Profile of patients who visit medical internists for an osteoporosis assessment: The OSTEOMED registry
Por:
Cabrera, JAB, Henriquez, MS, Diaz-Curiel, M, Molini, PS, Garcia, FA, Montoya, MJ, Filgueira, J, Olmos, JM, Coco-Martin, MB, Castrillon, JLP, Hernandez-Sosa N., Tirado Miranda, Raimundo
Publicada:
1 ene 2021
Resumen:
Background and objectives: Osteoporosis is considered a generalised skeletal disorder in which there is impaired bone resistance, which predisposes the individual to a greater risk of fracture. The aim of this cross-sectional study was to collect and present data on the main clinical characteristics of patients who consult medical internists in Spain. Understanding these characteristics can help in implementing action plans to improve these patients' care more effectively and efficiently.
Material and methods: Through an analysis of the Osteoporosis in Internal Medicine (OSTEOMED) registry, this study presents the main clinical characteristics of patients with osteoporosis who attended internal medicine consultations in 23 Spanish hospital centres between 2012 and 2017. We analysed the reasons for the consultations, the densitometric values, the presence of comorbidities, the prescribed treatment and other lifestyle-related factors.
Results: In total, 2024 patients with osteoporosis were assessed (89.87% women, 10.13% men). The patients' mean age was 64.1 +/- 12.1 years (women, 64.7 +/- 11.5 years; men, 61.2 +/- 14.2 years). There was no significant difference between the sexes in their history of recent falls (9.1% and 6.7%); however, there were significant differences in the daily intake of calcium from milk products (553.8 +/- 332.6 mg for women vs. 450.2 +/- 303.3 mg for men; P<.001) and in the secondary causes of osteoporosis (13% of men vs. 6.5% of women; P<.001). In the sample, there were 404 fractures (20%), with a notable number of confirmed vertebral fractures (17.2%, 35.6% in men vs. 15.2% in women; P<.001). A large portion of the patients did not undergo the indicated treatment and presented tow levels of physical activity and sun exposure. A significant percentage of the patients presented associated comorbidities, the most common of which were hypertension (32%) and dyslipidaemia (28%).
Conclusions: These results define the profile of patients with osteoporosis who attend internal medicine consultations in Spain. The results also show the multisystemic character of this condition, which, along with its high prevalence, determine that the specific internal medicine consultations dedicated to managing the condition are the appropriate place for caring for these patients. (C) 2020 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
Filiaciones:
Cabrera, JAB:
Hosp Univ Albacete, Serv Med Interna, Albacete, Spain
Henriquez, MS:
Hosp Univ Insular, Serv Med Interna, Las Palmas Gran Canaria, Las Palmas, Spain
Diaz-Curiel, M:
Fdn Jimenez Diaz, Serv Med Interna, Madrid, Spain
Molini, PS:
Hosp La Princesa, Serv Med Interna, Madrid, Spain
Garcia, FA:
Hosp Clin San Carlos, Serv Med Interna, Madrid, Spain
Montoya, MJ:
Hosp Univ Virgen Macarena, Serv Med Interna, Seville, Spain
Filgueira, J:
Hosp Univ Gregorio Maranon, Serv Med Interna, Madrid, Spain
Olmos, JM:
Hosp Univ Marques Valdecilla, Serv Med Interna, Santander, Cantabria, Spain
Coco-Martin, MB:
Univ Valladolid, Grp Invest Neurociencias Clin Aplicadas, Valladolid, Spain
Castrillon, JLP:
Hosp Univ Rio Hortega, Serv Med Interna, Valladolid, Spain
Hernandez-Sosa N.:
Hospital Santa Creu y San Pablo
Tirado Miranda, Raimundo:
Hospital Infanta Margarita de Cabra
|