Men’s experiences of having osteoporosis vertebral fractures: a qualitative study using interpretative phenomenological analyses

The findings indicate that men and women are treated differently in the NHS and that inequalities of care exist

C. J. Minns Lowe

2019

Scholarcy highlights

  • Vertebral fractures are the most common form of osteoporotic fractures and have been estimated to affect at least 20% of the older population, with incidence and prevalence increasing steadily with age
  • The PROVE trial evaluated the clinical and cost-effectiveness of two different physiotherapy programmes for people with osteoporotic vertebral fracture compared to one education session in the UK
  • Before the main trial started a qualitative systematic review of patients’ experience of living with osteoporosis was undertaken that identified a lack of research exploring the experience of osteoporosis from the male perspective
  • Participants: Men were eligible to participate in the PROVE trial if they were aged 18 or over and had a diagnosis of primary osteoporosis confirmed by radiograph or dual energy X-ray absorptiometry scan at the lowest lumbar level and at least one previous vertebral fracture due to osteoporosis
  • Approaching and recruitment of participants: Potential participants were identified by the PROVE trial co-coordinator and posted invitations to participate in the qualitative study
  • The second theme concerns how diagnosis and treatment were experienced by men in this study and the third theme explores the changes in self that can occur after vertebral fracture/s due to osteoporosis
  • Approaches to diagnosis and treatment need to be considered and improved to ensure they become appropriate and effective for men as well as women

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