Argesanu Roxana Diana, Armean Petru, Georgescu Daniela, Mogos Iustina Cosmina, Brinduse Lacramioara Aurelia, Bratu Eugenia Claudia, Cucu Alexandra Maria
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
"Roma" Medical Center for Diagnosis and Treatment, Bucharest, Romania.
Maedica (Bucur). 2022 Jun;17(2):253-258. doi: 10.26574/maedica.2022.17.2.253.
This study compares the utilization of osteoporosis and osteoporosis complication healthcare services before and during the COVID-19 pandemic in Romania. The descriptive nationwide population study has used secondary data collected from the national health information system. We have calculated and compared the procedures performed for osteoporosis diagnosis and screening, standardized incidence and hospitalization rate for osteoporosis and osteoporosis fractures before and during the COVID-19 pandemic. A 37.84% reduction in the number of DXA scans performed in 2020 have been observed, decreasing from 30,698 in 2019 to 12,064 in 2020. The standardized incidence for osteoporosis was 212.97 cases/100.000 person-years in 2018, 234 cases/100,000 person-years in 2019, and 185.97 cases/100,000 person-years in 2020. The hospitalization rates for osteoporosis have decreased by 68% compared with 2019 and the continuous hospitalization rate for osteoporotic fracture by 48% compared with 2019. The COVID-19 pandemic affected the utilization of healthcare services for osteoporosis management, posing a threat due to a magnified effect on osteoporotic fracture burden. More efforts are further needed to progress and re-engage with osteoporotic fracture prevention in our country and to develop and shape an optimal implementation of prevention and management strategies for all level of health care in Romania.
本研究比较了罗马尼亚在2019年冠状病毒病（COVID-19）大流行之前和期间骨质疏松症及骨质疏松症并发症医疗服务的利用情况。这项描述性的全国性人群研究使用了从国家卫生信息系统收集的二手数据。我们计算并比较了COVID-19大流行之前和期间进行的骨质疏松症诊断和筛查程序、骨质疏松症及骨质疏松性骨折的标准化发病率和住院率。观察到2020年进行的双能X线吸收测定（DXA）扫描数量减少了37.84%，从2019年的30,698例降至2020年的12,064例。2018年骨质疏松症的标准化发病率为212.97例/100,000人年，2019年为234例/100,000人年，2020年为185.97例/100,000人年。与2019年相比，骨质疏松症的住院率下降了68%，骨质疏松性骨折的持续住院率下降了48%。COVID-19大流行影响了骨质疏松症管理医疗服务的利用，由于对骨质疏松性骨折负担的放大效应而构成威胁。我国需要进一步做出更多努力，以推进并重新参与骨质疏松性骨折的预防工作，并为罗马尼亚各级医疗保健制定和形成预防与管理策略的最佳实施方案。
