Russo Marina, Liu Christina, Liu Yuchen, Mahar Sarah, Rozental Tamara D, Harper Carl M
Albany Medical College, Albany, NY.
Department of Orthopedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA.
J Hand Surg Am. 2024 Jan;49(1):1-7. doi: 10.1016/j.jhsa.2023.07.006. Epub 2023 Aug 7.
Current estimates suggest that 1-2 million men in the United States have osteoporosis, yet the majority of osteoporosis literature focuses on postmenopausal women. Our aim was to understand men's awareness and knowledge of osteoporosis and its treatment.
Semistructured interviews were conducted with 20 male patients >50 years old who sustained a low-energy distal radius fracture. The goal was to ascertain patients' knowledge of osteoporosis, its management, and experience discussing osteoporosis with their primary care physicians (PCP).
Participants had little knowledge of osteoporosis or its treatment. Many participants regarded osteoporosis as a women's disease. Most participants expressed concern regarding receiving a diagnosis of osteoporosis. Several patients stated that they believe osteoporosis may have contributed to their fracture. Families, friends, or mass media served as the primary information source for participants, but few had good self-reported understanding of the disease itself. The majority of participants reported never having discussed osteoporosis with their PCPs although almost half had received a dual x-ray absorptiometry scan. Participants expressed general interest in being tested/screened and generally were willing to undergo treatment despite the perception that medication has serious side effects. One patient expressed concern that treatment side effects could be worse than having osteoporosis.
Critical knowledge gaps exist regarding osteoporosis diagnosis and treatment in at-risk male patients. Specifically, most patients were unaware they could be osteoporotic because of the perception of osteoporosis as a women's disease. Most patients had never discussed osteoporosis with their PCP.
Male patients remain relatively unaware of osteoporosis as a disease entity. Opportunity exists for prevention of future fragility fractures by improving communication between patients and physicians regarding osteoporosis screening in men following low-energy distal radius fractures.
目前的估计表明，美国有100万至200万男性患有骨质疏松症，但大多数骨质疏松症文献都聚焦于绝经后女性。我们的目的是了解男性对骨质疏松症及其治疗的认识和了解程度。
对20名年龄超过50岁且发生低能量桡骨远端骨折的男性患者进行了半结构化访谈。目的是确定患者对骨质疏松症、其管理以及与初级保健医生（PCP）讨论骨质疏松症的经历的了解情况。
参与者对骨质疏松症及其治疗知之甚少。许多参与者将骨质疏松症视为一种女性疾病。大多数参与者对被诊断为骨质疏松症表示担忧。几名患者表示，他们认为骨质疏松症可能是导致其骨折的原因。家人、朋友或大众媒体是参与者的主要信息来源，但很少有人自称对该疾病本身有很好的了解。大多数参与者报告从未与他们的初级保健医生讨论过骨质疏松症，尽管几乎一半的人接受过双能X线吸收测定扫描。参与者对接受检测/筛查普遍感兴趣，并且尽管认为药物有严重副作用，但总体上愿意接受治疗。一名患者担心治疗副作用可能比患有骨质疏松症更糟糕。
高危男性患者在骨质疏松症诊断和治疗方面存在重大知识空白。具体而言，大多数患者没有意识到他们可能患有骨质疏松症，因为他们认为骨质疏松症是一种女性疾病。大多数患者从未与他们的初级保健医生讨论过骨质疏松症。
男性患者对骨质疏松症作为一种疾病实体仍然相对缺乏认识。通过改善患者与医生之间关于男性低能量桡骨远端骨折后骨质疏松症筛查的沟通，存在预防未来脆性骨折的机会。
