Abstract

MONCAYO-BRAVO, Susan D  and  LOPEZ-GUTIERREZ, José J. Pharmacological evaluation of osteoporosis and osteopenia treatment in an institution under the special health system in Bogotá. Rev. salud pública [online]. 2015, vol.17, n.4, pp.565-577. ISSN 0124-0064.  https://doi.org/10.15446/rsap.v17n4.38450.

Objetive To evaluate habits related to the prescription of drugs used in the treatment of osteoporosis and osteopenia in a health institution in Bogota as compared to two international clinical practice guidelines. Methodology An observation and cross-sectional study with retrospective data collection. It is a study of drug-prescribing habits. Information was taken from 331 patients treated with bisphosphonates, calcium salts, strontium ranelate and teriparatide. The prescription habits were assessed by way of a comparison with the NOF clinician's guide for the prevention and treatment of osteoporosis and the National Institute for Health and Clinical Excellence (NICE) guidelines. Results 89 % of the population were women with an average age of 67 years. The dose and frequency of the administration of drugs was in accordance with established guidelines. 32.2 % of patients were treated with bisphosphonates for over 3 years, 94.2% were treated with primary prevention, and 89.6 % had been treated without any osteoporosis diagnosis by DMO. Compared to the NOF guide, 67.3 % of the patients were treated unnecessarily. Conclusions The drug prescription habits used in the treatment of the osteoporosis do not follow the guidelines, showing non-adequate use, especially of bisphosphonates.

Keywords : Osteoporosis; diphosphonates; pharmacoepidemiology.

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