류마티스 관절염 환자에게 스테로이드 유발성 골다공증의 관리 상태에 대한 분석 = Analysis on Management Status of Glucocortiecoid Induced Osteoporosis in Patient with Rheumatoid Arthritis

다국어 초록 (Multilingual Abstract)

Objectives : To examine the management status of patients with rheumatoid arthritis (RA) taking glucocorticoids treated at a tertiary hospital rheumatology Practice.
Methods : A retrospective chart review was performed on 114 RA patients who were noted to be taking glucocorticoids during the period of 2000.7 to 2003.7, and who had been followed up for at least one year period. Use of bone densitometry and use of prescription medication for osteoporosis management were assessed.
Results : Thirty one % of patients underwent bone densitometry, and 34% of patients received prescription medication for osteoporosis management. Sixty-six percent of patents who underwent bone densitometry showed osteoporosis with T score of less than 2.5, Osteoporosis medication was prescribed most often in the prednisolone exposure group of at least 7.5㎎/d for at least 6 months. Factors associated with not receiving management for osteoporosis included male sex, young age, and premenopausal woman.
Conclusion : The use of bone densitometry and prescription medication for osteoporosis were suboptimal. Interventions to improve detection and prevention of glucocorticoid induced osteoporosis are necessary.

목차 (Table of Contents)

• Abstract
• 서론
• 대상 및 방법
• 1. 대상 환자
• 2. 연구 방법
• 결과
• 1. 환자의 임상적 특징
• 2. 스테로이드 투여량
• 3. 스테로이드 유발성 골다공증의 관리
• 4. 스테로이드 유발 골다공증 관리를 받지 않은 환자의 특성 분석
• 고찰
• 결론
• References