SRAVNITEL'NAYa OTsENKA KAChESTVA OKAZANIYa RANNEY MEDITsINSKOY POMOShchI BOL'NYM S PERELOMAMI PROKSIMAL'NOGO OTDELA BEDRA V MOSKOVSKOY OBLASTI

KRYuKOVA, IV; MARChENKOVA, L A; Gerasimenko, M Yu

doi:10.14341/osteo2016224-25

Cited by 2 publications

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“…Вместе с тем в ряде регионов России в последние годы наметились тенденции к улучшению оказания медицинской помощи пациентам с остеопорозом. По данным нескольких исследований, в Московской области отмечено увеличение доли прооперированных пациентов с переломом проксимального отдела бедра с 1,6% до 23% [21], в Ярославле оперируются 87% таких пациентов [22]. Однако в других регионах РФ, особенно в сельской области, ситуация может быть хуже.…”

Section: организация помощи пациентам с низкоэнергетическими переломамиunclassified

Burden of Osteoporosis in the Countries of the Eurasian Region

et al. 2021

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The public health burden of osteoporosis estimated by the results of clinical and population-based researches in most of the former USSR is uncertain for today. The objective of this audit (Audit-2020) was the epidemiological, medico-social and economic analyse of current and future osteoporosis challenges for the future years for eight countries of the Eurasian region.Methods. We did a search and critical analysis of the publications, including of regional in English, Russian or national languages, did organize a structured survey among national osteoporosis societies members in Armenia, Belarus, Georgia, Kazakhstan, Moldova, Uzbekistan, Kyrgyz Republic, Russia, as well as explored the demographic trends in these countries.Results. Scientific researches including the wide population-based EVA project discovered that the expected number of patients with osteoporosis varies from 240,000 in Armenia to 16 million in Russia. All the countries should be categorized as a moderate risk of hip fractures for women (200–300 cases /100,000 per year). Belarus, Moldova, Armenia, Georgia and Kyrgyzstan have moderate risk for men (100–150/100,000), as well as Russia, Uzbekistan and Kazakhstan are distinguished by a high risk for men (over 150 cases/100,000). Population aging trends are predicting the future growth in the osteoporosis-associated health challenges throughout the region. It is likely the number of osteoporotic fractures to rise in Uzbekistan, Kazakhstan and Kyrgyzstan the most: 2.5–3.5 times by 2050. However current hospitalization rates for hip fracture persons are low in most countries (33–80%), the diagnostic equipment is insufficient (0.2–1.3 per million), DXA testing are expensive. Although modern treatments are available, the cure expenses remain high. Hereby, immediate action is required in each country of audit, including admit osteoporosis is a priority public health problem.Conclusion. Osteoporosis is a challenge for the countries of the Eurasian region. Its burden is about to get worse due to the expected demographic changes.

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Section: организация помощи пациентам с низкоэнергетическими переломамиunclassified

Burden of Osteoporosis in the Countries of the Eurasian Region

et al. 2021

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Osteoporosis in Russian Federation: Epidemiology, Socio-Medical and Economical Aspects (Review)

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Баранова

Белова

et al. 2018

Traumatology and Orthopedics of Russia

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The authors performed an analysis of published stadies devoted to osteoporosis situation in Russian Federation including epidemiological, social, medical and economical aspects of this pathology. The analysis demonstrated that osteoporosis is reported in every third woman and every forth man of 50 years old and older. Seven vertebra fractures happen every minute and one fracture of proximal femur-every 5 minutes in Russia. an overall number of all key osteoporotic fractures will increase from 590 thousand up to 730 thousand cases by the year 2035. Osteoporosis is financially demanding for healthcare due to high treatment cost of fractures that are accompanied by life quality deterioration, high mortality and invalidization of patients. epidemiological studies demonstrated that due to high fracture risk the osteoporosis therapy should be assigned to 31% of female and 4% of male patients over 50 years old. Such factors of osteoporosis risks are widespread in the society: smoking, low food calcium consumption, vitamin d deficit, low physical activity. The authors analyzed the problems in organization of medical care to patients with osteoporosis and osteoporotic fractures and possible solutions to existing issues. The organization of healthcare should be addressed at identification of high risk patient groups, early diagnosis and assignment of corresponding treatment aimed at decreasing potential fracture risk as well as at pathology prophylaxis.

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SRAVNITEL'NAYa OTsENKA KAChESTVA OKAZANIYa RANNEY MEDITsINSKOY POMOShchI BOL'NYM S PERELOMAMI PROKSIMAL'NOGO OTDELA BEDRA V MOSKOVSKOY OBLASTI

Cited by 2 publications

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Burden of Osteoporosis in the Countries of the Eurasian Region

Burden of Osteoporosis in the Countries of the Eurasian Region

Osteoporosis in Russian Federation: Epidemiology, Socio-Medical and Economical Aspects (Review)

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