Musculoskeletal Health and Outcomes Research, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada.
Institute of Health Policy, Management & Evaluation, University of Toronto, 4th Floor - 155 College Street, Toronto, Ontario, M5T 3M6, Canada.
Osteoporos Int. 2020 Oct;31(10):2047-2055. doi: 10.1007/s00198-020-05409-w. Epub 2020 Jun 5.
We examined fragility fracture patients' perceptions of associations between bone health and other chronic conditions and medications. Awareness of the associations between bone health and these conditions and medications was low. Providers should increase patients' awareness of these associations in order to minimize the risk of future fracture.
Among patients with a fragility fracture presenting with at least one other chronic health condition, we examined (1) perceptions of the association between bone health and their other health conditions, and (2) perceptions of the association between bone health and prescribed medications taken for other health conditions.
We identified fragility fracture patients presenting to a Canadian urban fracture clinic with at least one self-reported chronic health condition (in addition to bone fragility). In-depth interviews, 60-90 min in duration, were conducted. Our qualitative methodology was informed by saliency analysis.
We interviewed 26 patients (21 females, 5 males) aged 45 to 84 years old. Participants were taking 1-13 medications each and presented with a variety of comorbidities (range 1-7). All participants described at least one condition or medication they were currently taking for which there existed evidence of a negative effect on bone health (increased risk of fracture, bone loss, falling). Two participants perceived a correct association between their other health conditions and compromised bone health, and four participants perceived a correct association between their medications and compromised bone health.
All patients reported a chronic health condition and/or were taking at least one medication that potentially compromised their bone health. Patient awareness of the association between bone health and other health conditions and prescribed medications was low. Health care providers should increase patients' awareness of the bone health significance of their chronic conditions and medications in order to minimize the risk of future fracture.
我们研究了脆性骨折患者对骨骼健康与其他慢性疾病和药物之间关联的认知。患者对这些关联的认识程度较低。为了降低未来骨折的风险，医务人员应提高患者对这些关联的认识。
在因脆性骨折就诊且至少存在一种其他慢性健康问题的患者中，我们研究了（1）患者对骨骼健康与其其他健康问题之间关联的认知，以及（2）患者对骨骼健康与用于治疗其他健康问题的处方药物之间关联的认知。
我们确定了在加拿大城市骨折诊所就诊的脆性骨折患者，这些患者除了骨骼脆弱外，还自述存在至少一种慢性健康问题。我们对患者进行了深度访谈，访谈时长为 60-90 分钟。我们的定性方法受到显著性分析的启发。
我们采访了 26 名年龄在 45 至 84 岁之间的患者（21 名女性，5 名男性）。每位患者服用 1-13 种药物，且患有多种合并症（范围为 1-7 种）。所有参与者都描述了至少一种目前正在服用的药物或正在治疗的疾病，这些药物或疾病对骨骼健康有负面影响（骨折风险增加、骨质流失、跌倒）。有两名患者认为他们的其他健康状况与骨骼健康受损之间存在正确的关联，有四名患者认为他们的药物与骨骼健康受损之间存在正确的关联。
所有患者均报告存在慢性健康问题，且至少有一种药物可能会影响骨骼健康。患者对骨骼健康与其他健康状况和处方药物之间关联的认知程度较低。医疗保健提供者应提高患者对其慢性疾病和药物对骨骼健康影响的认识，以降低未来骨折的风险。
