caa a22 4500 445295171 CHVBK 20180317142539.0 cr unu---uuuuu 170323e20101201xx s 000 0 eng 10.1007/s11657-010-0049-1 doi (NATIONALLICENCE)springer-10.1007/s11657-010-0049-1 The gaps between patient and physician understanding of the emotional and physical impact of osteoporosis [Elektronische Daten] [René Rizzoli, Maria Brandi, Karsten Dreinhöfer, Thierry Thomas, Denys Wahl, Cyrus Cooper] Summary : A multinational survey was conducted to evaluate the gaps between patients and physicians understanding of osteoporosis. The International Osteoporosis Foundation recommends the creation of community-wide patient support programmes to increase prevention and treatment awareness of osteoporosis. Introduction: Osteoporosis is often undiagnosed and untreated, leaving millions of people at risk of debilitating fractures. A survey was designed to investigate any gaps that may exist between physician and patient knowledge of osteoporosis, understand barriers to patient adherence and identify ways to address unmet needs and improve communications. Methods: Telephone interviews were conducted with patients (n = 844) and physicians (n = 837) in 13 countries in June/July 2009. Patients were women with postmenopausal osteoporosis currently taking (or in the past 2years) prescribed medication. Physicians had experience in treating osteoporotic patients, which included only general practitioners who saw ≥10 (exception: in Hungary ≥5) and specialists who saw ≥20 patients with osteoporosis per month. Results: Physicians consistently underestimated their patients' adherence to treatment and beliefs on the impact of osteoporosis on their quality-of-life. Physicians underestimated how many patients worry about breaking a bone (51% vs 79%), as well as patient concerns about declines in activity levels (40% vs 70%), becoming dependent on others (30% vs 60%) and not being able to work for longer (30% vs 57%). Patients believed the most credible osteoporosis information was from specialists (94%). Patients (75%) would like easy to understand materials and 49% would welcome inter-patient discussions of their condition. Most physicians (88%) believed that osteoporosis organisations are among the most credible sources for information, 80% would give patients written materials to increase adherence and 76% would recommend patient programmes that encourage better communication on managing osteoporosis. Conclusion: Community-wide patient support programmes may help patients to manage their concerns and address unmet needs in osteoporosis management. International Osteoporosis Foundation and National Osteoporosis Foundation, 2010 Osteoporosis nationallicence Survey nationallicence Patients and physicians nationallicence Support programmes nationallicence Disease management nationallicence Rizzoli René Division of Bone Diseases, Department of Rehabilitation and Geriatrics, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland aut Brandi Maria Department of Internal Medicine, University of Florence, Florence, Italy aut Dreinhöfer Karsten Center for Sport Science and Sport Medicine (CSSB) and Center for Musculoskeletal Surgery (CMSC), Charité Universitätsmedizin Berlin, Berlin, Germany aut Thomas Thierry Service de Rhumatologie, INSERM U890, CHU de St-Etienne, St-Etienne, France aut Wahl Denys International Osteoporosis Foundation, Nyon, Switzerland aut Cooper Cyrus MRC Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK aut Archives of Osteoporosis Springer-Verlag 5/1-2(2010-12-01), 145-153 1862-3522 5:1-2<145 2010 5 11657 https://doi.org/10.1007/s11657-010-0049-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11657-010-0049-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rizzoli René Division of Bone Diseases, Department of Rehabilitation and Geriatrics, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland aut NATIONALLICENCE 700 1- Brandi Maria Department of Internal Medicine, University of Florence, Florence, Italy aut NATIONALLICENCE 700 1- Dreinhöfer Karsten Center for Sport Science and Sport Medicine (CSSB) and Center for Musculoskeletal Surgery (CMSC), Charité Universitätsmedizin Berlin, Berlin, Germany aut NATIONALLICENCE 700 1- Thomas Thierry Service de Rhumatologie, INSERM U890, CHU de St-Etienne, St-Etienne, France aut NATIONALLICENCE 700 1- Wahl Denys International Osteoporosis Foundation, Nyon, Switzerland aut NATIONALLICENCE 700 1- Cooper Cyrus MRC Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK aut NATIONALLICENCE 773 0- Archives of Osteoporosis Springer-Verlag 5/1-2(2010-12-01), 145-153 1862-3522 5:1-2<145 2010 5 11657 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer