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Racial Disparities and Inequalities in the Management of Patients With Osteoporosis
被引:7
|作者:
Lewiecki, E. Michael
[1
]
Erb, Sarah F.
[2
]
机构:
[1] New Mexico Clin Res & Osteoporosis Ctr, 300 Oak St NE, Albuquerque, NM 87106 USA
[2] Univ New Mexico, Hlth Sci Ctr, Albuquerque, NM 87131 USA
关键词:
FRACTURE RISK-ASSESSMENT;
BONE-MINERAL DENSITY;
POSTMENOPAUSAL WOMEN;
PRACTICE GUIDELINES;
UNEQUAL TREATMENT;
OLDER WOMEN;
HEALTH;
PREVENTION;
CARE;
RACE/ETHNICITY;
D O I:
10.1097/NOR.0000000000000832
中图分类号:
R47 [护理学];
学科分类号:
1011 ;
摘要:
Osteoporosis is a skeletal disease characterized by low bone density and poor bone quality that weakens bones and increases the risk of fractures. Serious consequences of fractures include disability, loss of independence, and death. Despite the availability of clinical tools to evaluate fracture risk and medications to reduce fracture risk, many or most patients at risk, even those with a recent fracture, are not being treated. This represents a large osteoporosis treatment gap that has reached a crisis level. Importantly, the treatment gap is not evenly distributed among populations of different race/ethnicity. Black women are less likely to have bone density testing when indicated, are less likely to be treated, and have worse outcomes after a fracture than White women. This is a review and update of race-based disparities and inequalities, with suggestions for interventions to optimize patient care.
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页码:125 / 134
页数:10
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