Improving adherence in osteoporosis: a new management algorithm for the patient with osteoporosis

被引:10
作者
Baio, Gianluca [2 ,10 ]
Barbagallo, Mario [3 ]
D'Avola, Giovanni [4 ]
Di Luccio, Andrea
Di Tanna, Gian Luca [5 ]
Falaschi, Paolo [6 ]
Iolascon, Giovanni [7 ]
Malavolta, Nazzarena [8 ]
Robbiati, Federico [9 ]
Ulivieri, Fabio Massimo [1 ]
机构
[1] Osped Maggiore, Policlin IRCCS, Fdn Ca Granda, UO Med Nucl, Milan, Italy
[2] UCL, Dept Epidemiol & Publ Hlth, London, England
[3] Univ Palermo, Dept Internal Med & Emergent Pathol, Geriatr Unit, Palermo, Italy
[4] Serv Reumatol Osteoporosi Azienda, Catania, Italy
[5] Univ Roma La Sapienza, Dept Expt Med, I-00161 Rome, Italy
[6] Univ Roma La Sapienza, S Andrea Hosp, Dept Aging Sci, I-00189 Rome, Italy
[7] Univ Naples 2, Dept Orthoped & Rehabil, Naples, Italy
[8] Univ Bologna, Hosp Policlin S Orsola Malpighi, Bologna, Italy
[9] Novartis Pharmaceut, Origgio, Italy
[10] Univ Milano Bicocca, Dept Stat, Milan, Italy
关键词
ACUTE MYOCARDIAL-INFARCTION; POSTMENOPAUSAL OSTEOPOROSIS; ORAL BISPHOSPHONATES; MEDICATION ADHERENCE; FRACTURE OUTCOMES; CLINICAL-PRACTICE; ZOLEDRONIC ACID; PERSISTENCE; THERAPY; WOMEN;
D O I
10.1517/14656566.2011.537259
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Areas covered: We review available data and propose a new approach to improve adherence to osteoporosis therapy in clinical practice. We present the current evidence and personal experience from a group of Italian osteoporosis experts. Expert opinion: To improve adherence, we propose a multifaceted approach, which includes the Triad Model suggested by the World Health Organization, direct observed therapy and the use of drugs with longer administration intervals, e.g., zoledronic acid. The integration of these strategies may provide the basis for a marked increase in adherence to osteoporosis therapy, and improved clinical outcomes in a real-life scenario.
引用
收藏
页码:257 / 268
页数:12
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