Original article
Rheumatology and osteoporosis (RETOSS): a vision of postmenopausal osteoporosis in rheumatology departments throughout Spain
Reumatología y osteoporosis (RETOSS): osteoporosis posmenopáusica en la consulta de reumatología
Miguel Bernad Pinedaa,
, Carlos Manuel González Fernándezb, Manuel Fernández Pradac, Jaime Fernández Campillod, Rosaura Maeso Martíne, María Victoria Garcés Puentesf
Corresponding author
a Reumatología, Hospital Universitario La Paz, Madrid, Spain
b Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
c Reumatología, Hospital de Guadalajara, Guadalajara, Spain
d Reumatología, Hospital de Torrevieja, Torrevieja, Alicante, Spain
e Departamento Médico, Laboratorios Fcos. ROVI, Madrid, Spain
f Servicios Integrales de Gestión Médica, Madrid, Spain
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ROVI, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Servicios Integrales de Gestión Médica, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Reumatología y osteoporosis (RETOSS): osteoporosis posmenopáusica en la consulta de reumatología" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-12-26" "fechaAceptado" => "2010-03-07" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112606" "palabras" => array:4 [ 0 => "Postmenopausal osteoporosis" 1 => "Fractures" 2 => "Calcidiol" 3 => "Get up & go test" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112607" "palabras" => array:4 [ 0 => "Osteoporosis posmenopáusica" 1 => "Fracturas" 2 => "Calcidiol" 3 => "Test Get up & go" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To know the characteristics of the postmenopausal women with osteoporosis consulting Rheumatology Hospital Divisions in Spain.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">An epidemiologic, observational, transverse and multicentric study was performed from June to September 2008 in 63 rheumatology divisions in Spain. Six hundred and twenty nine osteoporotic postmenopausal women were studied using a questionnaire designed to get demographic, clinical, radiological, bone density, and functional information. Every physician had to choose only one patient per day, usually the first woman to come in and fulfill the inclusion and exclusion criteria.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Mean age of included women was 66,6 [9,2) years, weight: 64,6 [10,1] kg and body mass index: 26,1 [4,1] kg/m<span class="elsevierStyleSup">2</span>. They were 3,1 [2,8] cm shorter than the maximal historical height. 35,7% of them had a family history of fracture and 40,7% had a past history of fracture, of which 54,8% were vertebral fractures. Patients who received calcidiol <20<span class="elsevierStyleHsp" style=""></span>ng/ml sustained more falls (P=.033) and fractures (P=.006) than women receiving calcidiol >20<span class="elsevierStyleHsp" style=""></span>ng/ml. Risk of falls and fractures increased with advancing age and 51,5% of women who fell, had a fracture. 75% of women had poor calcium intake (≤400<span class="elsevierStyleHsp" style=""></span>mg/day). The Get up & go test showed a linear trend to an increased probability of >20 s in relationship with the age as well as with an increased incidence of fractures. 71,8% of patients had back pain and in 85,3% it went from moderate to severe.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Most osteoporotic postmenopausal Spanish women have a low calcium intake, one out of three has a family history of fractures that increases fracture incidence and this shows a relationship with age and functional capacity; four out of ten have had any type of fractures, one out of three have fallen during the past year and half of these present back pain. Calcidiol levels have been evaluated in a small group of patients.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Conocer las características de las mujeres posmenopáusicas con osteoporosis que acuden a las consultas hospitalarias de reumatología en España.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Desde junio a septiembre de 2008 se realizó un estudio epidemiológico, observacional, transversal y multicéntrico en 63 consultas de reumatología en toda España. Se evaluaron 629 mujeres posmenopáusicas con osteoporosis utilizando un cuestionario diseñado para recoger datos demográficos, clínicos, radiológicos, de densidad ósea y de función física. Cada médico participante escogió una paciente por día; la primera que cumplía los criterios de inclusión y exclusión.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La media de la edad fue de 66,6 (9,2) años, del peso fue de 64,6 (10,1) kg y del índice de masa corporal (IMC): 26,1 (4,1) kg/m<span class="elsevierStyleSup">2</span>. La pérdida de talla media fue de 3,1 (2,8) cm en relación con la media de la talla histórica. El 35,7% tenía antecedentes familiares de fractura, el 40,7% había tenido alguna fractura, de las cuales el 54,8% eran fracturas vertebrales. En las pacientes que presentaban calcidiol < 20<span class="elsevierStyleHsp" style=""></span>ng/ml se observó una mayor frecuencia de caídas (p = 0,033) y de fracturas (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,006), respecto al grupo con valores de calcidiol > 20<span class="elsevierStyleHsp" style=""></span>ng/ml. Se encontró un aumento significativo de la probabilidad de caídas asociadas a la edad, y el 51,5% de las mujeres que se había caído había sufrido algún tipo de fractura por fragilidad. El 75% de las mujeres tenía una ingesta baja de calcio (400<span class="elsevierStyleHsp" style=""></span>mg/d). El test Get up & go mostró un incremento significativo de la probabilidad de test > 20 segundos en relación con la edad, de forma lineal, y con un aumento de la incidencia de fracturas. El 71,8% de las pacientes tenía dolor de espalda y entre estas, el 85,3% presentaba dolor de moderado a severo.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La mayoría de las mujeres españolas posmenopáusicas con osteoporosis que acuden a las consultas de reumatología tiene una ingesta baja de calcio y un tercio de ellas tiene antecedentes familiares de fractura. La incidencia de fracturas muestra una clara relación con la edad, la capacidad funcional y el dolor de espalda. La determinación de la concentración de calcidiol sérico se realiza en un bajo porcentaje de pacientes.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
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| 2024 November | 8 | 25 | 33 |
| 2024 October | 22 | 57 | 79 |
| 2024 September | 25 | 17 | 42 |
| 2024 August | 36 | 41 | 77 |
| 2024 July | 23 | 35 | 58 |
| 2024 June | 47 | 29 | 76 |
| 2024 May | 32 | 30 | 62 |
| 2024 April | 26 | 35 | 61 |
| 2024 March | 40 | 26 | 66 |
| 2024 February | 30 | 26 | 56 |
| 2024 January | 21 | 20 | 41 |
| 2023 December | 16 | 35 | 51 |
| 2023 November | 16 | 22 | 38 |
| 2023 October | 29 | 40 | 69 |
| 2023 September | 37 | 38 | 75 |
| 2023 August | 20 | 15 | 35 |
| 2023 July | 21 | 27 | 48 |
| 2023 June | 19 | 20 | 39 |
| 2023 May | 18 | 11 | 29 |
| 2023 April | 14 | 11 | 25 |
| 2023 March | 31 | 26 | 57 |
| 2023 February | 21 | 26 | 47 |
| 2023 January | 16 | 16 | 32 |
| 2022 December | 29 | 31 | 60 |
| 2022 November | 26 | 30 | 56 |
| 2022 October | 21 | 28 | 49 |
| 2022 September | 29 | 38 | 67 |
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| 2022 July | 19 | 45 | 64 |
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| 2022 May | 20 | 49 | 69 |
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| 2021 December | 20 | 38 | 58 |
| 2021 November | 29 | 51 | 80 |
| 2021 October | 45 | 55 | 100 |
| 2021 September | 38 | 40 | 78 |
| 2021 August | 27 | 42 | 69 |
| 2021 July | 23 | 36 | 59 |
| 2021 June | 30 | 45 | 75 |
| 2021 May | 23 | 39 | 62 |
| 2021 April | 28 | 78 | 106 |
| 2021 March | 35 | 35 | 70 |
| 2021 February | 44 | 20 | 64 |
| 2021 January | 31 | 16 | 47 |
| 2020 December | 30 | 22 | 52 |
| 2020 November | 20 | 19 | 39 |
| 2020 October | 11 | 14 | 25 |
| 2020 September | 36 | 20 | 56 |
| 2020 August | 26 | 21 | 47 |
| 2020 July | 12 | 33 | 45 |
| 2020 June | 40 | 27 | 67 |
| 2020 May | 27 | 16 | 43 |
| 2020 April | 34 | 19 | 53 |
| 2020 March | 20 | 20 | 40 |
| 2020 January | 10 | 0 | 10 |
| 2019 September | 4 | 0 | 4 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 May | 3 | 2 | 5 |
| 2018 April | 35 | 10 | 45 |
| 2018 March | 43 | 16 | 59 |
| 2018 February | 35 | 6 | 41 |
| 2018 January | 30 | 4 | 34 |
| 2017 December | 29 | 7 | 36 |
| 2017 November | 29 | 9 | 38 |
| 2017 October | 16 | 7 | 23 |
| 2017 September | 16 | 8 | 24 |
| 2017 August | 15 | 18 | 33 |
| 2017 July | 11 | 8 | 19 |
| 2017 June | 22 | 11 | 33 |
| 2017 May | 31 | 5 | 36 |
| 2017 April | 16 | 13 | 29 |
| 2017 March | 14 | 6 | 20 |
| 2017 February | 7 | 6 | 13 |
| 2017 January | 15 | 4 | 19 |
| 2016 December | 52 | 11 | 63 |
| 2016 November | 37 | 1 | 38 |
| 2016 October | 58 | 10 | 68 |
| 2016 September | 37 | 7 | 44 |
| 2016 August | 35 | 5 | 40 |
| 2016 July | 26 | 10 | 36 |
| 2016 May | 1 | 0 | 1 |
| 2016 April | 2 | 0 | 2 |
| 2016 February | 2 | 9 | 11 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 4 | 0 | 4 |
| 2015 November | 1 | 0 | 1 |
| 2015 October | 2 | 0 | 2 |
| 2015 September | 3 | 15 | 18 |
| 2015 July | 11 | 5 | 16 |
| 2015 June | 13 | 10 | 23 |
| 2015 May | 30 | 21 | 51 |
| 2015 April | 19 | 24 | 43 |
| 2015 March | 32 | 17 | 49 |
| 2015 February | 27 | 15 | 42 |
| 2015 January | 18 | 10 | 28 |
| 2014 December | 28 | 15 | 43 |
| 2014 November | 20 | 17 | 37 |
| 2014 October | 21 | 16 | 37 |
| 2014 September | 17 | 14 | 31 |
| 2014 August | 24 | 15 | 39 |
| 2014 July | 23 | 19 | 42 |
| 2014 June | 44 | 17 | 61 |
| 2014 May | 43 | 24 | 67 |
| 2014 April | 33 | 16 | 49 |
| 2014 March | 31 | 23 | 54 |
| 2014 February | 31 | 10 | 41 |
| 2014 January | 29 | 9 | 38 |
| 2013 December | 28 | 10 | 38 |
| 2013 November | 23 | 4 | 27 |
| 2013 October | 35 | 12 | 47 |
| 2013 September | 27 | 13 | 40 |
| 2013 August | 30 | 6 | 36 |
| 2013 July | 29 | 8 | 37 |
| 2013 June | 24 | 10 | 34 |
| 2013 May | 20 | 6 | 26 |
| 2013 April | 19 | 11 | 30 |
| 2013 March | 16 | 8 | 24 |
| 2013 February | 25 | 7 | 32 |
| 2013 January | 29 | 5 | 34 |
| 2012 December | 29 | 7 | 36 |
| 2012 November | 20 | 6 | 26 |
| 2012 October | 8 | 4 | 12 |
| 2012 September | 9 | 4 | 13 |
| 2012 June | 5 | 0 | 5 |
| 2012 May | 2 | 0 | 2 |
| 2012 April | 6 | 0 | 6 |
| 2012 March | 7 | 0 | 7 |
| 2012 January | 4 | 0 | 4 |
| 2011 December | 2 | 0 | 2 |
| 2011 November | 7 | 0 | 7 |
| 2011 October | 3 | 0 | 3 |
| 2011 August | 1 | 0 | 1 |
| 2011 July | 2 | 0 | 2 |
| 2011 June | 5 | 0 | 5 |
| 2011 May | 2 | 0 | 2 |
| 2011 April | 2 | 0 | 2 |
| 2011 March | 1 | 0 | 1 |
| 2011 February | 1 | 0 | 1 |
| 2011 January | 12 | 0 | 12 |
Show all
