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PROFILE OF PATIENTS WITH OSTEOPOROTIC FRACTURES AND FACTORS THAT DECREASE PREVENTION.

Renato Martins Xavier1, Ivan Carvalho Giarola1, Guilherme Pereira Ocampos1

  • 1Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

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PubMed
Summary

Older adults with osteoporotic fractures (OF) have distinct epidemiological profiles and face challenges with secondary prevention adherence. Factors like falls and cognitive issues increase nonadherence risk in these patients.

Keywords:
EpidemiologyOsteoporosisOsteoporotic FracturesPrevalenceSecondary Prevention

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Area of Science:

  • Gerontology
  • Epidemiology
  • Orthopedics

Background:

  • Osteoporotic fractures (OF) and osteoarthritis (OA) are common conditions, particularly in aging populations.
  • Understanding the epidemiological differences between OF and OA patients is crucial for targeted healthcare.
  • Secondary prevention adherence is vital for managing OF and preventing subsequent fractures.

Purpose of the Study:

  • To compare the epidemiological characteristics of patients with osteoporotic fractures (OF) versus osteoarthritis (OA).
  • To identify factors associated with poor adherence to secondary prevention strategies in patients with OF.

Main Methods:

  • A comparative study involving 108 patients with osteoporotic fractures (OF) and 86 patients with osteoarthritis (OA).
  • Analysis of demographic, clinical, and functional data to identify differences between the groups.

Main Results:

  • OF patients were older, had lower BMI, lower literacy, were more often Caucasian, and less frequently married compared to OA patients.
  • OF patients reported more falls, cognitive deficits, previous fractures, and required more assistance and medication for osteoporosis.
  • Factors associated with nonadherence in OF patients included older age, falls, cognitive deficiency, and depressive symptoms.

Conclusions:

  • The epidemiological profile of OF patients is characterized by advanced age, specific comorbidities, and functional limitations.
  • Adherence to secondary prevention in OF patients is negatively influenced by age, cognitive impairment, falls, and mood disturbances.
  • Targeted interventions addressing these factors are necessary to improve outcomes for patients with osteoporotic fractures.