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정형외과 외래 진료에서 골다공증 진단 및 치료지침의 진료양상 및 국내 치료지침의 문제점

Other Titles
 Practice Patterns on Osteoporosis Screening and Treatment at Orthopaedic Surgery Outpatient Unit and the Issue on Different Osteoporosis Treatment Guidelines in Korea 
Authors
 정준영  ;  이환모  ;  김호중  ;  김학선  ;  문은수  ;  정현수  ;  이유미  ;  문성환 
Citation
 Korean Journal of Bone Metabolism (대한골대사학회지), Vol.15(1) : 49-57, 2008 
Journal Title
 Korean Journal of Bone Metabolism (대한골대사학회지) 
Issue Date
2008
Keywords
Osteoporosis ; Osteoporotic fractures ; Osteoporosis screening ; Osteoporosis treatment guidelines
Abstract
Background: We planned to present the percentage of patients neglected and deprived of a chance to be treated for osteoporosis by comparing the treatment guidelines and also analyze how well the screening and treatment guidelines were kept by the clinicians in orthopedic surgery outpatient unit. Methods: A cross sectional study was done to patients who visited orthopaedic surgery outpatient clinic from January 1, 2007 to February 28. Data on patients’ age, sex, comorbidities, past medical history, presence and location of previous fractures, whether osteoporosis screening was done using DXA, T-score, osteoporosis medications were collected. Results: The study population consisted of 6301 patients (males 2513, females 3788). 16.2~23.6% of patients who were indicated for osteoporosis treatment could not benefit from the public health insurance, and when T-score for the treatment indication by Korean Health Insurance Review Agency was raised from -3.0 to -2.5, the percentage of patients in the intermediate group was decreased to less than 10%. Among patients who were indicated for osteoporosis screening, only 44.5% actually received DXA, and among patients indicated for osteoporosis treatment, only 67.0% were taking medications. In addition, in females than males, and when the attending doctor was subspecialized in osteoporosis, the osteoporosis screening and treatment rates were significantly higher. Conclusion: More attention and strenuous effort on osteoporosis should be endowed with by orthopaedic surgeons in order to modify the propensity to underdiagnose and undertreat osteoporosis.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Kim, Ho Joong(김호중)
Moon, Seong Hwan(문성환)
Moon, Eun Su(문은수)
Rhee, Yumie(이유미) ORCID logo https://orcid.org/0000-0003-4227-5638
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106324
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