Evidence map›Paper›PMID 40359982›Full record

ArticleJournal of Korean medical science2025

Factors Associated With Compliance and Persistence With Pharmacotherapy in Patients With Osteoporosis: A Nationwide Cohort Study in Korea.

Seong Hee Ahn, So Young Park, Mi Kyung Kwak, Yong-Chan Ha, Tae-Young Kim, Ha Young Kim

Abstract read
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Article in Journal of Korean medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Seong Hee AhnDepartment of Endocrinology and Metabolism, Inha University Hospital, Incheon, Korea.ORCID https://orcid.org/0000-0003-2558-2118
So Young ParkDivision of Endocrinology and Metabolism, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4820-9415
Mi Kyung KwakDepartment of Endocrinology and Metabolism, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0000-0002-8092-2560
Yong-Chan HaDepartment of Orthopaedic Surgery, Bumin Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-6249-0581
Tae-Young KimDepartment of Orthopaedic Surgery, Konkuk University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-2028-0460
Ha Young KimDepartment of Endocrinology and Metabolism, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. hykimmd@hanmail.net.ORCID https://orcid.org/0000-0002-0651-2213

Funding

Korean Society for Bone and Mineral Research
6 · The paper itself

Abstract

backgroundDespite the necessity of long-term management for fracture risk reduction, adherence to osteoporosis pharmacotherapy remains poor. We investigated the factors influencing adherence to pharmacotherapy among Korean patients with osteoporosis, with a particular focus on treatment with bisphosphonates (BPs).

methodsData from 725,313 osteoporosis patients newly prescribed BPs or selective estrogen receptor modulators (SERMs) between 2012 and 2014, obtained from the Korean National Health Insurance Service, were analyzed. Adherence was assessed based on compliance and persistence over a two-year period, with factors associated with adherence identified using multivariable logistic regression.

resultsOnly 14.8% of the patients who started BPs or SERMs sustained medication compliance, with 15.8% persisting with treatment over the two-year follow-up. Compared with BPs, patients receiving SERMs showed better compliance and persistence (odds ratios [ORs], 1.44 and 1.48, respectively;

conclusionThis study underscores the complex nature of medication adherence among Korean osteoporosis patients, particularly those treated with BPs. These findings accordingly indicate that medication with more convenient administration regimens and fewer side effects, coupled with suitable follow-up durations, could contribute to enhancing treatment adherence.

Indexed as

Bone Density Conservation AgentsDiphosphonatesOsteoporosisAgedAged, 80 and overCohort StudiesFemaleHumansLogistic ModelsMaleMedication AdherenceMiddle AgedOdds RatioRepublic of KoreaSelective Estrogen Receptor ModulatorsBone Density Conservation AgentsDiphosphonatesSelective Estrogen Receptor ModulatorsComplianceKoreaOsteoporosisPersistencePharmacotherapy

Identifiers

PMID40359982
PMCPMC12070043

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.