Chen Bo, Chen Liying, Yu Zhenwei, Sun Yanting, Wang Yuzhen, Wang Chen, Wang Siqi, Hu Yan, Kan Lian-Di, Li Liu-Cheng
Department of Pharmacy, Sir Run Run show Hospital, Zhejiang University, Hangzhou, Zhejiang Province, China.
Department of Nursing, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang University, Hangzhou, China.
PeerJ. 2025 Mar 28;13:e19187. doi: 10.7717/peerj.19187. eCollection 2025.
This study aimed to assess the national trends in osteoporosis prescriptions among Chinese adult outpatients aged less than 50 years with osteoporosis, from 2016 to 2019.
Prescriptions for adult outpatients with osteoporosis from hospitals in nine major areas were extracted from the database of the Hospitals Prescription Analysis Cooperative Project. Trends in the annual prescriptions and expenditure of osteoporosis were analyzed.
The number of osteoporosis hospital visits showed an increasing trend year by year from 18,412 in 2016 to 23,447 in 2019 ( = 0.029), and the corresponding cost increased from 2,083,872.94 Chinese yuan (CNY) to 2,643,508.59 CNY in 2019 ( = 0.032). The result showed that the share of newer osteoporotic use of medicines increased continuously, accounting for 34.3% of prescriptions and 26.8% of expenditures in 2019. The study found that in osteoporosis hospital visits under 50 years of age, the use of medicine increased year by year. However, bone resorption inhibitors and bone formation promoters in this group did not change significantly, accounting for only small proportion.
The development of osteoporosis prescription in this study reflected the current situation of research in China. Meanwhile, in this study, we also investigated the epidemiology of osteoporosis in China in patients under 50 years of age, for whom the incidence of osteoporosis showed an increasing trend, which reminded us to accelerate the prevention of osteoporosis.
本研究旨在评估2016年至2019年中国50岁以下骨质疏松症成年门诊患者骨质疏松症处方的全国趋势。
从医院处方分析合作项目数据库中提取九个主要地区医院成年骨质疏松症门诊患者的处方。分析骨质疏松症年度处方和支出的趋势。
骨质疏松症医院就诊人数呈逐年上升趋势,从2016年的18412例增至2019年的23447例( = 0.029),相应费用从2083872.94元人民币增至2019年的2643508.59元人民币( = 0.032)。结果显示,新型骨质疏松症药物的使用份额持续增加,2019年占处方的34.3%和支出的26.8%。研究发现,在50岁以下的骨质疏松症医院就诊患者中,药物使用逐年增加。然而,该组中的骨吸收抑制剂和骨形成促进剂变化不显著,仅占很小比例。
本研究中骨质疏松症处方的发展反映了中国目前的研究现状。同时,在本研究中,我们还调查了中国50岁以下骨质疏松症患者的流行病学情况,该人群骨质疏松症发病率呈上升趋势,这提醒我们要加快骨质疏松症的预防工作。