Quality of life issues in women with vertebral fractures due to osteoporosis.

OBJECTIVE To learn about the physical, emotional, and social limitations experienced by postmenopausal women who have back pain due to vertebral fractures resulting from osteoporosis. METHODS We conducted a cross-sectional survey of female patients with persistent pain due to vertebral fractures. RESULTS Respondents had a mean (+/- SD) bone density of 0.87 +/- 0.13 gm/cm2 and a mean (+/- SD) of 2.84 +/- 2.18 fractures. Disability was identified in pain, movement, activities of daily living, and emotion. There was a poor correlation between quality of life and findings on radiography or densitometry. CONCLUSION To evaluate the effects of osteoporosis on a patient's functional status, direct questioning is required.

[1]  G. Guyatt,et al.  Quality of life in patients with chronic airflow limitation. , 1987, British journal of diseases of the chest.

[2]  M. Roland,et al.  A study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low-back pain. , 1983, Spine.

[3]  S. Cummings,et al.  An examination of the association between vertebral deformities, physical disabilities and psychosocial problems. , 1988, Maturitas.

[4]  C. Christiansen,et al.  Relationship between bone mineral content and frequency of postmenopausal fractures. , 2009, Acta medica Scandinavica.

[5]  Frank M. Andrews,et al.  Social Indicators of Well-Being , 1976 .

[6]  W. Fordyce,et al.  Measuring functional impairment associated with pain: psychometric analysis of an exploratory scoring protocol for activity pattern indicators. , 1984, Archives of physical medicine and rehabilitation.

[7]  R. Ziegler,et al.  A study of complaints and their relation to vertebral destruction in patients with osteoporosis. , 1990, Bone and mineral.

[8]  G. Waddell,et al.  Assessment of Severity in Low‐Back Disorders , 1984, Spine.

[9]  H K Genant,et al.  Contribution of vertebral deformities to chronic back pain and disability , 1992, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[10]  S. H. Kan,et al.  Epidemiology of vertebral fractures in women. , 1989, American journal of epidemiology.

[11]  Timothy W. Smith,et al.  The sickness impact profile: a global measure of disability in chronic low back pain , 1985, Pain.

[12]  E M Backett,et al.  A quantitative approach to perceived health status: a validation study. , 1980, Journal of epidemiology and community health.

[13]  R. Epstein,et al.  Pre-existing fractures and bone mass predict vertebral fracture incidence in women. , 1991, Annals of internal medicine.

[14]  R. Deyo.  Measuring the functional status of patients with low back pain. , 1988, Archives of physical medicine and rehabilitation.

[15]  R. Mazess,et al.  Dual-photon Gd-153 absorptiometry of bone. , 1985, Radiology.

[16]  R. Brook.  Studies of process-outcome correlations in medical care evaluations. , 1979, Medical care.

[17]  J C Fairbank,et al.  The Oswestry low back pain disability questionnaire. , 1980, Physiotherapy.

[18]  H K Genant,et al.  Appendicular bone density and age predict hip fracture in women. The Study of Osteoporotic Fractures Research Group. , 1990, JAMA.

[19]  Harry K. Genant,et al.  Appendicular Bone Density and Age Predict Hip Fracture in Women , 1990 .

[20]  G H Guyatt,et al.  How should we measure function in patients with chronic heart and lung disease? , 1985, Journal of chronic diseases.

[21]  L. Chambers,et al.  The development and application of indices of health: general methods and a summary of results. , 1977, American journal of public health.

[22]  C A Pollard,et al.  The Pain Disability Index: psychometric and validity data. , 1987, Archives of physical medicine and rehabilitation.

[23]  G. Picetti,et al.  Bone mineral in the radius and vertebral osteoporosis in an insured population. A correlative study using 125-I photon absorption and miniature roentgenography. , 1973, The Journal of bone and joint surgery. American volume.

[24]  P. Gertman,et al.  Utilization review in the United States: results from a 1976-1977 national survey of hospitals. , 1979, Medical care.

[25]  M. Bergner,et al.  The Sickness Impact Profile: Development and Final Revision of a Health Status Measure , 1981, Medical care.

[26]  K. H. Nilsen,et al.  Assessment of the Progress of the Back-Pain Patient , 1982, Spine.

[27]  H. Genant,et al.  Long-term estrogen replacement therapy prevents bone loss and fractures. , 1985, Annals of internal medicine.

[28]  E. Wagner,et al.  The Duke-UNC Health Profile: An Adult Health Status Instrument for Primary Care , 1981, Medical care.

[29]  J. F. Dirks,et al.  Symptoms and experiences in chronic bronchitis and emphysema. , 1983, Chest.

[30]  J. Evans,et al.  The Development of a Functional Rating Scale to Measure the Treatment Outcome of Chronic Spinal Patients , 1986, Spine.