UCB: Osteoporosis Patients Believe Their Condition is Neglected and Deprioritised by Healthcare Authorities

Osteoporosis is the most common type of bone disease, affecting approximately 200 million people worldwide.² This number is expected to rise due to the global ageing population, presenting a larger burden to health systems worldwide. By 2050, the global population of older people is projected to more than double its 2015 size, reaching nearly 2.1 billion.³ With osteoporosis mainly affecting women over the age of 50,⁴ action is needed to ensure that osteoporosis care and management is prioritised by healthcare systems to safeguard against exponential growth of the condition and subsequent patient and societal impact.⁵

Of the women surveyed, over half said performing their usual daily activities (58%) and walking (56%) have become problematic due to their osteoporosis and nearly a third (30%) said it impacted their ability to take care of themselves.¹ But the impact of the condition doesn't stop with the individual: many say their employment has been affected. Almost one in five (17%) admitted to having to reduce their working hours, and 1 in 8 (13%) said the condition meant they had to give up work completely.¹ 

Osteoporosis causes bones to weaken at a faster rate than normal; making them fragile and more likely to break,² resulting in more than 8.9 million fractures each year.⁶  Fragility fractures have the potential to impose a significant burden on a person's life, often making everyday activities such as eating, dressing, shopping or driving difficult.⁷ After experiencing the first fracture, you are five times more likely to suffer another fracture within a year.⁸ Worse still, for those that suffer a hip fracture, 40% are not able to walk independently again,⁹ and up to a quarter of those who suffer a hip fracture die in the first year through complications.^10,11

When it comes to the diagnosis and management of osteoporosis, nearly three quarters of those surveyed (70%) recall being told that osteoporosis is 'just a normal part of ageing and to be careful', with many adding that information about fragility fractures (56%) or treatment options (33%) was not discussed enough or at all.¹ Furthermore, a third of respondents commented that, upon their diagnosis their healthcare professional didn't have enough time (34%) and didn't give them enough information on managing the condition and its impact (34%).¹ 

"The results of the survey are distressing given so many patients are experiencing a great reduction in their overall quality of life, owing to osteoporosis and fragility fractures – it is no wonder patients are feeling neglected," said Dr Pascale Richetta, Head of Bone and Executive Vice President at UCB. "We know that people nowadays expect to be able to do more in their later life; we need to help them achieve this and live their lives to the fullest by better educating all stakeholders that play a role in managing osteoporosis and fragility fractures– policy makers, physicians and patients – to ensure the short and long-term impact of osteoporosis is fully understood, effectively managed, and that the risk of subsequent, iterative, fractures is significantly reduced."

About the survey

UCB, together with Research Partnership, conducted an online survey of 965 women aged 60 and over who had been diagnosed with osteoporosis, from 11 European countries. The survey was conducted in August/September 2019 as part of an initiative to investigate the impact osteoporosis and fragility fracture had on patient lives, their perceptions of the management of their condition and how much they thought their healthcare professional knew about the condition. Survey participants were from UK, France, Spain, Germany, Italy, Poland, Lithuania, Greece, Ireland, Netherlands and Romania.

About UCB

UCB, Brussels, Belgium (www.ucb.com) is a global biopharmaceutical company focused on the discovery and development of innovative medicines and solutions to transform the lives of people living with severe diseases of the immune system or of the central nervous system. With 7,500 people in approximately 40 countries, the company generated revenue of € 4.6 billion in 2018. UCB is listed on Euronext Brussels (symbol: UCB). Follow us on Twitter: @UCB_news.

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References

1. Data on file. Research Partners. Osteoporosis research for UCB, September 2019.
2. Reginster JY, Burlet N. Osteoporosis: A still increasing prevalence. Bone 2006;38(2 Suppl 1):S4–9.
3. International Osteoporosis Foundation. IOF Compendium of Osteoporosis – First Edition. Last accessed September 2019.
4. WedMD. Osteoporosis: Are You at Risk? Available at https://www.webmd.com/osteoporosis/guide/osteoporosis-risk-factors. Accessed September 2019.
5. Cauley JA. Public health impact of osteoporosis. J Gerontol A Biol Sci Med Sci. 2013;68(10):1243–1251. doi:10.1093/gerona/glt093.
6. Ström O, Borgström F, Kanis JA, et al. Osteoporosis: burden, health care provision and opportunities in the EU. Arch Osteoporos 2011;6:59–155. doi: 10.1007/s11657-011-0060-1.
7. Cooper C. The crippling consequences of fractures and their impact on quality of life. Am J Med 1997;103:12S–17S; discussion 17S–19S.
8. van Geel TA, van Helden S, Geusens PP, et al. Clinical subsequent fractures cluster in time after first fractures. Ann Rheum Dis 2009;68:99–102.
9. Magaziner J, Simonsick EM, Kashner TM, et al. Predictors of Functional Recovery One Year Following Hospital Discharge for Hip Fracture: A Prospective Study. J Gerontol 1990;45:M101.
10. Cooper C, Atkinson EJ, Jacobsen SJ, et al. Population-based study of survival after osteoporotic fractures. Am J Epidemiol 1993;137:1001.
11. Leibson CL, Tosteson AN, Gabriel SE, et al. Mortality, disability, and nursing home use for persons with and without hip fracture: a population-based study.  J Am Geriatr Soc 2002;50:1644.