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Numeri  e  faE
L’OSTEOPOROSI

Numeri e fatti
L’OSTEOPOROSI

Osteoporosi  e  disabilità:  un  prezzo  alto  da  pagare  per  la  donna
• 
• 

L’osteoporosi  è  una  mala2a  a  largo  impa4o  sociale,  in  par7colare  sulla  donna,    con  diverse  e  
provate  conseguenze  nega7ve  di  matrice  sociale,  sanitaria  ed  economica.
L’impa4o  globale  dell’osteoporosi  può  essere  quan7ficato  in  DALYs.  Questo  parametro  
integra  gli  anni  di  vita  persa  a  causa  di  una  fra4ura  e  la  disabilità  in  quelli  in  cui  si  sopravvive.    


1  DALY  =  1  anno  perso  per  mortalità  prematura  
Se  consideriamo  che  la  qualità  di  vita  è  dimezzata  da  una  fra4ura  (1  =  morte;  0  =  perfe4a  salute),  
0.5  DALY  =  1  anno  di  vita  disabile    

www.theramex.it
IMPATTO GLOBALE IN EUROPA
DI OSTEOPOROSI E ALTRE MALATTIE (DALYs)*
Osteoporosi

CardiopaNa  ischemica
BPCO




Osteoartrite


Alzheimer


Cirrosi


Asma


Cefalea


Ipertensione
Artrite  reumatoide




Ulcera  pepNca


Parkinson


Sclerosi  mulNpla




IPB

0.5  DALY  =  1  anno  di  vita  disabile
1.0  DALY  =  1  anno  di  vita  perso  per  morte  
prematura
IMPATTO GLOBALE IN EUROPA
DI OSTEOPOROSI E TUMORI (DALYs)*
Osteoporosi


Polmone
Colon  reSo
Mammella
Stomaco
Linfoma/mieloma
Leucemia
Pancreas
Orofaringe
Prostata
Fegato
Ovaio
Utero
Vescica
Esofago
Cervice
Cute




























0.5  DALY  =  1  anno  di  vita  disabile
1.0  DALY  =  1  anno  di  vita  perso  per  morte  
prematura
IMPATTO GLOBALE IN ITALIA
DI OSTEOPOROSI E ALTRE MALATTIE CRONICHE
PERDITA DI FUNZIONALITÀ E AUTOSUFFICIENZA
FraSura  collo  del  femore

FraSura  vertebrale

Normale

Dolore  cronico  
Riduzione  della  mobilità
Autosufficienza  rido4a
Disabilità  
40%  soggeE  non  possono  più  camminare  da  soli
60-­‐80%  dei  pazienN  chiedono  ancora  assistenza    
dopo  1  anno  dalla  fraSura
33%  dei  soggeE  sono  totalmente  dipendenN

Cifosi

  Dolore  alla  schiena  (~  30%  donne)
  Riduzione  dell altezza
  Deformità  
  Immobilità  
  Riduzione  funzionalità  polmonare  
  Distorsione  immagine  corporea
IMPATTO SULLA QUALITÀ DELLA VITA

77%
65%
43%

Conferma  un  impa4o  nega7vo  sulla  qualità  della  vita  

42%
58%
41%
39%

Soffre  di  depressione

Afferma  di  soffrire  per  il  dolore
Lamenta  un’influenza  sulle  proprie  a2vità  quo7diane  (giardinaggio,  
lavori  domes7ci  etc)

Ha  una  sensazione  persistente  di  malessere
Lamenta  una  rido4a  qualità  della  vita
Amme4e  l’influenza  dell’osteoporosi  sul  proprio  approccio  alla  vita

Fonte:  Osteoporosis    in  the  UK  at….  Breaking  Point,  2011

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Osteoporosi: patologia a largo impatto sociale

  • 1. Numeri  e  faE L’OSTEOPOROSI Numeri e fatti L’OSTEOPOROSI Osteoporosi  e  disabilità:  un  prezzo  alto  da  pagare  per  la  donna •  •  L’osteoporosi  è  una  mala2a  a  largo  impa4o  sociale,  in  par7colare  sulla  donna,    con  diverse  e   provate  conseguenze  nega7ve  di  matrice  sociale,  sanitaria  ed  economica. L’impa4o  globale  dell’osteoporosi  può  essere  quan7ficato  in  DALYs.  Questo  parametro   integra  gli  anni  di  vita  persa  a  causa  di  una  fra4ura  e  la  disabilità  in  quelli  in  cui  si  sopravvive.     1  DALY  =  1  anno  perso  per  mortalità  prematura   Se  consideriamo  che  la  qualità  di  vita  è  dimezzata  da  una  fra4ura  (1  =  morte;  0  =  perfe4a  salute),   0.5  DALY  =  1  anno  di  vita  disabile     www.theramex.it
  • 2. IMPATTO GLOBALE IN EUROPA DI OSTEOPOROSI E ALTRE MALATTIE (DALYs)* Osteoporosi CardiopaNa  ischemica BPCO Osteoartrite Alzheimer Cirrosi Asma Cefalea Ipertensione Artrite  reumatoide Ulcera  pepNca Parkinson Sclerosi  mulNpla IPB 0.5  DALY  =  1  anno  di  vita  disabile 1.0  DALY  =  1  anno  di  vita  perso  per  morte   prematura
  • 3. IMPATTO GLOBALE IN EUROPA DI OSTEOPOROSI E TUMORI (DALYs)* Osteoporosi Polmone Colon  reSo Mammella Stomaco Linfoma/mieloma Leucemia Pancreas Orofaringe Prostata Fegato Ovaio Utero Vescica Esofago Cervice Cute 0.5  DALY  =  1  anno  di  vita  disabile 1.0  DALY  =  1  anno  di  vita  perso  per  morte   prematura
  • 4. IMPATTO GLOBALE IN ITALIA DI OSTEOPOROSI E ALTRE MALATTIE CRONICHE
  • 5. PERDITA DI FUNZIONALITÀ E AUTOSUFFICIENZA FraSura  collo  del  femore FraSura  vertebrale Normale Dolore  cronico   Riduzione  della  mobilità Autosufficienza  rido4a Disabilità   40%  soggeE  non  possono  più  camminare  da  soli 60-­‐80%  dei  pazienN  chiedono  ancora  assistenza     dopo  1  anno  dalla  fraSura 33%  dei  soggeE  sono  totalmente  dipendenN Cifosi   Dolore  alla  schiena  (~  30%  donne)   Riduzione  dell altezza   Deformità     Immobilità     Riduzione  funzionalità  polmonare     Distorsione  immagine  corporea
  • 6. IMPATTO SULLA QUALITÀ DELLA VITA 77% 65% 43% Conferma  un  impa4o  nega7vo  sulla  qualità  della  vita   42% 58% 41% 39% Soffre  di  depressione Afferma  di  soffrire  per  il  dolore Lamenta  un’influenza  sulle  proprie  a2vità  quo7diane  (giardinaggio,   lavori  domes7ci  etc) Ha  una  sensazione  persistente  di  malessere Lamenta  una  rido4a  qualità  della  vita Amme4e  l’influenza  dell’osteoporosi  sul  proprio  approccio  alla  vita Fonte:  Osteoporosis    in  the  UK  at….  Breaking  Point,  2011