亲肠抗骨质疏松症药物的长剂量间隔和社会骨折风险的降低:为期11年的全国性基于人口的队列研究
Shau-Huai Fu1, Hung-Kuan Yen2, Rong-Sen Yang3
1Department of Orthopedics, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
对抗骨质疏松症药物 (AOMs) 的更长剂量间隔显著改善了患者的坚持和减少骨折风险. 这项全国性的研究强调了亲肠道AOMs对骨质疏松症管理口服配方的好处.
科学领域:
- 骨质疏松症的管理
- 药物治疗的坚持 药物治疗的坚持
- 减少骨折风险 减少骨折风险
背景情况:
- 骨质疏松症具有显著的骨折风险,特别是在老年人中.
- 对抗骨质疏松症药物 (AOMs) 的坚持对于有效治疗至关重要.
- 剂量间隔可能会影响患者的坚持和治疗结果.
研究的目的:
- 调查AOM不同剂量间隔与随后骨折风险之间的关联.
- 为了评估口服与肠道AOMs对治疗坚持的影响.
- 分析十年来AOM使用和遵守的趋势.
主要方法:
- 全国基于人口的队列研究,使用台湾国家健康保险研究数据库 (2008-2018).
- 包括50岁以上的骨质疏松症患者新开始AOM (n=336,229).
- 将AOM分类为短 (口服) 和长 (肠道) 剂量间隔;通过药物持有率评估坚持;在3年内测量随后的骨折.
主要成果:
- 亲肠道AOM的高坚持率从33%增加到69% (2008-2018),而口服AOM的坚持率保持在30%的稳定水平.
- 在研究期间,亲肠道AOM使用率从1%上升到62%.
- 整体高坚持率从34%增加到61%,随后骨折风险显著降低 (HR,0.85;95%CI,0.81-0.89).
结论:
- 较长的AOM剂量间隔,特别是亲肠配方,与改善患者的坚持有关.
- 转向亲肠道AOM与增强的坚持和全国性骨折风险的降低相关.
- 在骨质疏松症管理中,亲肠道AOM代表了一种更有效的策略,用于改善坚持和减轻骨折风险.
更多相关视频
04:24Proper Positioning and Restraint of a Rat Hind Limb for Focused High Resolution Imaging of Bone Micro-architecture Using In Vivo Micro-computed Tomography
Published on: November 22, 2017
09:02Cortical Bone Assessment Using Ultrasonic Guided Waves: A Reproducibility Study in a Healthy Population
Published on: January 31, 2025
相关概念视频
Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Dosage Regimen: Fixed Dose
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
Drug Distribution: Tissue Binding
For...
Bone Remodeling
Osteoclasts in Bone Remodeling
Rational Dosage Regimen: Maintenance Dose and Loading Dose
In most cases, drugs are administered repetitively or infused continuously to maintain a steady-state concentration in the body. At a steady...
