caa a22 4500 605463514 CHVBK 20210128100253.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00774-014-0621-7 doi (NATIONALLICENCE)springer-10.1007/s00774-014-0621-7 Medical specialty-related adherence to anti-osteoporotic regimens in fragility hip fracture patients [Elektronische Daten] [Chung-Yuan Hsu, Wen-Chan Chiu, Jia-Feng Chen, Ching-Lan Chou, Yu-Jih Su, Shan-Fu Yu, Tien-Tsai Cheng] There is poor adherence in the management of osteoporotic fractures. We designed a study to investigate adherence to osteoporotic regimens among osteoporotic hip fracture patients and to analyze the risk factors associated with poor compliance. This retrospective chart-review study was carried out using a database of osteoporotic hip fracture patients at a medical center in Taiwan for the period 2001-2007. Adherence was assessed using compliance and persistence. Compliance was calculated by the medication possession ratio (MPR) and persistence by the time from treatment initiation to discontinuation. The MPR and corresponding risk factors for poor compliance (MPR<80%) were evaluated for year 1. The year 2 results were analyzed only for those subjects with good compliance (MPR≥80%) at the end of year 1. There were 366 osteoporotic hip fracture patients (323 women, 43 men) with a mean age of 73.9±7.6years. Of these, 53.8% had good compliance for year 1 and 68.5% for year 2. During 2years of follow-up, the overall persistence ratio was 33.1%. The risk factor associated with poor compliance in the first year was index prescription by orthopedists [odds ratio (OR) 1.69, 95% confidence interval (CI) 1.10-2.59]. Subjects with hypertension (OR 0.69, 95% CI 0.46-0.99) had good compliance. Index prescription by orthopedists (OR 2.44, 95% CI 1.31-4.51) was the sole risk factor for poor compliance in year 2. In conclusion, although adherence to osteoporotic regimens was sub-optimal in hip fracture patients, the majority of patients' decreased adherence occurred within the first year. Medical specialties showed different adherences in both year 1 and year 2. The Japanese Society for Bone and Mineral Research and Springer Japan, 2014 Hip fracture nationallicence Adherence nationallicence Specialty nationallicence Hsu Chung-Yuan Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut Chiu Wen-Chan Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut Chen Jia-Feng Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut Chou Ching-Lan Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut Su Yu-Jih Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut Yu Shan-Fu Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut Cheng Tien-Tsai Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut Journal of Bone and Mineral Metabolism Springer Japan 33/5(2015-09-01), 577-583 0914-8779 33:5<577 2015 33 774 https://doi.org/10.1007/s00774-014-0621-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00774-014-0621-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hsu Chung-Yuan Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut NATIONALLICENCE 700 1- Chiu Wen-Chan Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut NATIONALLICENCE 700 1- Chen Jia-Feng Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut NATIONALLICENCE 700 1- Chou Ching-Lan Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut NATIONALLICENCE 700 1- Su Yu-Jih Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut NATIONALLICENCE 700 1- Yu Shan-Fu Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut NATIONALLICENCE 700 1- Cheng Tien-Tsai Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 123 Ta-Pei Road, 833, Kaohsiung, Taiwan, China aut NATIONALLICENCE 773 0- Journal of Bone and Mineral Metabolism Springer Japan 33/5(2015-09-01), 577-583 0914-8779 33:5<577 2015 33 774