Adherence to Anti-Osteoporotic Treatment and Clinical Implications after Hip Fracture: A Systematic Review

被引:15
作者
Dobre, Ramona [1 ,2 ]
Niculescu, Dan Alexandru [1 ,2 ]
Petca, Razvan-Cosmin [1 ,3 ]
Popescu, Razvan-Ionut [1 ,3 ]
Petca, Aida [1 ,4 ]
Poiana, Catalina [1 ,2 ]
机构
[1] Carol Davila Univ Med & Pharm, Bucharest 050474, Romania
[2] Natl Inst Endocrinol CI Parhon, Dept Endocrinol, Bucharest 011853, Romania
[3] Prof Dr Th Burghele Clin Hosp, Dept Urol, Bucharest 050659, Romania
[4] Elias Univ Hosp, Dept Obstet & Gynecol, Bucharest 011461, Romania
关键词
anti-osteoporotic treatment; hip fracture; mortality; re-fracture risk; BONE-MINERAL DENSITY; BISPHOSPHONATE USE; EXCESS MORTALITY; ZOLEDRONIC ACID; RISK; DENOSUMAB; WOMEN; SURVIVAL; METAANALYSIS; ASSOCIATION;
D O I
10.3390/jpm11050341
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The role of anti-osteoporotic treatment as part of the secondary prevention after hip fracture in terms of mortality and re-fracture risk has been studied, and the results are promising. Decreased treatment adherence and compliance is a problem that needs to be addressed by healthcare professionals. A systematic review of the literature was performed using the PubMed database with terms that included hip fracture, mortality, second fracture, and specific anti-osteoporotic treatment. We included 28 articles, 21 regarding mortality and 20 re-fracture rates in hip fracture patients. All studies showed lower mortality after hip fracture associated with anti-osteoporotic treatment, mostly bisphosphonate agents. The re-fracture risk is still debatable, since conflicting data were found. Although most of the studies showed notable effects on mortality and re-fracture rates associated with anti-osteoporotic treatment, we still need more data to validate the actual results.
引用
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页数:17
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