Osteoporosis-epidemiology and quality of care
Osteoporosis-epidemiology and quality of care
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DOI：
10.1007/s00391-019-01559-7
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发表时间：
2019-08-01
影响因子：
1.2
通讯作者：
Neuerburg, C.
中科院分区：
文献类型：
--
作者：
Gosch, M.;Kammerlander, C.;Neuerburg, C.
本文综述了最近关于骨质疏松症的流行病学数据和护理质量的现状，特别是对老年人。结果显示，四分之三的椎体和外周骨折患者年龄在65岁以上。关于髋部骨折，四分之三的患者年龄超过70岁。年龄与骨折之间的关系是由于老年人几乎总是存在潜在的骨质疏松症和频繁跌倒的直接后果。在德国，50岁以上的女性患骨质疏松症的比例为24%，男性为6%。与男性相比，男性髋部骨折的发生率持续上升，女性髋部骨折的发生率略有下降。尽管这一数字有所下降，但由于正在发生的人口变化和重大的社会经济后果，预计男女人数都将大幅增加。尽管有这样的发展，骨质疏松症或脆性骨折患者的治愈率多年来一直很低。相比之下，国内和国际研究表明，通过采取各种措施改善骨质疏松症护理，如骨折联络服务，在患者坚持治疗的前提下，后续骨折的发生率可降低高达50%。
The present review gives a summary of recent epidemiological data on osteoporosis and the state of the quality of care especially regarding older adults. The results show that three quarters of all patients with vertebral and peripheral fractures are older than 65 years. Regarding hip fractures three out of four patients are older than 70 years. The association between age and fractures results as a direct consequence of the practically invariably present underlying osteoporosis and frequent falls in older adults. In Germany the prevalence of osteoporosis among women aged over 50 years is given as 24% and among men as 6%. In contrast to men where the incidence continues to rise, there is a small decrease of the incidence of hip fractures among women. Despite this decrease an enormous increase in both sexes is expected caused by the ongoing demographic changes with substantial socioeconomic consequences. Despite this development, the treatment rates of patients with osteoporosis or fragility fractures have remained low for many years. In contrast, national and international studies have shown that the rate of subsequent fractures could be reduced by up to 50% by using various measures to improve osteoporosis care, such as a fracture liaison service, providing adherence is maintained by the patients.