 spine fractures, and 11,609 proximal humeral fractures in patients more than 50 years of age in 2010. Among these patients, 12,097 (25.0%) of hip fractures, 41,962 (29.7%) of spine fractures, and 1,458 (12.6%) of proximal humeral fractures underwent diagnostic bone density scan (p < 0.001); 4,773 (9.9%) of hip fractures, 27,261 (19.3%) of spine fractures, and 639 (5.5%) of proximal humeral fractures were managed with at least one medication approved for the treatment of osteoporosis (p < 0.001). Furthermore, 1,217 (2.5%) of hip fractures, 7,271 (5.2%) of spine fractures, and 188 (1.6%) of proximal humeral fractures received diagnostic bone density scans as well as osteoporosis medications (p < 0.001). Younger patients (50–69 years of age) were less likely to be evaluated and managed for osteoporosis relative to older patients (≥ 70 years of age) (p < 0.001); and men were less likely to be evaluated and managed for osteoporosis relative to women (p < 0.001).ConclusionsCurrent physicians' practice pattern may be inadequate for the diagnosis and treatment of osteoporosis in patients of proximal humeral fractures over the age of 50 years. Additional study and educational programs are necessary to improve this care gap, beginning with physicians who are responsible for the fracture treatment and shoulder diseases.

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Knowledge on Osteoporosis of Prescriber According to Level of Medical Institute

Cited by 6 publications

References 24 publications

Osteoporotic Fractures among Selective Estrogen Receptor Modulator Users in South Korea: Analysis Using National Claims Database

Osteoporotic Fractures among Selective Estrogen Receptor Modulator Users in South Korea: Analysis Using National Claims Database

Knowledge on Osteoporosis among Nurses

The Adequacy of Diagnosis and Treatment for Osteoporosis in Patients with Proximal Humeral Fractures

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