Decision to take osteoporosis medication in patients who have had a fracture and are 'high' risk for future fracture: A qualitative study
2011

Deciding to Take Osteoporosis Medication After a Fracture

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): Joanna EM Sale, Monique A Gignac, Gillian Hawker, Lucy Frankel, Dorcas Beaton, Earl Bogoch, Victoria Elliot-Gibson

Primary Institution: Li Ka Shing Knowledge Institute, St. Michael's, Toronto, Ontario, Canada

Hypothesis

What factors influence the decision-making process for patients prescribed osteoporosis medication after a fracture?

Conclusion

Many older patients find the decision to take osteoporosis medication challenging and often reconsider their choices over time.

Supporting Evidence

  • Patients' values and preferences are often overlooked in osteoporosis treatment decisions.
  • Many patients reported that their decision to take medication was influenced by their trust in their healthcare provider.
  • Almost half of the participants found the decision to take medication difficult and not permanent.

Takeaway

When older people break a bone, deciding whether to take medicine to help their bones can be really hard, and they might change their minds later.

Methodology

A phenomenological qualitative study with semi-structured interviews of patients aged 65+ who had sustained a fragility fracture.

Potential Biases

Potential bias due to reliance on patient self-reporting and lack of corroborating information from healthcare providers.

Limitations

The study relied on self-reported data and did not track patients' decision-making over time.

Participant Demographics

Participants were aged 65-88, with 6 males and 15 females, all having low bone mass.

Digital Object Identifier (DOI)

10.1186/1471-2474-12-92

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