A Nationwide Survey on the Management of Glucocorticoid-induced Osteoporosis at Kosei Hospitals

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  • 全国厚生連病院を対象としたステロイド性骨粗鬆症の管理に関する調査
  • ゼンコク コウセイレン ビョウイン オ タイショウ ト シタ ステロイドセイ コツソショウショウ ノ カンリ ニ カンスル チョウサ

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Abstract

The predicted rate of compliance with the Guidelines on the Management and Treatment of Glucocorticoid-induced Osteoporosis is around 20%. The notion that the occupational abilities of pharmacists could be useful in management and treatment of this iatrogenic disease led to a nationwide questionnaire survey of 102 Kosei Hospitals on the treatment of glucocorticoidinduced osteoporosis. In total, 67 hospitals responded (response rate, 65.7%). Analysis revealed that hospital pharmacies did not have a clear view on managing patients with a history of longterm steroid prescription. However, pharmacists had made proposed changes to prescriptions for preventing glucocorticoid-induced osteoporosis in approximately 30% of hospitals, and such proposals were usually acceptable to doctors. Also, 70% of chief pharmacists believed that pharmacists can play important roles in raising the rate of compliance with the guidelines.

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