Profile of Patients With Osteoporotic Fractures and Factors That Decrease Prevention

Abstract

Objective: To evaluate the epidemiological profile of patients with osteoporotic fractures compared to patients with osteoarthritis (OA) and identify factors that diminish adherence to secondary prevention. Methods: A total of 108 patients with osteoporotic fractures (OF) were compared to 86 patients with OA. Results: Patients in the OF group were older (p < 0.001); had a lower body mass index (p < 0.001); were less literate (p = 0.012); were more frequently Caucasian (p = 0.003); were less frequently married (p < 0.001); experienced more falls, cognitive deficiency, previous fractures, old fracture, falls in the last year, and fall fractures; needed more help and took more medicine for osteoporosis (p < 0.05); and showed less pathology in the feet, muscle weakness, less vitamin D intake, and lower Katz & Lawton scores (p < 0.001). Factors that increased the chance of nonadherence included older age (p = 0.020), falls (p = 0.035), cognitive deficiency (p = 0.044), and presence of depression/apathy/confusion (p < 0.001). Conclusion: Patient age, ethnicity, marital status, previous falls, foot pathologies, muscle weakness, previous fractures, use of vitamin D, use of osteoporosis drugs, and lower Katz & Lawton scale score defined the OF group. Factors that increased the chance of nonadherence included older age, sedative use, cognitive disorders, and symptoms of depression/apathy/confusion. Level of Evidence III, Case-control.

Prevalência de fatores de risco para fraturas por fragilidade óssea entre idosos residentes no município de Mineiros – Goiás

“…Some North American institutions have implemented "Own the Bone", a secondary fracture prevention program. This health action contributed to performing BMD and/or prescribing pharmacological therapy in 53% of patients who had a clinical indication (Xavier et al, 2019;Bunta et al, 2016). BMD is an important clinical tool in the propedeutics of osteoporosis, aiding in early diagnosis and directing treatment before fractures even occur.…”

“…It is worth noting that osteoporosis and fractures should be treated as a public health problem (Tran et al, 2017;Gold, 2001). In Brazil, epidemiological data regarding osteoporosis and fractures are still insufficient, making it difficult to develop public health policies (Xavier et al, 2019).…”

Evaluation of Management of Patients With Osteoporotic Fractures by Orthopedic Residents: A Cross-Sectional Observational Study

“… 8 Although these programs have proven to be cost effective 9 and capable of reducing mortality, 10 they are not easy to implement, 11 they have not been able to decrease the incidence of new proximal femur fractures, probably due to problems in the adherence to the program, 12 , 13 a problem faced by the program conceived by the group of osteometabolic diseases. 14 …”