Mortality after vertebral fracture in Korea

Lee, Y.-K.; Jang, Suhyun; Lee, H. J.; Park, C.; Ha, Yong Chan; Kim, D.-Y.

doi:10.1007/s00198-011-1833-5

Cited by 96 publications

(50 citation statements)

References 24 publications

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“…[1,2] Osteoporosis is associated with fragility fractures, which results in decreased activity, poor quality of life, high mortality and excessive economic burden. [2,3,4,5,6] Korean population is aging and osteoporosis has been one of the highlighted health care concerns in Korea. [6]…”

Section: Introductionmentioning

confidence: 99%

Physicians' Attitudes to Contemporary Issues on Osteoporosis Management in Korea

Lee

Lim

et al. 2014

J Bone Metab

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BackgroundIn management of osteoporosis, several concerns here have been raised. The current issue included the utilization of dual energy X-ray absorptiometry (DXA) and fracture-risk assessment (FRAX), screening of vitamin D deficiency and secondary osteoporosis, and long-term use of bisphosphonate and calcium supplements. There was no study on physicians' attitude on these current issues in Korea. Therefore, we investigated the physicians' attitude on these issues by survey.MethodsWe administered a 30-item questionnaire to all members of Korean Society for Bone and Mineral Research by email survey form. One hundred participants answered the questionnaire. The questionnaire included the questions about the physicians' attitude to current issues and the barriers to osteoporosis treatment in Korea.ResultsMost physicians used bone densitometry devices (99%) and, central DXA was the most accessible device (95%). Eighty-eight percent were aware of FRAX®, but among them, only 19.3% used it. The main reason for not using FRAX® was the lack of time in their proactive (76%). Screening for vitamin D status and secondary osteoporosis was performed by 59% and 52% of the respondents, respectively. The lack of awareness among patients and high costs of medication were perceived as the most important barriers to osteoporosis management in Korea.ConclusionsThis study provides physicians' perspective to the current issue for diagnostic and treatment of osteoporosis in Korea. To further improve osteoporosis management, educational programs for patients and doctors, and the improvement of reimbursement system should be considered in Korea.

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Section: Introductionmentioning

confidence: 99%

Physicians' Attitudes to Contemporary Issues on Osteoporosis Management in Korea

Lee

Lim

et al. 2014

J Bone Metab

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“…[2] Occurrence of these fractures is common in the aged, and, in particular, vertebral compression fractures are a major clinical problem involving substantial morbidity and mortality. [3] With extension of the average lifespan, the total number of the population who are affected by osteoporosis is also expected to increase. [4] As a result, prevention and treatment of osteoporosis has emerged as a serious social and financial.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Dual Energy X-ray Absorptiometry for Evaluation of Biomechanical Properties: Bone Mineral Density and Actual Bone Strength

2014

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IntroductionBone mineral density (BMD) is an important index in diagnosis of osteoporosis and other metabolic bone diseases, prediction of fractures, and monitoring treatment. This study was to find a more feasible technique for prediction of osteoporotic fracture between dual energy X-ray absorptiometry (DXA) and quantitative computed tomography (QCT) and to reveal the actual change of bone strength when BMD was changed.MethodsTen of these 20 specimens were used as the demineralized group and the other 10 as the control. Each specimen was immersed in HCl solution at for a period of at least 10 minutes, up to 100 minutes, at an interval of 10 minutes for different levels of demineralization. BMD was measured using DXA and QCT. Uniaxial compression tests were conducted to measure biomechanical parameters. Pearson correlation analysis was used respectively between BMD and biomechanical parameters and between DXA and QCT.ResultsElastic modulus (r=0.87) and yield stress (r=0.84) showed a statistically significant correlation with DXA BMD. Through correlation analysis with QCT BMD and elastic modulus, correlation coefficient showed hemi-vertebra (r=0.80) and trabecular (r=0.68). In yield stress, there was a statistically significant correlation in hemi-vertebra (r=0.87) and trabecular bone (r=0.84).ConclusionDXA is a current standard technique not only for diagnosis of osteoporosis but also for prediction of fracture risk compared to QCT. Actual decrease of bone strength was much greater than that of BMD by both DXA and QCT.

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“…Osteoporosis is a common and serious problem in the elderly population,1 and osteoporotic fractures are associated with decreased quality of life and excess mortality 2,3,4. Osteoporotic fractures could be prevented via osteoporosis treatment,5,6,7 which is recommended for elderly patients by evidence-based guidelines 8,9,10.…”

Section: Introductionmentioning

confidence: 99%

Knowledge on Osteoporosis of Prescriber According to Level of Medical Institute

et al. 2014

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PurposeThere are gaps between the treatment guideline and clinical practice of osteoporosis showing low compliance. Although attitude and knowledge of prescriber have been known to be associated with the low compliance in real clinical practice, no study has assessed the knowledge of prescriber regarding osteoporosis in accordance to the level of medical institution. We compared the knowledge on osteoporosis of general practitioners with that of practitioners in a tertiary referral hospital.Materials and MethodsIn May 2012, 40 general practitioners and 40 practitioners in a tertiary referral hospital were evaluated using a modified Facts on Osteoporosis Quiz.ResultsThe level of knowledge of general practitioners was similar with that of practitioners in a tertiary referral hospital (p=0.386). And, both groups were lack of knowledge of effect of physical exercise.ConclusionThe level of knowledge on osteoporosis was not associated with the level of medical institute, and the effect of physical exercise should be stressed in an educational program on osteoporosis for practitioners.

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Mortality after vertebral fracture in Korea

Cited by 96 publications

References 24 publications

Physicians' Attitudes to Contemporary Issues on Osteoporosis Management in Korea

Physicians' Attitudes to Contemporary Issues on Osteoporosis Management in Korea

Efficacy of Dual Energy X-ray Absorptiometry for Evaluation of Biomechanical Properties: Bone Mineral Density and Actual Bone Strength

Knowledge on Osteoporosis of Prescriber According to Level of Medical Institute

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