美国男性退伍军人部骨折率的趋势
Amna N Khan1, Robert B Jones2, Nabeel Khan3
1Section of Endocrinology, Diabetes and Metabolism, Corporal Michael J. Crescenz VA Medical Center and Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA. Amna.Khan@va.gov.
概括
在老年男性退伍军人中,部骨折的发生率正在上升,但查和治疗率仍然非常低. 这项研究强调,迫切需要解决男性的骨质疏松性骨折风险.
科学领域:
- 老年学是一门学科.
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 骨质疏松性关节骨折对健康构成重大风险,死亡率高.
- 女性的关节骨折率可能正在稳定,这促使对研究不足的男性群体进行调查.
- 50岁以上的男性退伍军人是了解骨质疏松性骨折趋势的关键人口统计数据.
研究的目的:
- 分析50岁及以上的美国男性退伍军人部骨折发生率的趋势.
- 在这个人群中评估双能X射线吸收计 (DXA) 查和骨质疏松症药物治疗率.
- 确定老年男性骨质疏松性骨折的诊断和管理方面的差距.
主要方法:
- 利用了美国退伍军人事务信息和计算基础设施 (VINCI) 2002-2019年的数据.
- 计算了年龄标准化的关节骨折发病率.
- 评估了在骨折后接受DXA扫描和骨质疏松症药物的患者比例.
主要成果:
- 2006年至2019年期间,男性退伍军人部骨折发生率增加.
- 不到6%的男性接受了DXA查.
- 不到0.5%的男性在骨折后的两年内接受了骨质疏松症药物.
结论:
- 在老年男性退伍军人中,尽管有可用的预防措施,骨质疏松性关节骨折的发生率并没有下降.
- 在这个人口群体中,骨质疏松症的查和治疗率令人担忧地低.
- 需要进一步的调查和干预,以应对老年男性骨折风险.
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