Osteopenia in Primary Health Care Patients: Do We Need to Be More Rigorous?
Osteopenia en atención primaria: ¿debemos ser más rigurosos?
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"tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "13" "paginaFinal" => "17" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Antoni Serra Torres, Salvador Sitjar Martínez de Sas, Josep Miquel Sotoca Momblona, Laia Alemany Vilches, Bibiana Contreras Raris, Jordi Hoyo Sánchez" "autores" => array:6 [ 0 => array:3 [ "nombre" => "Antoni" "apellidos" => "Serra Torres" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 1 => array:4 [ "nombre" => "Salvador Sitjar" "apellidos" => "Martínez de Sas" "email" => array:1 [ 0 => "ssitjar@clinic.ub.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "Josep Miquel" "apellidos" => "Sotoca Momblona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Laia" "apellidos" => "Alemany Vilches" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Bibiana" "apellidos" => "Contreras Raris" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Jordi" "apellidos" => "Hoyo Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "CAP Les Corts, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "CS Marines-UBS Can Picafort, Mallorca, Illes Balears, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Osteopenia en atención primaria: ¿debemos ser más rigurosos?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-03-07" "fechaAceptado" => "2008-06-02" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec111970" "palabras" => array:5 [ 0 => "Osteoporosis" 1 => "Preventive measures" 2 => "Calcium compounds" 3 => "Therapeutic use" 4 => "Patient compliance" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec111971" "palabras" => array:5 [ 0 => "Osteoporosis" 1 => "Medidas preventivas" 2 => "Calcio" 3 => "Uso terapéutico" 4 => "Cumplimiento" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To describe the treatment prescribed to osteopenic women seen at an urban primary health care centre and the treatment compliance of those patients with a prescription of calcium and/or vitamin D.</p> <span class="elsevierStyleSectionTitle">Materials and method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional study, osteopenic women diagnosed by bone densitometry between February 2005 and January 2006 (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>121). Clinical history review: demographic information; previous clinical history of bone fracture, type of fracture; parental history of fractures; tobacco use; osteoporosisrelated medication or disease; dietary and sun exposure assessment; calcium, vitamin D and raloxifene/ biphosphonates prescription; mean daily dose of calcium and vitamin D supplements collected at the pharmacy by patients. Analysis of treatment prescription and compliance according to the information collected was performed.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Mean age, 61.9 (9.1) years; 90.7% post-menopausic. The dietary assessment was performed in 30.5% of the women included in the study. The drug prescription was as follows: calcium 74.6%, vitamin D 68.6%, and raloxifene/biphosphonates 16.1%. All drug prescriptions were associated with lower T-score values. The patient's compliance of calcium supplements has been calculated as mean of 423.8 (321.7) mg/day, and 343.1 (225.9) IU of vitamin D; with no association with any of the studied variables.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We identified greater drug prescription in those patients with a lower T-score. The clinical history of previous fracture did not show association with drug prescription nor a better compliance. There was a lack of information about relevant issues in the clinical history of the osteopenic women included in the study. The patient's compliance of calcium and vitamin-D supplements is very variable.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Describir el tratamiento prescrito a mujeres osteopénicas atendidas en un centro de atención primaria urbano y el cumplimiento de las pacientes que reciben prescripción de calcio o vitamina D.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal en mujeres con osteopenia diagnosticada por densitometría ósea (DMO) entre febrero de 2005 y enero de 2006 (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>118). Comprobación en la historia clínica de: información demográfica; antecedentes de fractura, tipo; antecedentes familiares de fractura; hábito tabáquico; toma de fármacos o antecedente de enfermedad crónica relacionados con disminución de DMO; valoración/ consejo dietético, valoración de exposición solar; prescripción de calcio, vitamina D y raloxifeno/ bisfosfonatos; dosis diaria media de calcio y vitamina D recogida por las pacientes de la farmacia. Análisis de la prescripción de fármacos y del cumplimiento en función de las variables recogidas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Media de edad, 61,9<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9,1 años; el 90,7% posmenopáusicas. La valoración/consejo dietético se encontró en el 30,5%. La prescripción de fármacos fue: calcio, 74,6%; vitamina D, 68,6%, y raloxifeno/ bisfosfonato, 16,1%. La prescripción de todos los fármacos se asoció a valores más bajos de T-score. El cumplimiento medio de las mujeres se estimó en 423,8<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>321,7 mg Ca/día, y 343,1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>225,9 UI de vitamina D, sin relación significativa con ninguna de las variables estudiadas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se identifica una mayor prescripción de los tratamientos farmacológicos en pacientes con valores de T-score menores. El antecedente personal de fractura no se asocia a la prescripción de fármacos ni al mejor cumplimiento por las pacientes. En la historia clínica de las mujeres osteopénicas hay una falta de registro de aspectos relevantes. El cumplimiento de los suplementos de calcio y vitamina D es muy variable.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "World Health Organisation. Assessment of fractures risk in screening for osteoporosis. WHO technical report series 843. Geneva: WHO; 1994." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Study of bone mineral density in lumbar spine and femoral neck in a spanish population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Díaz Curiel" 1 => "J.L. Carrasco de la Peña" 2 => "J. Honorato Pérez" 3 => "R. Pérez Cano" 4 => "A. Rapado" 5 => "I. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 11 | 18 |
| 2024 October | 26 | 45 | 71 |
| 2024 September | 31 | 20 | 51 |
| 2024 August | 35 | 45 | 80 |
| 2024 July | 26 | 32 | 58 |
| 2024 June | 30 | 36 | 66 |
| 2024 May | 22 | 34 | 56 |
| 2024 April | 58 | 27 | 85 |
| 2024 March | 48 | 29 | 77 |
| 2024 February | 26 | 26 | 52 |
| 2024 January | 20 | 28 | 48 |
| 2023 December | 19 | 37 | 56 |
| 2023 November | 11 | 24 | 35 |
| 2023 October | 27 | 29 | 56 |
| 2023 September | 23 | 37 | 60 |
| 2023 August | 25 | 19 | 44 |
| 2023 July | 17 | 32 | 49 |
| 2023 June | 12 | 20 | 32 |
| 2023 May | 17 | 16 | 33 |
| 2023 April | 24 | 12 | 36 |
| 2023 March | 21 | 29 | 50 |
| 2023 February | 23 | 25 | 48 |
| 2023 January | 23 | 15 | 38 |
| 2022 December | 22 | 25 | 47 |
| 2022 November | 25 | 22 | 47 |
| 2022 October | 19 | 31 | 50 |
| 2022 September | 20 | 35 | 55 |
| 2022 August | 26 | 46 | 72 |
| 2022 July | 21 | 47 | 68 |
| 2022 June | 25 | 30 | 55 |
| 2022 May | 25 | 48 | 73 |
| 2022 April | 26 | 58 | 84 |
| 2022 March | 29 | 55 | 84 |
| 2022 February | 19 | 54 | 73 |
| 2022 January | 19 | 40 | 59 |
| 2021 December | 25 | 50 | 75 |
| 2021 November | 16 | 52 | 68 |
| 2021 October | 32 | 46 | 78 |
| 2021 September | 21 | 35 | 56 |
| 2021 August | 23 | 41 | 64 |
| 2021 July | 30 | 43 | 73 |
| 2021 June | 22 | 40 | 62 |
| 2021 May | 27 | 31 | 58 |
| 2021 April | 76 | 90 | 166 |
| 2021 March | 38 | 36 | 74 |
| 2021 February | 40 | 18 | 58 |
| 2021 January | 32 | 19 | 51 |
| 2020 December | 21 | 15 | 36 |
| 2020 November | 20 | 24 | 44 |
| 2020 October | 9 | 16 | 25 |
| 2020 September | 24 | 19 | 43 |
| 2020 August | 23 | 18 | 41 |
| 2020 July | 22 | 17 | 39 |
| 2020 June | 27 | 19 | 46 |
| 2020 May | 33 | 10 | 43 |
| 2020 April | 22 | 13 | 35 |
| 2020 March | 17 | 12 | 29 |
| 2020 February | 5 | 0 | 5 |
| 2019 December | 4 | 0 | 4 |
| 2019 July | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2018 December | 1 | 0 | 1 |
| 2018 May | 3 | 1 | 4 |
| 2018 April | 22 | 9 | 31 |
| 2018 March | 25 | 10 | 35 |
| 2018 February | 18 | 6 | 24 |
| 2018 January | 17 | 5 | 22 |
| 2017 December | 13 | 7 | 20 |
| 2017 November | 18 | 7 | 25 |
| 2017 October | 17 | 4 | 21 |
| 2017 September | 16 | 3 | 19 |
| 2017 August | 15 | 5 | 20 |
| 2017 July | 13 | 6 | 19 |
| 2017 June | 28 | 8 | 36 |
| 2017 May | 26 | 4 | 30 |
| 2017 April | 12 | 3 | 15 |
| 2017 March | 14 | 4 | 18 |
| 2017 February | 9 | 7 | 16 |
| 2017 January | 18 | 5 | 23 |
| 2016 December | 63 | 8 | 71 |
| 2016 November | 25 | 1 | 26 |
| 2016 October | 43 | 6 | 49 |
| 2016 September | 39 | 3 | 42 |
| 2016 August | 30 | 8 | 38 |
| 2016 July | 22 | 9 | 31 |
| 2015 December | 1 | 0 | 1 |
| 2015 November | 3 | 0 | 3 |
| 2015 September | 2 | 0 | 2 |
| 2015 August | 1 | 0 | 1 |
| 2015 July | 7 | 4 | 11 |
| 2015 June | 17 | 10 | 27 |
| 2015 May | 29 | 17 | 46 |
| 2015 April | 23 | 14 | 37 |
| 2015 March | 14 | 8 | 22 |
| 2015 February | 13 | 9 | 22 |
| 2015 January | 13 | 14 | 27 |
| 2014 December | 18 | 11 | 29 |
| 2014 November | 15 | 10 | 25 |
| 2014 October | 16 | 15 | 31 |
| 2014 September | 15 | 6 | 21 |
| 2014 August | 25 | 17 | 42 |
| 2014 July | 22 | 12 | 34 |
| 2014 June | 43 | 10 | 53 |
| 2014 May | 30 | 14 | 44 |
| 2014 April | 28 | 11 | 39 |
| 2014 March | 43 | 18 | 61 |
| 2014 February | 35 | 12 | 47 |
| 2014 January | 30 | 9 | 39 |
| 2013 December | 25 | 16 | 41 |
| 2013 November | 23 | 9 | 32 |
| 2013 October | 26 | 14 | 40 |
| 2013 September | 25 | 19 | 44 |
| 2013 August | 22 | 8 | 30 |
| 2013 July | 27 | 11 | 38 |
| 2013 June | 14 | 8 | 22 |
| 2013 May | 20 | 13 | 33 |
| 2013 April | 22 | 17 | 39 |
| 2013 March | 22 | 11 | 33 |
| 2013 February | 16 | 13 | 29 |
| 2013 January | 18 | 7 | 25 |
| 2012 December | 18 | 8 | 26 |
| 2012 November | 18 | 10 | 28 |
| 2012 October | 3 | 3 | 6 |
| 2012 September | 9 | 4 | 13 |
| 2012 July | 2 | 0 | 2 |
| 2012 June | 6 | 0 | 6 |
| 2012 May | 13 | 0 | 13 |
| 2012 April | 8 | 0 | 8 |
| 2012 March | 9 | 0 | 9 |
| 2012 February | 7 | 0 | 7 |
| 2012 January | 4 | 0 | 4 |
| 2011 December | 11 | 0 | 11 |
| 2011 November | 8 | 0 | 8 |
| 2011 October | 8 | 0 | 8 |
| 2011 September | 3 | 0 | 3 |
| 2011 August | 1 | 0 | 1 |
| 2011 July | 3 | 0 | 3 |
| 2011 June | 3 | 0 | 3 |
| 2011 May | 3 | 0 | 3 |
| 2011 March | 2 | 0 | 2 |
| 2011 February | 5 | 0 | 5 |
| 2011 January | 5 | 0 | 5 |
| 2010 December | 6 | 0 | 6 |
| 2010 November | 2 | 0 | 2 |
| 2010 October | 6 | 0 | 6 |
| 2010 September | 3 | 0 | 3 |
| 2010 August | 2 | 0 | 2 |
| 2010 July | 3 | 0 | 3 |
| 2010 June | 1 | 0 | 1 |
| 2010 May | 2 | 0 | 2 |
| 2010 April | 9 | 0 | 9 |
| 2010 March | 13 | 0 | 13 |
| 2010 February | 4 | 0 | 4 |
| 2010 January | 1 | 0 | 1 |
| 2009 December | 12 | 0 | 12 |
| 2009 November | 7 | 0 | 7 |
| 2009 October | 9 | 0 | 9 |
| 2009 September | 7 | 0 | 7 |
| 2009 August | 11 | 0 | 11 |
| 2009 July | 12 | 0 | 12 |
| 2009 June | 48 | 0 | 48 |
| 2009 May | 5 | 0 | 5 |
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