Медицинский совет (May 2021)
Qualification in the field of osteoporosis treatment in doctors working in the field of physical and rehabilitation medicine
Abstract
Introduction. The special rehabilitation programs are often required for patients with osteoporosis (OP). So physicians working in the field of physical and rehabilitation medicine should be well-versed in this problem.Aims. To study the awareness of doctors of rehabilitation medicine in the field of diagnosis and treatment of osteoporosis and their activity in providing medical care to patients with OP.Materials and methods. A questionnaire survey of 157 doctors (M-34, F-123) of 8 medical specialties working in 27 specialized medical institutions on the profile of “medical rehabilitation” was carried out. The questionnaire for doctors consisted of 21 items of special questions.Results and discussion. In the sample of rehabilitation doctors, 90.45% of the interviewed doctors believed that the problem of OP is relevant for their clinical activities, 100% of the respondents indicated that the presence of OP significantly affects the rehabilitation prognosis and 95.54% - on the degree of effectiveness of medical rehabilitation. According to the respondents, patients with OP make up on average 30.0% [20.0; 50.0] (0-90) of the total flow of patients. Endocrinologists (all surveyed doctors - 100%), obstetricians - gynecologists (66.67%) and therapists (60%) are mainly involved in the treatment of OP. Most often, specialists from rehabilitation institutions recommend zoledronic acid (23.57% of doctors indicated in this aspect), preparations of vitamin D (23.57%) and calcium (14.65%), various methods of physical therapy (14.65%) and parenteral form of ibandronic acid (12.74%).Conclusions. The presence of OP significantly affects the rehabilitation prognosis and the effectiveness of medical rehabilitation. 23.57% of specialists in the field of rehabilitation medicine prescribe treatment for OP to patients, giving preference to parenteral bisphosphonates, vitamin D, calcium and physical exercises.
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