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Corticosteroid-induced osteoporosis prevention: longitudinal practice patterns in The Netherlands 2001-2005

Duyvendak, M, Naunton, M, Atthobari, J, van den Berg, PB and Brouwers, JRBJ (2007). Corticosteroid-induced osteoporosis prevention: longitudinal practice patterns in The Netherlands 2001-2005. Osteoporosis International,18(10):1429-1433.

Document type: Journal Article
Citation counts: Scopus Citation Count Cited 13 times in Scopus Article | Citations

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Title Corticosteroid-induced osteoporosis prevention: longitudinal practice patterns in The Netherlands 2001-2005
Author Duyvendak, M
Naunton, M
Atthobari, J
van den Berg, PB
Brouwers, JRBJ
Journal Name Osteoporosis International
Publication Date 2007
Volume Number 18
Issue Number 10
ISSN 1433-2965   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-34548592249
Start Page 1429
End Page 1433
Total Pages 5
Place of Publication UK
Publisher Springer Publishing Company
Field of Research 1103 - Clinical Sciences
HERDC Category C1 - Journal Article (DEST)
Abstract We investigated prevention trends and predictors for osteoporosis prevention in long term corticosteroid users. The use of bisphosphonates increased from 2001 to 2005. Longer duration of corticosteroid use and DMARD use were predictors for receiving prevention. Females appear reasonably well treated; however, men require more attention. Previous studies have shown that long-term corticosteroid users are undertreated for osteoporosis prevention. Our aim was to identify prevention trends in long-term corticosteroid users from 2001-2005 in The Netherlands and to identify predictors for bisphosphonate prophylaxis. Pharmacy dispensing data were used from 9 community pharmacies. All oral corticosteroid doses were converted to “prednisolone equivalents”. We then identified long-term (≥90 days) corticosteroid episodes, which required bisphosphonate prophylaxis as per 2002 Dutch guidelines; Multivariate logistic regression was used to identify predictors for receiving prevention. We identified 615 different corticosteroid patients requiring prophylaxis. From 2001-2005 the use of bisphosphonates increased from 38% to 54% (p = 0.001). In 2005 females were prescribed more bisphosphonates than males (61% vs. 39%; p = 0.002), or any treatment (72% vs. 45%; p 
DOI http://dx.doi.org/10.1007/s00198-007-0345-9   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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