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2013, Number 3

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Acta Med 2013; 11 (3)

Quality of life analysis at 12 months in patients with osteoporotic fracture in a private hospital in Mexico

Alvarado CA, Hernández NR, Ríos LA, Chico BG
Full text How to cite this article

Language: Spanish
References: 11
Page: 127-131
PDF size: 123.11 Kb.


Key words:

Quality of life, fragility fractures, osteoporosis.

ABSTRACT

Objectives: To assess health-related quality of life (HRQoL) at 12 months of patients with fragility fractures (FF) in a private hospital in Mexico. Material and methods: We included patients over 50 years with FF, both sexes, from Mocel Angeles Hospital. Quality of life was assessed using the EuroQoL (EQ-5D) and visual analogue scale (VAS) at four times: before fracture (stage 0), immediately after the fracture (phase 1), 4 months (phase 2) and 12 months after fracture (phase 3). Results: Twenty-six subjects were included, 73.3% were women, mean age 73 (± 15.7) years and the most common fracture was wrist (30%). Comparing HRQoL in phase 0 to phase 1 and phase 1 to phase 2, statistically significant differences were observed in both instruments (p ‹ 0.05). There are no differences when comparing phase 2 to phase 3 in any of the two instruments. Conclusions: fragility fractures affect HRQoL immediately after the fracture, and then increases at 4 and 12 months, but does not recover the HRQoL prior to fracture. National programs regarding osteoporosis prevention are needed because population over 50 years will increase in the coming years


REFERENCES

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  2. Grupo de trabajo de la Guía de Práctica Clínica sobre Osteoporosis y Prevención de Fracturas por Fragilidad. Guía de Práctica Clínica sobre Osteoporosis y Prevención de Fracturas por Fragilidad. Plan de Calidad para el Sistema Nacional de Salud del Ministerio de Sanidad, Política Social e Igualdad. Agència d’Informació, Avaluació i Qualitat en Salut (AIAQS) de Cataluña; 2010. Guías de Práctica Clínica en el SNS: AATRM No 2007/02.

  3. Clark P, Ragi S, Haddock L et al. Prevalence of vertebral fracture in Brazil, Puerto Rico and Mexico. Preliminary report of the Latin American vertebral osteoporosis study. J Bone & Miner Res. 2004; 19(Suppl 1): S87.

  4. Clark P, Lavielle P, Franco-Marina F, Ramírez E et al. Incidence rates and life-time risk of hip fractures in Mexicans over 50 years of age: a population-based study. Osteoporos Int. 2005; 16 (12): 2025-2030.

  5. INEGI (Instituto Nacional de Estadística Geografía e Informática).

  6. Office of the Surgeon General (US). Bone health and osteoporosis: a report of the surgeon General. In: Rockville (MD). Office of the Surgeon General; 2004.

  7. Cooper C, Campion G, Melton LJ. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992; 2: 285-289.

  8. Peasgood K, Herrmann JA, Kanis JE, Brazier et al. An updated systematic review of Health State Utility Values for osteoporosis related conditions. Osteoporos Int. 2009; 20: 853-868.

  9. Borgström F, Zethraeus N, Johnell O, Lidgren L et al. Costs and quality of life associated with osteoporosis-related fractures in Sweden. Osteoporos Int. 2006; 17(5): 637-650.

  10. Chico-Barba G, Carlos F, Hazan E, Cisneros F y col. Calidad de vida de pacientes con fracturas por osteoporosis en México. Rev Metab Oseo y Min. 2011; 9(5): 145-148.

  11. Brooks R. Euroqol: The current state of play. Health Policy. 1996; 37(1): 53-72.




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Acta Med. 2013;11