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- Title
Visualisation of the unmet treatment need of osteoporotic fracture in Taiwan: A nationwide cohort study.
- Authors
Wang, Chen‐Yu; Fu, Shau‐Huai; Huang, Chuan‐Ching; Hung, Chih‐Chien; Yang, Rong‐Sen; Hsiao, Fei‐Yuan; Wang, Chen-Yu; Fu, Shau-Huai; Huang, Chuan-Ching; Hung, Chih-Chien; Yang, Rong-Sen; Hsiao, Fei-Yuan
- Abstract
<bold>Aims: </bold>Recent clinical guidelines have suggested that patients experience an osteoporotic fracture should initiate anti-osteoporosis medications (AOMs). However, whether clinical guidelines translate well in "real-world" practices remain questioned. This study aimed to evaluate the "real-world" prescription pattern of AOMs and visualise the unmet treatment needs in different geographical areas in Taiwan.<bold>Methods: </bold>Using Taiwan's National Health Insurance Research Database, we identified patients diagnosed with a hip or vertebral fracture between 2009 and 2012. The treatment rate was defined as the proportion of patients receiving AOMs within 1 year after their index fracture. The qualitative geographical information systems approach was adopted to visualise the treatment needs of postfracture patients in different geographical areas.<bold>Results: </bold>Our study included 276,492 patients diagnosed with a hip or vertebral fracture between 2009 and 2012. The proportion of patients who received AOMs within 1 year after their index fracture increased with age and differed with fracture types and sex. For patients with hip fractures, the treatment rate ranged from 3.43% to 20.88% for female patients and from 0.69% to 10.04% for male patients in different age groups. For patients with vertebral fractures, the treatment rate ranged from 3.23% to 37.08% for female patients and from 1.85% to 23.05% for male patients. Cities in the mid-northern and southern areas of Taiwan had the highest unmet treatment need, with a treatment rate of less than 15%.<bold>Conclusion: </bold>The treatment rate of osteoporotic fractures with AOMs was diverse and suboptimal in Taiwan, especially among male patients. This study used a visualisation technique to display information about the treatment status in different geographical areas and help policymakers allocate resource appropriately.
- Subjects
TAIWAN; BONE fracture prevention; DIPHOSPHONATES; DISEASE relapse prevention; AGE distribution; DATABASES; BONE fractures; GEOGRAPHIC information systems; HIP joint injuries; MEDICAL needs assessment; NATIONAL health services; NEEDS assessment; OSTEOPOROSIS; RESEARCH funding; SEX distribution; SPINAL injuries; STATISTICS; RETROSPECTIVE studies; DISEASE complications; PREVENTION
- Publication
International Journal of Clinical Practice, 2018, Vol 72, Issue 10, p1
- ISSN
1368-5031
- Publication type
journal article
- DOI
10.1111/ijcp.13246