Compliance of osteoporosis patients with additional specific osteoporosis-training course

• Published in: Der Orthopäde Vol. 46; no. 3; pp. 256 - 262
• Main Authors: Tuncel, T, Hasselberg, J, Peters, K M
• Format: Journal Article
• Language: German
• Published: Germany 01.03.2017
• Subjects: Aged; Aged, 80 and over; Bone Density Conservation Agents - therapeutic use; Diphosphonates - therapeutic use; Female; Humans; Male; Medication Adherence - psychology; Medication Adherence - statistics & numerical data; Osteoporotic Fractures - epidemiology; Osteoporotic Fractures - psychology; Osteoporotic Fractures - therapy; Patient Education as Topic - statistics & numerical data; Prevalence; Treatment Outcome; DXA Scan; Followup studies; Rehabilitation; Motivation; Patient adherence
• ISSN: 1433-0431
• DOI: 10.1007/s00132-016-3346-6

In the present study patients with an osteoporotic fracture were examined in order to determine how many patients decided to continue their therapy as outpatients having taken part in osteoporosis training at the Dr. Becker Rhein-Sieg Clinic. Patients who had previously suffered an osteoporotic fracture and thereafter received inpatient rehabilitation were selected for the study. Patients (n = 95) who had taken part in inpatient rehabilitation after an osteoporotic fracture were approached either via telephone or mail and were then followed up after 6 and 12 months with regard to their adherence to the treatment. From a total of 95 patients, after 6 months 82 % (n = 78) were contacted successfully and included in the study. 68 out of 78 patients (72 %) had continued their medication. After 1 year 76 % of patients (n = 72) were successfully contacted once. Here, 62 % of patients (n = 59) had continued their medication under medical supervision. In the 1‑year follow-up period there were eight cases of falls, and one of these resulted in a peripheral fracture, which was treated conservatively. Osteoporosis-specific information and osteoporosis training of patients after osteoporotic fracture are important tools to improve the motivation and compliance of patients. One possibility to realize this is osteoporosis-specific training with video presentations and individual care and education of the patients within outpatient or inpatient rehabilitation.