This site is maintained for archival purposes only. New submissions, peer review, and editorial correspondence are handled through the new journal platform. Access the current journal site here.
DETERMINATION OF SELF-ASSESSMENT OF OSTEOPOROSIS AND FRACTURE RISK AMONG WOMEN, WHO CONDUCTED OSTEODENSITOMETRY
Vol. 32 No. 3 (2024), Original Articles
Vol. 32 No. 3 (2024)

DETERMINATION OF SELF-ASSESSMENT OF OSTEOPOROSIS AND FRACTURE RISK AMONG WOMEN, WHO CONDUCTED OSTEODENSITOMETRY

Original Articles
https://doi.org/10.35465/32.3.2024.pp15-27
Published December 29, 2024
Nikola Kirilov Kirilov
Faculty of Medicine, Medical University - Pleven
Stoianka Vladeva
F. Bischoff
M. Kovachev
E. Bischoff
PDF BG (Български)
PDF ENG

Keywords

self-assessment
osteoporosis
fracture risk
REMS

How to Cite

Kirilov, N., Vladeva, S., Bischoff, F., Kovachev, M., & Bischoff, E. (2024). DETERMINATION OF SELF-ASSESSMENT OF OSTEOPOROSIS AND FRACTURE RISK AMONG WOMEN, WHO CONDUCTED OSTEODENSITOMETRY. Rheumatology (Bulgaria), 32(3), 15-27. https://doi.org/10.35465/32.3.2024.pp15-27
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver

Download Citation

Endnote/Zotero/Mendeley (RIS) BibTeX

Abstract

Osteoporosis (OP) is a metabolic bone disease that leads to a decrease in bone density and deterioration of the bone microarchitecture, increasing the risk of fractures. Its early detection, the calculation of fracture risk and the patient's self-assessment of the bone health status is a key moment for the prevention of osteoporotic fractures. The aim of this study was to investigate patients' self-assessment of OP and subsequent fracture risk. Among 324 women, before examining bone mineral density (BMD) with radiofrequency echographic multispectrometry (REMS), a survey was conducted with a self-report questionnaire for self-assessment of OP and fracture risk. It was found that 51.9% of women consider that the examination for OP is necessary, and 46.6% consider OP as a threatening disease. Unfortunately, only 8.3% knew they could self-assess their fracture risk and 0.6% had ever had their 10-year fracture risk assessed using the "FRAX" model. Interestingly, the older the women were, the less often they consider OP as a threatening disease. 77.5% of the women studied had a decreased bone density, measured with REMS. This demonstrates poor education and self-awareness of the patients regarding OP, as well as the lack of an objective assessment of the risks associated with it, and the need to conduct osteodensitometry.

https://doi.org/10.35465/32.3.2024.pp15-27
PDF BG (Български)
PDF ENG

References

  1. Nützel A et al. Self-rated health in multimorbid older general practice patients: a cross-sectional study in German, BMC Family practice 2014; 15(1): 1471-2296.
  2. Sales JM, Irwin CE. Theories of Adolescent Risk Taking: The Biopsychosocial Model. In Ralph J. DiClemente, John S. Santelli, Richard A. Crosby (Hrsg.) Adolescent Health. Understanding and Preventing Risk Behaviors. San Francisco: Jossey- Bass. 2009.
  3. Gold D, Williams S, Weiss R, et al. Physician- and patient-reported disease severity in adults with osteoporosis: a US Cross-Sectional Survey. Endocrine Pract. 2018; 24:Abst#536.
  4. Gold DT, Silverman SL. Osteoporosis self-management: Choices For Better Bone Health. South.Med.J. 2004; 97, 551-554.
  5. De Geest S, Sabaté E. Adherence to long-term therapies: evidence for action. Eur J Cardiovasc Nurs. 2003; 2(4):323.
  6. Jingjing Xu et al. wareness of osteoporosis and its relationship with calcaneus quantitative ultrasound in a large Chinese community population. Clinical Interventions in Aging 2013:8 789-796.
  7. Gourlay ML, Fine JP, Preisser JS et al.. Bone-density testing interval and transition to osteoporosis in older women. N Engl J Med. 2012; 366(3):225-233.
  8. Crandall CJ, Newberry SJ, Diamant A et al. Comparative effectiveness of pharmacologic treatments to prevent fractures: an updated systematic review. Ann Intern Med. 2014; 161:711-23.
  9. Kanis JA, Johnell O, De Laet C et al. A meta-analysis of previous fracture and subsequent fracture risk. Bone. 2004; 35:375-382.
  10. Barcenilla-Wong AL, Chen JS, March LM, Concern and risk perception: effects on osteoprotective behaviour. J Osteoporos 2014; 142546.
  11. Rothmann MJ, Ammentorp J, Bech M et al. Self-perceived facture risk: factors underlying women’s perception of risk for osteoporotic fractures: the Risk-Stratified Osteoporosis Strategy Evaluation study (ROSE). Osteoporosis Int 2015; 26:689-697.
  12. Universität zu Köln, L. f. a. P. (2002). Einführung in die psychologische Methodenlehre. URL: http://www.uni-koeln.de/philfak/psych/allgemeine/downloads/einfmethoden/Methodenlehre_Urteilen_Testen_A .pdf (Stand:06/11/2018).
  13. Lewiecki EM, Leader D, Weiss R, Williams SA. Challenges in osteoporosis awareness and management: results from a survey of US postmenopausal women. J Drug Assess. 2019;8(1):25-31.
  14. Senthilraja M, Cherian KE, Jebasingh FK et al. Osteoporosis knowledge and beliefs among postmenopausal women: A cross-sectional study from a teaching hospital in southern India. J Family Med Prim Care. 2019;8(4):1374-1378.
  15. Langer FW, da Silveira Codevilla AA, Bringhenti R et al. Low self-awareness of osteoporosis and fracture risk among postmenopausal women. Arch Osteoporos 2016; 11:27.
  16. Xu J, Sun M, Wang Z, et al. Awareness of osteoporosis and its relationship with calcaneus quantitative ultrasound in a large Chinese community population. Clin Interv Aging. 2013; 8:789-796.
  17. Madzharova R, Kirilova E, Petranova T, Nikolova M. Assessment of the activity for self care in women with osteoporosis, Science and Technologie Volume VIII, 2018, Number 1: Medical biology studies, clinical studies, social medicine and health care,1-6.
  18. Bliuc D, Eisman JA, Center JR. A randomized study of two different information-based interventions on the management of osteoporosis in minimal and moderate trauma fractures. Osteoporos Int. 2006; 17(9):1309-1317.
  19. Gardner JC, van Bezooijen RL, Mervis B et al. Bone mineral density in sclerosteosis; affected individuals and gene carriers. J Clin Endocrinol Metab. 2005; 90(12):6392-6395.
  20. Harrington JT, Barash HL, Day S, Lease J. Redesigning the care of fragility fracture patients to improve osteoporosis management: a health care improvement project. Arthritis Rheum. 2005;53(2):198-204.
  21. Wilkin TJ, Devendra D. Bone densitometry is not a good predictor of hip fracture. BMJ. 2001;323(7316):795-797.
  22. Alami S, Hervouet L, Poiraudeau S et al. Barriers to Effective Postmenopausal Osteoporosis Treatment: A Qualitative Study of Patients’ and Practitioners’ Views. PLoS One. 2016;11(6):e0158365.
  23. Tosteson AN, Melton LJ, 3rd, Dawson-Hughes Bet al. Cost-effective osteoporosis treatment thresholds: The United States perspective. Osteoporos Int. 2008; 19:437-47.
  24. Osteoporosis: Assessing the Risk of Fragility Fracture. National Institute for Health and Care Excellence; 2017. https://www.ncbi.nlm.nih.gov/books/NBK55492 0/
  25. Siris ES, Chen YT, Abbott TA et al. Bone mineral density thresholds for pharmacological intervention to prevent fractures. Arch Intern Med 2004; 164:1108-1112.
  26. Gregson CL, Dennison EM, Compston JE et al. Disease-specific perception of fracture risk and incident fracture rates: GLOW cohort study. Osteoporosis Int 2014; 25:85-95.
  27. Giangregorio LM, Leslie WD, Lix LM et al. FRAX underestimates fracture risk in patients with diabetes. J Bone Miner Res. 2012; 27:301-308.
  28. Meisinger C, Wildner M, Stieber J et al. Epidemiologie der Extremitätenfrakturen (Epidemiology of limb fractures). Orthopade. 2002 Jan;31(1):92-99
  29. Fok M, Leung HB, Lee WM. Osteoporosis: public awareness, commitment, and perspectives. Hong Kong Med J. 2008;14(3):203-208.

Downloads

Download data is not yet available.

Most read articles by the same author(s)