Cargando…

Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics

STUDY DESIGN: A nationwide, observational, and cross-sectional study targeting postmenopausal patients from 62 orthopedic outpatient clinics in Korea between October 2010 and February 2011. PURPOSE: This study was carried out to investigate comorbidity, trauma history, and the status of osteoporotic...

Descripción completa

Detalles Bibliográficos
Autores principales: Cho, Minjoon, Moon, Seoung-Hwan, Lee, Ji-Ho, Lee, Jae Hyup
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6773987/
https://www.ncbi.nlm.nih.gov/pubmed/31079428
http://dx.doi.org/10.31616/asj.2018.0322
_version_ 1783456005219155968
author Cho, Minjoon
Moon, Seoung-Hwan
Lee, Ji-Ho
Lee, Jae Hyup
author_facet Cho, Minjoon
Moon, Seoung-Hwan
Lee, Ji-Ho
Lee, Jae Hyup
author_sort Cho, Minjoon
collection PubMed
description STUDY DESIGN: A nationwide, observational, and cross-sectional study targeting postmenopausal patients from 62 orthopedic outpatient clinics in Korea between October 2010 and February 2011. PURPOSE: This study was carried out to investigate comorbidity, trauma history, and the status of osteoporotic fracture treatment in Korean postmenopausal women. OVERVIEW OF LITERATURE: There has been little reports on the comorbidity, family history, trauma history, and treatment status of osteoporotic fractures in patients visiting the orthopedic outpatient clinics in Korea. METHODS: A total of 1,255 postmenopausal women between the ages of 50 and 80 years were enrolled in the study and the population distribution was reflected by region. Comorbidity, familial history of osteoporosis, familial history of osteoporotic fracture, history of falls, and status of osteoporotic fracture management were evaluated using an interview and questionnaire. The relationship between family history of osteoporosis and bone mineral density was analyzed. RESULTS: A number of patients (23%) had a family history of osteoporosis and 16.5% had a family history of fractures. Most (64.7%) of the patients had one or more comorbidities, including 58.8% exhibiting a chronic disease and 16.4% suffering from diseases that restrict exercise or walking. The results of the questionnaire indicated that 21.8% of these fracture patients had experienced a fracture previously and that the most common type of fracture was that of the spine. Lumbar spine bone mineral density was found to be lower in the presence of family history of osteoporosis. CONCLUSIONS: Postmenopausal women are liable to have osteoporotic fractures due to the high prevalence of osteoporosis, a history of falling, and the comorbidity with diseases that restrict ambulation. A better understanding of postmenopausal women in the orthopedic outpatient settings is important to the management of osteoporotic fractures.
format Online
Article
Text
id pubmed-6773987
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Korean Society of Spine Surgery
record_format MEDLINE/PubMed
spelling pubmed-67739872019-10-09 Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics Cho, Minjoon Moon, Seoung-Hwan Lee, Ji-Ho Lee, Jae Hyup Asian Spine J Clinical Study STUDY DESIGN: A nationwide, observational, and cross-sectional study targeting postmenopausal patients from 62 orthopedic outpatient clinics in Korea between October 2010 and February 2011. PURPOSE: This study was carried out to investigate comorbidity, trauma history, and the status of osteoporotic fracture treatment in Korean postmenopausal women. OVERVIEW OF LITERATURE: There has been little reports on the comorbidity, family history, trauma history, and treatment status of osteoporotic fractures in patients visiting the orthopedic outpatient clinics in Korea. METHODS: A total of 1,255 postmenopausal women between the ages of 50 and 80 years were enrolled in the study and the population distribution was reflected by region. Comorbidity, familial history of osteoporosis, familial history of osteoporotic fracture, history of falls, and status of osteoporotic fracture management were evaluated using an interview and questionnaire. The relationship between family history of osteoporosis and bone mineral density was analyzed. RESULTS: A number of patients (23%) had a family history of osteoporosis and 16.5% had a family history of fractures. Most (64.7%) of the patients had one or more comorbidities, including 58.8% exhibiting a chronic disease and 16.4% suffering from diseases that restrict exercise or walking. The results of the questionnaire indicated that 21.8% of these fracture patients had experienced a fracture previously and that the most common type of fracture was that of the spine. Lumbar spine bone mineral density was found to be lower in the presence of family history of osteoporosis. CONCLUSIONS: Postmenopausal women are liable to have osteoporotic fractures due to the high prevalence of osteoporosis, a history of falling, and the comorbidity with diseases that restrict ambulation. A better understanding of postmenopausal women in the orthopedic outpatient settings is important to the management of osteoporotic fractures. Korean Society of Spine Surgery 2019-10 2019-05-14 /pmc/articles/PMC6773987/ /pubmed/31079428 http://dx.doi.org/10.31616/asj.2018.0322 Text en Copyright © 2019 by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Cho, Minjoon
Moon, Seoung-Hwan
Lee, Ji-Ho
Lee, Jae Hyup
Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics
title Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics
title_full Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics
title_fullStr Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics
title_full_unstemmed Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics
title_short Investigation of Comorbidity, Trauma History, and Osteoporotic Fractures in the Postmenopausal Population: A Nationwide, Observational, and Cross-Sectional Study of Korean Orthopedic Outpatient Clinics
title_sort investigation of comorbidity, trauma history, and osteoporotic fractures in the postmenopausal population: a nationwide, observational, and cross-sectional study of korean orthopedic outpatient clinics
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6773987/
https://www.ncbi.nlm.nih.gov/pubmed/31079428
http://dx.doi.org/10.31616/asj.2018.0322
work_keys_str_mv AT chominjoon investigationofcomorbiditytraumahistoryandosteoporoticfracturesinthepostmenopausalpopulationanationwideobservationalandcrosssectionalstudyofkoreanorthopedicoutpatientclinics
AT moonseounghwan investigationofcomorbiditytraumahistoryandosteoporoticfracturesinthepostmenopausalpopulationanationwideobservationalandcrosssectionalstudyofkoreanorthopedicoutpatientclinics
AT leejiho investigationofcomorbiditytraumahistoryandosteoporoticfracturesinthepostmenopausalpopulationanationwideobservationalandcrosssectionalstudyofkoreanorthopedicoutpatientclinics
AT leejaehyup investigationofcomorbiditytraumahistoryandosteoporoticfracturesinthepostmenopausalpopulationanationwideobservationalandcrosssectionalstudyofkoreanorthopedicoutpatientclinics