There is still a care gap in osteoporosis management for patients with rheumatoid arthritis
- منتشر شده در مقالات ژورنال های علمی زبان اصلی
عنوان: There is still a care gap in osteoporosis management for patients with rheumatoid arthritis
نویسندگان:
Watt J1, Thompson A2, Le Riche N2, Pope J3.
1: Department of Medicine, Western University, London, ON, Canada
2: Department of Medicine, Western University, London, ON, Canada; Division of Rheumatology, St. Joseph's Health Care, London, ON, Canada
3: Department of Medicine, Western University, London, ON, Canada; Division of Rheumatology, St. Joseph's Health Care, London, ON, Canada. Electronic address: این آدرس ایمیل توسط spambots حفاظت می شود. برای دیدن شما نیاز به جاوا اسکریپت دارید.
نشریه: Joint Bone Spine
انتشارات: Elsevier
تاریخ انتشار: 2014-06-01
کد مقاله: 01060401
Cannot find the download. ID=5 |
چکیده:
OBJECTIVES:
To assess compliance rates with the current Canadian osteoporosis guidelines and whether the Fracture Risk Assessment Tool score in patients with rheumatoid arthritis correlated with the likelihood of receiving osteoporosis treatment and having a bone mineral density test.
METHODS:
Charts of serial outpatients with rheumatoid arthritis were reviewed to collect bone mineral density test data and patients' use of calcium, vitamin D, and osteoporosis treatment. Odds ratios (OR) were calculated to determine if a higher Fracture Risk Assessment Tool score increased the likelihood of osteoporosis treatment or having a bone mineral density test.
RESULTS:
Using the Fracture Risk Assessment Tool, the 10-year risk of major osteoporotic fracture was high in 92 (12.5%), moderate in 216 (29.3%), and low in 429 (58.2%) patients. Compared to those at low risk, patients identified as high risk were more likely to receive osteoporosistreatment (OR 16.31, 95% CI 9.45-28.13, P<0.001); calcium (OR 3.89, 95% CI 2.43-6.25, P<0.001); vitamin D (OR 3.46, 95% CI 2.12-5.64, P<0.001); and to have had a bone mineral density test (OR 10.22, 95% CI 5.50-18.96, P<0.001). Among 124 patients currently taking prednisone, half (46.8%) were prescribed a bisphosphonate.
CONCLUSIONS:
Although compliance with current osteoporosis guidelines remains low among all patients with rheumatoid arthritis, higher riskpatients were more likely to have a bone mineral density test and receive treatment for osteoporosis, as indicated by the clear dose response seen along the 10-year fracture risk from low to high-risk groups.
KEYWORDS: Adherence; Chart audit predictors of adherence; FRAX; Osteoporosis; RA; Treatment guidelines
فرم درخواست ترجمه:
برای دانلود فایل مقاله به زبان اصلی و ارسال درخواست ترجمه شما نیاز به دسترسی ویژه دارید، ابتدا در سایت دروانا ثبت نام کنید و سپس از طریق فرم تماس با ما با واحد فروش ارتباط برقرار کنید و یا با شماره تلفن 02186017191 در روز های شنبه تا چهارشنبه از ساعت 8 صبح الی 5 بعد از ظهر و در روز پنج شنبه از ساعت 8 صبح تا 12 تماس حاصل فرمایید.