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| Publications of Deborah T. Gold :chronological alphabetical combined listing:%% Journal Articles @article{fds352908, Author = {Gold, DT and Weiss, R and Wang, Y and Williams, S and Roberts, J and Bailey, T}, Title = {A Real-World Study of the Patient Experience of Osteoporosis Following Treatment with Abaloparatide}, Journal = {Journal of Bone and Mineral Research}, Volume = {34}, Pages = {260-260}, Publisher = {WILEY}, Year = {2019}, Month = {December}, Key = {fds352908} } @article{fds352909, Author = {Gold, DT and Weiss, R and Wang, Y and Williams, S and Roberts, J and Bailey, T}, Title = {A Real-World Study of the Patient Experience of Osteoporosis Following Treatment with Abaloparatide}, Journal = {Journal of Bone and Mineral Research}, Volume = {34}, Pages = {260-260}, Publisher = {WILEY}, Year = {2019}, Month = {December}, Key = {fds352909} } @article{fds272794, Author = {Silverman, SL and Siris, E and Kendler, DL and Belazi, D and Brown, JP and Gold, DT and Lewiecki, EM and Papaioannou, A and Simonelli, C and Ferreira, I and Balasubramanian, A and Dakin, P and Ho, P and Siddhanti, S and Stolshek, B and Recknor, C}, Title = {Persistence at 12 months with denosumab in postmenopausal women with osteoporosis: interim results from a prospective observational study}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {26}, Number = {1}, Pages = {361-372}, Publisher = {Springer-Verlag London Ltd}, Year = {2014}, Month = {September}, ISSN = {0004-3591}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000325359203221&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {Summary: To determine persistence with subcutaneous denosumab every 6 months in women being treated for osteoporosis, we conducted a single-arm prospective, observational study in the United States and Canada. Among 935 patients enrolled, 12-month persistence was 82 %, with 66 patients (7 %) reporting serious adverse events and 19 patients (2 %) reporting fractures.}, Doi = {10.1007/s00198-014-2871-6}, Key = {fds272794} } @article{fds316723, Author = {Gold, DT and Calderon, A and Silverman, SL}, Title = {RACE/ETHNICITYAND SES INFLUENCE OUTCOMES OF OSTEOPOROSIS EDUCATIONAL INTERVENTIONS}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {25}, Pages = {S517-S517}, Publisher = {SPRINGER LONDON LTD}, Year = {2014}, Month = {June}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000348647200016&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316723} } @article{fds316722, Author = {Lunsford, J and Silverman, SL and Gold, DT}, Title = {Reports of Depression in Older Women with Osteoporosis}, Journal = {American Journal of Geriatric Psychiatry}, Volume = {22}, Number = {3}, Pages = {S69-S70}, Publisher = {Elsevier BV}, Year = {2014}, Month = {March}, ISSN = {1064-7481}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000336081800068&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.1016/j.jagp.2013.12.075}, Key = {fds316722} } @article{fds316725, Author = {Gold, DT and Calderon, A and Silverman, SL}, Title = {THE IMPACT OF HEALTH BELIEFS ON OSTEOPOROSIS TREATMENT}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {24}, Pages = {S437-S438}, Publisher = {SPRINGER LONDON LTD}, Year = {2013}, Month = {April}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000328350000027&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316725} } @article{fds272804, Author = {Burge, R and Shen, W and Naegeli, AN and Alam, J and Silverman, S and Gold, DT and Shih, T}, Title = {Use of health-related quality of life measures to predict health utility in postmenopausal osteoporotic women: results from the Multiple Outcomes of Raloxifene Evaluation study.}, Journal = {Health and Quality of Life Outcomes}, Volume = {11}, Number = {1}, Pages = {189-189}, Publisher = {Springer Nature}, Year = {2013}, Month = {January}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000309259600084&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {The aim of this study is to examine the associations between health utility (HU), health-related quality of life (HRQoL), and patient characteristics in postmenopausal osteoporotic (PMO) women. Baseline data from a subsample of 1,245 participants of the Multiple Outcomes of Raloxifene Evaluation study, a randomized, placebo-controlled, multinational clinical trial to evaluate the safety and efficacy of raloxifene, were analyzed. The study cohort included 694 participants from non-European Union (non-EU) countries and 551 participants from EU countries. All participants with complete baseline HU and HRQoL assessments were included in the following analyses: 1) HU (HUI or EQ-5D) and HRQoL (QualEFFO or OPAQ and NHP) associations; 2) HU variability explained by HRQoL domains; and 3) the percentage of HU variability explained by statistically significant (p < 0.05) HRQoL domains, after adjusting for baseline characteristics. Several domains were significantly associated with HU scores. HU variance was well explained (41% to 61%) by 4 to 6 (p < 0.05) significant HRQoL domains. After controlling for baseline characteristics, 48% to 64% of the HU variance was well explained by 5 to 7 significant (p < 0.05) HRQoL domains. Additional trend analyses detected statistically significant decreases in HRQoL and HU scores with an increased number of vertebral and non-vertebral fractures. Both disease-targeted and generic HRQoL domains were well correlated with HU. A large percentage (48% to 64%) of the HU variance was explained by HRQoL, after adjusting for baseline characteristics. Both disease-targeted and generic HRQoL measures were significant predictors of HU. HRQoL and HU scores decreased with increased vertebral and non-vertebral fractures.}, Doi = {10.1186/1477-7525-11-189}, Key = {fds272804} } @article{fds316728, Author = {Silverman, S and Tosteson, A and Schousboe, J and Nichol, M and Gold, DT and Borgstrom, F}, Title = {INTERNATIONAL COST AND UTILITIES RELATED TO OSTEOPOROSIS FRACTURE STUDY IN USA (ICUROS-US); STUDY DESIGN AND METHODS}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {20}, Pages = {S219-S219}, Publisher = {SPRINGER LONDON LTD}, Year = {2009}, Month = {April}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000273012900055&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316728} } @article{fds316727, Author = {Gold, DT and Bessette, L and Horne, R and Borenstein, J and Varon, SF and Wang, H and Satram-Hoang, S and Wagman, RB and Macarios, D and Bone, HG}, Title = {PATIENT PREFERENCE AND SATISFACTION WITH A 6-MONTH INJECTION VERSUS A WEEKLY PILL FOR TREATMENT OF POSTMENOPAUSAL BONE LOSS}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {20}, Pages = {S201-S202}, Publisher = {SPRINGER LONDON LTD}, Year = {2009}, Month = {April}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000273012900023&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316727} } @article{fds316720, Author = {Abelson, A and Thomas, TP and Gold, DT and Lange, JL and Ringe, JD}, Title = {REAL-WORLD EFFECTIVENESS OF BISPHOSPHONATES FOR THE REDUCTION OF CLINICAL FRACTURES}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {20}, Pages = {S218-S219}, Publisher = {SPRINGER LONDON LTD}, Year = {2009}, Month = {April}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000273012900054&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316720} } @article{fds316721, Author = {Gold, DT and Safi, W and Trinh, H}, Title = {Monthly ibandronate did not improve patient persistence vs weekly risedronate: 1 year data}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {18}, Pages = {S223-S224}, Publisher = {SPRINGER LONDON LTD}, Year = {2007}, Month = {April}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000245981100059&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316721} } @article{fds272814, Author = {Gold, DT}, Title = {Medication adherence: a challenge for patients with postmenopausal osteoporosis and other chronic illnesses.}, Journal = {Journal of Managed Care Pharmacy : Jmcp}, Volume = {12}, Number = {6 Suppl A}, Pages = {S20-S25}, Year = {2006}, Month = {July}, ISSN = {1083-4087}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000240002300004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {OBJECTIVE: To define medication adherence and describe the limitations of various assessment methods, reasons for nonadherence to medications used to manage chronic illness, the impact of nonadherence to osteoporosis medications, and strategies for improving medication adherence. BACKGROUND: Medication nonadherence is a major public health problem that adversely affects patient outcomes and increases health care utilization and costs. Postmenopausal osteoporosis is a chronic disease, and adherence to drug therapy used to manage the disease is as much of a challenge as it is in other chronic diseases. SUMMARY: Medication adherence reflects both compliance and persistence. Direct assessment methods (e.g., observation, laboratory serum drug assays) are more accurate than indirect methods, but they are more costly and often impractical. Indirect methods include patient self-report and the use of prescription refill records, pill counts, and electronic monitoring devices. Medication adherence in patients with postmenopausal osteoporosis or other chronic illnesses is less than optimal. Adverse effects, financial constraints, mis-communication with the prescriber, and a perception that medications are unnecessary are among the possible reasons for medication nonadherence. Unintentional nonadherence is a passive process, often simply forgetting, and intentional nonadherence is an active process involving a deliberate choice, often based on adverse effects or a perceived lack of benefit. CONCLUSIONS: Nonadherence to osteoporosis medications can adversely affect patient outcomes and increase health care utilization and costs. An individualized approach to improving medication adherence based on patient preferences and readiness to change is needed.}, Doi = {10.18553/jmcp.2006.12.S6-A.S20}, Key = {fds272814} } @article{fds39216, Author = {Gold, D.T.}, Title = {Quality of life and its measurement in osteoporosis}, Pages = {67-69}, Booktitle = {Bone disease in rheumatology}, Publisher = {Philadelphia, PA: Lippincott, Williams & Wilkins}, Editor = {M. Maricic and O.S. Gluck}, Year = {2005}, Key = {fds39216} } @article{fds39178, Author = {Gold, D.T.}, Title = {Osteoporosis and quality of life: psychosocial outcomes and interventions for individual patients}, Journal = {Clinics in Geriatric Medicine}, Volume = {19}, Pages = {271-280}, Year = {2003}, Key = {fds39178} } @article{fds39179, Author = {Bonner, F.J. and Sinaki, M. and Grabois, M. and Shipp, K.M. and Lane, J.M. and Lindsay, R. and Gold, D.T. and Cosman, F. and Bouxsein, M.L. and Weinstein, J.N. and Gallagher, R.M. and Melton, L.J. III and Salcido, R. and Gordon, S.l.}, Title = {Health professional's guide to rehabilitation of the patient with osteoporosis}, Journal = {Osteoporosis International}, Volume = {14, Suppl. 2}, Pages = {S1-S22}, Year = {2003}, Key = {fds39179} } @article{fds39176, Author = {Roberto, K.A. and Gold, D.T.}, Title = {Chronic pain in later life women: Issues and challenges from the research literature}, Journal = {Journal of the American Medical Women's Association}, Volume = {57}, Pages = {97-99}, Year = {2002}, Key = {fds39176} } @article{fds39174, Author = {Gold, D.T.}, Title = {The non-skeletal consequences of osteoporotic fractures: Psychological and social outcomes}, Journal = {Rheumatic Disease Clinics of North America}, Volume = {27}, Pages = {255-262}, Year = {2001}, Key = {fds39174} } @article{fds39175, Author = {Mendes de Leon and C.F., Gold and D.T., Glass and T.A., Kaplan and L. and George, L.K.}, Title = {Disability as a function of social networks and support in elderly African-Americans and whites: the Duke EPESE 1986-1992}, Journal = {Journal of Gerontology: Social Sciences}, Volume = {56B}, Pages = {S179-S190}, Year = {2001}, Key = {fds39175} } @article{fds39215, Author = {Gold, D.T. and Lyles, K.W. and Shipp, K.M. and Drezner, M.D.}, Title = {Osteoporosis and its nonskeletal conferences: Their impact on treatment decisions}, Series = {2nd edition}, Pages = {479-484}, Booktitle = {Osteoporosis}, Publisher = {San Diego, CA: Academic Press}, Editor = {R. Marcus and D. Feldman and J. Kelsey}, Year = {2001}, Key = {fds39215} } @article{fds39170, Author = {Hegarty, V. and Burchett, B.M. and Gold, D.T. and Cohen, H.J.}, Title = {Racial differences in use of cancer prevention services among older Americans}, Journal = {Journal of the American Geriatrics Society}, Volume = {48}, Pages = {735-740}, Year = {2000}, Key = {fds39170} } @article{fds39171, Author = {Gold, D.T. and Roberto, K.A.}, Title = {Correlates and consequences of chronic pain in older adults}, Journal = {Geriatric Nursing}, Volume = {21}, Pages = {270-273}, Year = {2000}, Key = {fds39171} } @article{fds39172, Author = {Shipp, K.M. and Purser, J.L. and Gold, D.T. and Pieper, C.F. and Sloane, R. and Schenkman, M. and Lyles, K.W.}, Title = {Timed loaded standing: A measure of combined trunk and arm endurance suitable for people with vertebral osteoporosis}, Journal = {Osteoporosis International}, Volume = {11}, Pages = {914-922}, Year = {2000}, Key = {fds39172} } @article{fds39173, Author = {Blalock, S.J. and Currey, S.S. and DeVellis, R.F. and DeVellis, B.M. and Giorgino, K.B. and Anderson, J.J.B. and Dooley, M.A. and Gold, D.T.}, Title = {Effects of educational materials concerning osteoporosis on women's knowledge, beliefs, and behavior}, Journal = {American Journal of Health Promotion}, Volume = {14}, Pages = {161-169}, Year = {2000}, Key = {fds39173} } @article{fds39165, Author = {Purser, J.L. and Pieper, C.F. and Duncan, P.W. and Gold, D.T. and McConnell, E.S. and Schenkman, M.S. and Morey, M.C. and Branch, L.G.}, Title = {Reliability of physical performance tests in four different randomized clinical trials}, Journal = {Archives of Physical Medicine and Rehabilitation}, Volume = {80}, Pages = {557-561}, Year = {1999}, Key = {fds39165} } @article{fds39166, Author = {Koplas, P.A. and Gans, H.B. and Wisely, M.P. and Kuchibhatla, M. and Cutson, T.M. and Gold, D.T. and Taylor, C.T. and Schenkman, M.}, Title = {Quality of life and Parkinson's disease}, Journal = {Journals of Gerontology: Medical Sciences}, Volume = {54}, Pages = {M197-M202}, Year = {1999}, Key = {fds39166} } @article{fds39168, Author = {Gold, D.T. and Burchett, B.M. and Shipp, K.M. and Pieper, C.F. and Lyles, K.W.}, Title = {Factors associated with self-rated health in patients with Paget's disease of bone}, Journal = {Journal of Bone and Mineral Research}, Volume = {14, Suppl. 2}, Pages = {99-102}, Year = {1999}, Key = {fds39168} } @article{fds39211, Author = {Hays, J.C. and Gold, D.T. and Flint, E.P. and Winer, E.P.}, Title = {Patient preference for place of death: A qualitative approach}, Pages = {3-21}, Booktitle = {End of life issues: Interdisciplinary and Multidimensional Perspectives}, Publisher = {New York: Springer}, Editor = {B. de Vries}, Year = {1999}, Key = {fds39211} } @article{fds39212, Author = {Gold, D.T. and Lyles, K.W.}, Title = {Fractures: Effects on quality of life}, Pages = {373-382}, Booktitle = {The aging skeleton}, Publisher = {San Diego, CA: Academic Press}, Editor = {C. Rosen and J. Glowacki and J.P. Bilezikian}, Year = {1999}, Key = {fds39212} } @article{fds39213, Author = {Gold, D.T.}, Title = {Outcomes and the personal impact of osteoporosis}, Pages = {51-63}, Booktitle = {Osteoporosis in men: The effects of gender on skeletal health}, Publisher = {San Diego, CA: Academic Press}, Editor = {E.S. Orwoll}, Year = {1999}, Key = {fds39213} } @article{fds39162, Author = {Landerman, R.L. and Fillenbaum, G.G. and Pieper, C.F. and Maddox, G.L. and Gold, D.T. and Guralnik, J.}, Title = {Private health insurance coverage and disability among older Americans}, Journal = {Journals of Gerontology: Social Sciences}, Volume = {53B}, Pages = {S258-S266}, Year = {1998}, Key = {fds39162} } @article{fds39163, Author = {Gold, D.T. and Shipp, K.M. and Lyles, K.W.}, Title = {Managing patients with complications of osteoporosis}, Journal = {Endocrinology & Metabolism Clinics of North America}, Volume = {27}, Pages = {485-496}, Year = {1998}, Key = {fds39163} } @article{fds39160, Author = {Blazer, D.G. and Hays, J.C. and Fillenbaum, G.G. and Gold, D.T.}, Title = {Memory complaint as a predictor of cognitive decline: A comparison of African-American and White elders}, Journal = {Journal of Aging and Health}, Volume = {9}, Pages = {171-184}, Year = {1997}, Key = {fds39160} } @article{fds39161, Author = {Lyles, K.W. and Gold, D. T. and Newton, R.A. and Parekh, S. and Shipp, K.M. and Pieper, C.F. and Krishan, R. and Carson, CC III}, Title = {Peyronie's disease is associated with Paget's disease of bone}, Journal = {Journal of Bone and Mineral Research}, Volume = {12}, Pages = {929-934}, Year = {1997}, Key = {fds39161} } @article{fds39049, Author = {Gold DT and Boisture J and Shipp KM and Pieper CF and Lyles KW}, Title = {Paget's disease of bone and quality of life}, Journal = {Journal of Bone and Mineral Research}, Volume = {11}, Pages = {1897-1903}, Year = {1996}, Key = {fds39049} } @article{fds39050, Author = {Gold DT and Pieper CF and Westlund RE and Blazer DG}, Title = {Do racial differences in hypertension persist in successful agers? Findings from the MacArthur Study of Successful Aging}, Journal = {Journal of Aging and Health}, Volume = {8}, Pages = {207-219}, Year = {1996}, Key = {fds39050} } @article{fds39152, Author = {Hays, J.C. and Schoenfeld, D. and Blazer, D.G. and Gold, D.T.}, Title = {Global self-ratings of health and mortality: Hazard in the North Carolina Piedmont}, Journal = {Journal of Clinical Epidemiology}, Volume = {49}, Pages = {969-979}, Year = {1996}, Key = {fds39152} } @article{fds39207, Author = {Gold, D.T.}, Title = {Continuities and discontinuities in sibling relationships across the life span}, Pages = {228-243}, Booktitle = {Adulthood and aging: Research on continuities and discontinuities}, Publisher = {New York: Springer}, Editor = {V.L. Bengtson}, Year = {1996}, Key = {fds39207} } @article{fds39208, Author = {Gold, D.T. and Lyles, K.W. and Shipp, K.M. and Harper, K.D. and Drezner, M.K.}, Title = {Unexpected consequences of osteoporosis: An evolving basis for treatment decisions}, Pages = {1089-1096}, Booktitle = {Osteoporosis}, Publisher = {San Diego, CA: Academic Press}, Editor = {R. Marcus and D. Feldman and J. Kelsey}, Year = {1996}, Key = {fds39208} } @article{fds39148, Author = {Lyles, K.W. and Lammers, J.E. and Shipp, K.M. and Sherman, L. and Pieper, C.F. and Gold, D.T.}, Title = {Functional and mobility impairments associated with Paget's Disease of Bone}, Journal = {Journal of the American Geriatrics Society}, Volume = {43}, Pages = {502-506}, Year = {1995}, Key = {fds39148} } @article{fds39149, Author = {Hays, J.C. and Fillenbaum, G.G. and Gold, D.T. and Shanley, M.C. and Blazer, D.G.}, Title = {Black-white and urban-rural differences in stability of household composition among the elderly}, Journal = {Journal of Gerontology: Social Sciences}, Volume = {50B}, Pages = {S301-S311}, Year = {1995}, Key = {fds39149} } @article{fds39206, Author = {Gold, D.T. and Drezner, M.K.}, Title = {Osteoporosis and quality of life: Impact on delivery of care}, Series = {2nd edition}, Pages = {475-486}, Booktitle = {Osteoporosis: Etiology, diagnosis, and management}, Publisher = {Philadelphia, PA: Lippincott-Raven Publishers}, Editor = {B.L. Riggs and L.J. Melton III}, Year = {1995}, Key = {fds39206} } @article{fds39145, Author = {Schoenfeld, D.E. and Malmrose, L.C. and Blazer, D.G. and Gold, D.T. and Seeman, T.E.}, Title = {Self-rated health and mortality in the high-functioning elderly--a closer look at healthy individuals: MacArthur Field Study of Successful Aging}, Journal = {Journals of Gerontology: Medical Sciences}, Volume = {49}, Pages = {M109-M115}, Year = {1994}, Key = {fds39145} } @article{fds39146, Author = {Linzer, M. and Gold, D.T. and Pontinen, M. and Divine, G.W. and Felder, A. and Brooks, W.B.}, Title = {Recurrent syncope as a chronic disease: Preliminary validation of a disease-specific measure of functional impairment}, Journal = {Journal of General Internal Medicine}, Volume = {9}, Pages = {181-186}, Year = {1994}, Key = {fds39146} } @article{fds39204, Author = {Gold, D.T.}, Title = {Social support in later life}, Pages = {359-370}, Booktitle = {Older Americans Almanac}, Publisher = {Detroit, MI: Gale Research Inc}, Editor = {R.J. Manheimer}, Year = {1994}, Key = {fds39204} } @article{fds39205, Author = {Gold, D.T.}, Title = {Family relationships in later life}, Pages = {319-342}, Booktitle = {Older Americans Almanac}, Publisher = {Detroit, MI: Gale Research Inc}, Editor = {R.J. Manheimer}, Year = {1994}, Key = {fds39205} } @article{fds39143, Author = {Weinberger, M. and Gold, D.T. and Divine, G.W. and Cowper, P.A. and Hodgson, L.G. and Schreiner, P.J. and George, L.K.}, Title = {Social service interventions for caregivers of patients with dementia: Impact on health care utilization and expenditures}, Journal = {Journal of the American Geriatrics Society}, Volume = {41}, Pages = {153-156}, Year = {1993}, Key = {fds39143} } @article{fds39144, Author = {Lyles, K.W. and Gold, D.T. and Shipp, K.M. and Pieper, C.F. and Martinez, S. and Mulhausen, P.L.}, Title = {Association of osteoporotic vertebral compression fractures with impaired functional status}, Journal = {American Journal of Medicine}, Volume = {94}, Pages = {595-601}, Year = {1993}, Key = {fds39144} } @article{fds39198, Author = {Gold, D.T. and Schmader, K.}, Title = {An introduction to aging}, Series = {Revised edition}, Pages = {1-18}, Booktitle = {Psychiatry}, Publisher = {Philadelphia, PA: J.B. Lippencott Company}, Editor = {R. Michaels}, Year = {1993}, Key = {fds39198} } @article{fds39141, Author = {Weinberger, M. and Saunders, A.F. and Bearon, L.B. and Gold, D.T. and Brown, J.T. and Samsa, G.P. and Loehrer, P.J.}, Title = {Physician-related barriers to breast cancer screening in older women}, Journal = {Journal of Gerontology}, Volume = {47}, Pages = {111-117}, Year = {1992}, Key = {fds39141} } @article{fds39136, Author = {Weinberger, M. and Saunders, A.F. and Samsa, G.P. and Bearon, L.B. and Gold, D.T. and Brown, J.T. and Booher, P. and Loehrer, P.J.}, Title = {Breast cancer screening in older women: Practices and barriers reported by primary care physicians}, Journal = {Journal of the American Geriatrics Society}, Volume = {39}, Pages = {22-29}, Year = {1991}, Key = {fds39136} } @article{fds39138, Author = {Gold, D.T. and Smith, S.D. and Bales, C.W. and Lyles, K.W. and Westlund, R.E. and Drezner, M.K.}, Title = {Osteoporosis in late life: Does health locus of control affect psychosocial adaptation?}, Journal = {Journal of the American Geriatrics Society}, Volume = {39}, Pages = {670-675}, Year = {1991}, Key = {fds39138} } @article{fds39139, Author = {Gold, D.T. and Sloane, P.D. and Mathew, L.J. and Bledsoe, M.M. and Konanc, D.A.}, Title = {Special care units: A typology of care settings for memory-impaired older adults}, Journal = {The Gerontologist}, Volume = {31}, Pages = {467-475}, Year = {1991}, Key = {fds39139} } @article{fds39196, Author = {Gold, D.T.}, Title = {A descriptive typology of dementia units}, Pages = {50-61}, Booktitle = {Dementia units in long-term care}, Publisher = {Baltimore, MD: The Johns Hopkins University Press}, Editor = {P.D. Sloane and L.J. Mathew}, Year = {1991}, Key = {fds39196} } @article{fds39053, Author = {Gold, D.T. and Woodbury, M.A. and George, L.K.}, Title = {Relationship classification using Grade of Membership (GOM) analysis: A typology of sibling relationships in later life}, Journal = {Journal of Gerontology}, Volume = {45}, Pages = {S43-S51}, Year = {1990}, Key = {fds39053} } @article{fds39133, Author = {Gold, D.T.}, Title = {Late-life sibling relationships: Does race affect typological distribution?}, Journal = {The Gerontologist}, Volume = {30}, Pages = {741-748}, Year = {1990}, Key = {fds39133} } @article{fds39235, Title = {Siblings in late life: A neglected family relationship}, Journal = {American Behavioral Scientist}, Volume = {33}, Series = {Special Edition}, Editor = {V.H. Bedford and D.T. Gold}, Year = {1989}, Month = {September}, Key = {fds39235} } @article{fds39128, Author = {Gold, D.T.}, Title = {Sibling relations in old age: A typology}, Journal = {The International Journal of Aging and Human Development}, Volume = {28}, Pages = {37-51}, Year = {1989}, Key = {fds39128} } @article{fds39130, Author = {Gold, D.T. and Bales, C.W. and Lyles, K.W. and Drezner, M.K.}, Title = {Treatment of osteoporosis: The psychological impact of a medical education program on older patients}, Journal = {Journal of the American Geriatrics Society}, Volume = {37}, Pages = {417-422}, Year = {1989}, Key = {fds39130} } @article{fds39131, Author = {Gold, D.T. and Lyles, K.W. and Bales, C.W. and Drezner, M.K.}, Title = {Teaching patients coping behaviors: An essential part of successful management of osteoporosis}, Journal = {Journal of Bone and Mineral Research}, Volume = {4}, Pages = {799-801}, Year = {1989}, Key = {fds39131} } @article{fds39193, Author = {Bales, C.W. and Gold, D.T. and Lyles, K.W. and Drezner, M.K.}, Title = {Osteoporosis: A multidisciplinary program of prevention and therapy}, Pages = {251-256}, Booktitle = {Mineral homeostasis in the elderly}, Publisher = {New York: Alan R. Liss, Inc.}, Editor = {C.W. Bales}, Year = {1989}, Key = {fds39193} } @article{fds39194, Author = {George, L.K. and Gold, D.T.}, Title = {Job loss in middle age}, Pages = {249-280}, Booktitle = {Coping with the losses of middle age}, Publisher = {Beverly Hills, CA: Sage Publications}, Editor = {R. Kalish}, Year = {1989}, Key = {fds39194} } %% Papers Published @article{fds363002, Author = {Beaudart, C and Silverman, S and Gold, DT and Williams, SA and Weiss, R and Hiligsmann, M}, Title = {A Qualitative Study to Assess US Patient Preferences between new Transdermal System and Injectable Anabolic Therapies for Osteoporosis Treatment.}, Journal = {Arch Osteoporos}, Volume = {17}, Number = {1}, Pages = {57}, Year = {2022}, Month = {April}, url = {http://dx.doi.org/10.1007/s11657-022-01075-z}, Abstract = {UNLABELLED: US patients with osteoporosis included in three focus groups identified efficacy, safety, cost, and convenience as important attributes of treatment when choosing between anabolic therapies with high stated preference for the solid Microstructured Transdermal System. OBJECTIVE: The current study evaluated patient perspective and relative importance of treatment attributes of in-home daily self-administration of abaloparatide-solid Microstructured Transdermal System (sMTS) compared with other anabolic agents (i.e. in-home daily subcutaneous self-injections, and monthly subcutaneous injections at doctor office) among a group of US patients with osteoporosis. METHODS: The current study included systematic literature reviews, experts' consultation and three online patients focus groups (n=27), including patients ≥50 years of age at high risk for fracture. Nominal Group Technique was used by asking patients to (1) Individually identify characteristics that would be important for them when choosing between anabolic treatments, (2) Share ideas and discuss perspectives with other patients, (3) Review additional attributes generated from a systematic literature review, (4) Select and rank individually the 7 most important characteristics from the list and (5) Report their acceptability and stated preference ranking between the three treatment options. RESULTS: Twenty women and 7 men with a mean age of 65 (range 51-85 years) participated in the focus groups. Twenty-four treatment characteristics were identified through focus groups and literature review. Efficacy, safety, out-of-pocket costs, strength of evidence and the option to self-administer were ranked as the most important attributes. The majority of patients stated preference for a daily sMTS if prescribed by their doctor. CONCLUSIONS: This study revealed that efficacy, safety, costs, and convenience are important attributes of osteoporosis treatment for US patients at high risk for fractures when choosing between anabolic therapies, with a high stated preference for sMTS.}, Doi = {10.1007/s11657-022-01075-z}, Key = {fds363002} } @article{fds362839, Author = {Alexopoulos, EA and Guinee, EP and Stewart, KA and Brown, CS and Gold, DT and Engle, D and Talenti, F and Klevansky, R and Barfield, R and Ross, E and Prose, NS}, Title = {Keepers of the House: A documentary.}, Journal = {Clin Teach}, Volume = {19}, Number = {1}, Pages = {36-41}, Year = {2022}, Month = {February}, url = {http://dx.doi.org/10.1111/tct.13439}, Abstract = {BACKGROUND: Our documentary, Keepers of the House, highlights ways that hospital housekeepers, typically unnoticed care team members, provide emotional support for patients and their families. This film addresses a gap in education by emphasizing the importance of valuing and reflecting on the unique lived experiences of others. APPROACH: We created this documentary to expose students to the experiences and perceptions of hospital housekeepers. A focus group with six hospital housekeepers informed an interview script for the film's creation. Nine additional housekeepers were then interviewed, which developed into a 15-min documentary. Healthcare students and educators from five disciplines viewed the documentary during their institution's Medical Education Day. EVALUATION: To expose students and educators to housekeepers' experiences, we designed our post-viewing survey to address whether the housekeepers' stories impacted their understanding of the role and value of these workers. Viewers were surprised by the depth and breadth of patient-housekeeper interactions, the trauma housekeepers experienced from patient loss and the pride housekeepers take in their work. The stories that touched the viewers varied but centred on connections between housekeepers and patients. Lessons learned focused on recognizing the contributions of unseen team members. IMPLICATIONS: This innovative documentary amplifies the perspectives of voices rarely heard in healthcare. We aim to use this film, alongside its associated learning session, in education and grand round settings to foster discussion around empathy, valuing underrecognised team members and applying these insights in practice. This work can be disseminated to other institutions, further amplifying underrepresented narratives in healthcare.}, Doi = {10.1111/tct.13439}, Key = {fds362839} } @article{fds358051, Author = {Gold, DT and Weiss, R and Beckett, T and Deal, C and Epstein, RS and James, AL and Kernaghan, JM and Mohseni, M and Spiegel, M and Vokes, T and Roberts, J and Bailey, T and Wang, Y and Williams, SA}, Title = {Abaloparatide Real-World Patient Experience Study.}, Journal = {Jbmr Plus}, Volume = {5}, Number = {3}, Pages = {e10457}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1002/jbm4.10457}, Abstract = {Despite the availability of various osteoporosis treatments, adherence remains suboptimal. One contributing factor may be patient experience with therapy. This US, multicenter, combined retrospective chart review and patient questionnaire study included postmenopausal women at high risk for fracture and is the first study to describe real-world patient experience with abaloparatide (ABL) injection. Eight geographically diverse secondary care sites in the United States participated (n = 193). Mean ± SD age was 67.4 ±8.62 years. Most patients (86%) were satisfied with the ABL regimen, especially with ease of preparation (82%), ease of storage (87%), and storage convenience (89%), an attribute 83% of the patients thought was important. The majority of patients reported complete satisfaction with the ABL regimen allowing for their ability to conduct daily activities (85%) and convenience to fit into their daily schedule (84%). All reported taking ABL as directed, by injection in the lower abdomen, and 83% of patients reported medium or high adherence. Patients were satisfied with the needle size (76% completely satisfied), and 93% reported never deliberately missing a dose. Although injecting medication (18%) and higher out-of-pocket costs (17%) were deemed the most bothersome attributes, the majority (69%) noted their healthcare team understands how osteoporosis impacts their lives. In multivariable analyses, ease of preparation (OR = 2.62; 95% CI, 1.01-6.81; p = 0.048) and fracture history (OR = 1.72; 95% CI, 1.03-2.86; p = 0.037) were significantly associated with overall satisfaction. Ease of preparation was a predictor of higher satisfaction with treatment convenience (coefficient = 13.60; 95% CI, 8.08-19.12; p = 0.00). Remembering to take the medication was a significant predictor of self-reported adherence (OR = 16.66; 95% CI, 3.30-84.24; p = 0.001). In conclusion, the majority of patients were satisfied with ABL and found it convenient/easy to prepare and store. High self-reported adherence may be associated with positive patient experience including ease of use and adequate support from healthcare providers. © 2020 The Authors. JBMR Plus published by Wiley Periodicals LLC. on behalf of American Society for Bone and Mineral Research.}, Doi = {10.1002/jbm4.10457}, Key = {fds358051} } @article{fds352907, Author = {Nwosu, C and Spears, CA and Pate, C and Gold, DT and Bennett, G and Haglund, M and Fuller, A}, Title = {Influence of Caretakers' Health Literacy on Delays to Traumatic Brain Injury Care in Uganda.}, Journal = {Annals of Global Health}, Volume = {86}, Number = {1}, Pages = {127}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.5334/aogh.2978}, Abstract = {BACKGROUND: Traumatic brain injury (TBI) is a life-altering condition, and delays to care can significantly impact outcomes. In Uganda, where nurse shortages are prevalent, patients' family members are the primary caretakers of these patients and play an important role in ensuring patients' access to timely care. However, caretakers often have little or no knowledge of appropriate patient care. Caretakers' ability to navigate the healthcare system and find and use health information to support their patients can impact delays in seeking, reaching, and receiving care. OBJECTIVES: This study seeks to determine the factors that impact TBI patient caretakers' health literacy and examine how these factors influence delays in care. METHODS: This study was carried out in the Mulago National Referral Hospital neurosurgical ward, where 27 adult caretakers were interviewed using semi-structured, in-depth, qualitative interviews. "The Three Delay Framework" was utilized to understand participants' experiences in seeking, reaching, and receiving care for TBI patients. Thematic content analysis and manual coding was used to analyze interview transcripts and identify overarching themes in participant responses. FINDINGS: The main health literacy themes identified were Extrinsic, Intrinsic and Health System Factors. Nine sub-themes were identified: Government Support, Community Support, Financial Burdens, Lack of Medical Resources, Access to Health Information, Physician Support, Emotional Challenges, Navigational Skills, and Understanding of Health Information. These components were found to influence the delays to care to varying degrees. Financial Burdens, Government Support, Emotional Challenges, Physician Support and Lack of Medical Resources were recurring factors across the three delays. CONCLUSION: The health literacy factors identified in this study influence caretakers' functional health literacy and delays to care in a co-dependent manner. A better understanding of how these factors impact patient outcomes is necessary for the development of interventions targeted at improving a caretaker's ability to maneuver the healthcare system and support patients in resource-poor settings.}, Doi = {10.5334/aogh.2978}, Key = {fds352907} } @article{fds272859, Author = {Hays, JC and Gold, DT and Pieper, CF}, Title = {Sibling bereavement in late life}, Volume = {35}, Number = {1}, Pages = {25-42}, Publisher = {SAGE Publications}, Year = {2019}, Month = {January}, ISSN = {0030-2228}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:A1997XX73900003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {Elders are more likely to confront the death of a sibling than any other kinship bereavement. Yet we know almost nothing about the impact of sibling deaths on older adults. We used attachment theory to generate hypotheses about the impact of this life event on physical health, mood, social support, and economic outcomes in late life. At the Duke University site of a large multi-center epidemiologic study (EPESE), 3173 elderly community-dwellers provided data on bereavements experienced in the past year as well as on demographic, health-related, and socioeconomic characteristics. Bereaved siblings were more functionally and cognitively impaired than bereaved friends and rated their overall health as worse than bereaved spouses or bereaved friends who were similarly impaired. Brothers and sisters bereaved of a brother reported excess financial hardship and mood impairment, respectively. Terminal care programs should screen for excess risk among surviving siblings and plan for assisting these survivors in adaptation to this loss.}, Doi = {10.2190/ye89-2gu8-c8u3-mrnx}, Key = {fds272859} } @article{fds341555, Author = {Hiligsmann, M and Reginster, J-Y and Tosteson, ANA and Bukata, SV and Saag, KG and Gold, DT and Halbout, P and Jiwa, F and Lewiecki, EM and Pinto, D and Adachi, JD and Al-Daghri, N and Bruyère, O and Chandran, M and Cooper, C and Harvey, NC and Einhorn, TA and Kanis, JA and Kendler, DL and Messina, OD and Rizzoli, R and Si, L and Silverman, S}, Title = {Recommendations for the conduct of economic evaluations in osteoporosis: outcomes of an experts' consensus meeting organized by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) and the US branch of the International Osteoporosis Foundation.}, Journal = {Osteoporos Int}, Volume = {30}, Number = {1}, Pages = {45-57}, Year = {2019}, Month = {January}, url = {http://dx.doi.org/10.1007/s00198-018-4744-x}, Abstract = {UNLABELLED: Economic evaluations are increasingly used to assess the value of health interventions, but variable quality and heterogeneity limit the use of these evaluations by decision-makers. These recommendations provide guidance for the design, conduct, and reporting of economic evaluations in osteoporosis to improve their transparency, comparability, and methodologic standards. INTRODUCTION: This paper aims to provide recommendations for the conduct of economic evaluations in osteoporosis in order to improve their transparency, comparability, and methodologic standards. METHODS: A working group was convened by the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis to make recommendations for the design, conduct, and reporting of economic evaluations in osteoporosis, to define an osteoporosis-specific reference case to serve a minimum standard for all economic analyses in osteoporosis, to discuss methodologic challenges and initiate a call for research. A literature review, a face-to-face meeting in New York City (including 11 experts), and a review/approval by a larger group of experts worldwide (including 23 experts in total) were conducted. RESULTS: Recommendations on the type of economic evaluation, methods for economic evaluation, modeling aspects, base-case analysis and population, excess mortality, fracture costs and disutility, treatment characteristics, and model validation were provided. Recommendations for reporting economic evaluations in osteoporosis were also made and an osteoporosis-specific checklist was designed that includes items to report when performing an economic evaluation in osteoporosis. Further, 12 minimum criteria for economic evaluations in osteoporosis were identified and 12 methodologic challenges and need for further research were discussed. CONCLUSION: While the working group acknowledges challenges and the need for further research, these recommendations are intended to supplement general and national guidelines for economic evaluations, improve transparency, quality, and comparability of economic evaluations in osteoporosis, and maintain methodologic standards to increase their use by decision-makers.}, Doi = {10.1007/s00198-018-4744-x}, Key = {fds341555} } @article{fds352910, Author = {Gold, T and Williams, SA and Weiss, RJ and Wang, Y and Watkins, C and Carroll, J and Middleton, C and Silverman, S}, Title = {Impact of fractures on quality of life in patients with osteoporosis: a US cross-sectional survey.}, Journal = {Journal of Drug Assessment}, Volume = {8}, Number = {1}, Pages = {175-183}, Year = {2019}, url = {http://dx.doi.org/10.1080/21556660.2019.1677674}, Abstract = {Objective: To evaluate the impact of osteoporosis-related fractures on health-related quality of life (HRQoL). Methods: Data were obtained from the 2016 Adelphi US Osteoporosis Disease Specific Programme™, a cross-sectional survey of physicians and their male and female patients with osteoporosis. Patient-reported outcomes (PRO) measures included the European Quality of Life 5 Domains (EQ-5D), European Quality of Life Visual Analog Scale (EQ-VAS), and Osteoporosis Assessment Questionnaire short-version (OPAQ-SV; physical, emotional, and symptom domains). Associations between PRO scores and the number and site of fractures were evaluated using ANOVA. Multivariate analyses were conducted using linear regression. Results: Physicians provided records for 1848 patients with osteoporosis. Of these, 981 (53.1%) completed the patient survey, data for the number of fractures were available for 935/981 (95.3%), and 185/935 (19.8%) had a history of fracture. Experiencing fractures significantly influenced scores on all PRO measures (p < .0001). Hip and spine fractures were associated with the greatest reduction in most PRO scores. The number of fractures, age, body mass index, and Charlson Comorbidity Index (CCI) were significantly associated with PRO measures (p < .05) in multivariate analyses. In patients with a fracture, fracture site, CCI, gender (EQ-5D and EQ-VAS), and age (OPAQ-SV physical only) were significantly associated with PRO measures. Conclusions: In patients with osteoporosis, fractures are associated with lower HRQoL and lower overall health status. Fracture history, fracture site, age, and comorbidity burden significantly influence HRQoL in individuals with osteoporosis. These data suggest the need for interventions to reduce the risk of fractures in patients with osteoporosis.}, Doi = {10.1080/21556660.2019.1677674}, Key = {fds352910} } @article{fds341556, Author = {Silverman, S and Gold, DT}, Title = {Medication Decision-making in Osteoporosis: Can We Explain Why Patients Do Not Take Their Osteoporosis Medications?}, Journal = {Curr Osteoporos Rep}, Volume = {16}, Number = {6}, Pages = {772-774}, Year = {2018}, Month = {December}, url = {http://dx.doi.org/10.1007/s11914-018-0494-0}, Abstract = {Patients at high risk of fracture often do not take medication for osteoporosis. Recent literature may give us some insights into why patients at high risk of fracture do not take medications for osteoporosis.}, Doi = {10.1007/s11914-018-0494-0}, Key = {fds341556} } @article{fds337474, Author = {Silverman, SL and Siris, E and Belazi, D and Recknor, C and Papaioannou, A and Brown, JP and Gold, DT and Lewiecki, EM and Quinn, G and Balasubramanian, A and Yue, S and Stolshek, B and Kendler, DL}, Title = {Persistence at 24 months with denosumab among postmenopausal women with osteoporosis: results of a prospective cohort study.}, Journal = {Arch Osteoporos}, Volume = {13}, Number = {1}, Pages = {85}, Year = {2018}, Month = {August}, url = {http://dx.doi.org/10.1007/s11657-018-0491-z}, Abstract = {UNLABELLED: Persistence with prescribed medications for chronic diseases is important; however, persistence with osteoporosis treatments is historically poor. In this prospective cohort study of postmenopausal women treated for osteoporosis in real-world clinical practice settings in the USA and Canada, 24-month persistence with denosumab was 58%. PURPOSE: Patients who persist with their prescribed osteoporosis treatment have increased bone mineral density (BMD) and reduced risk of fracture. Twelve-month persistence with denosumab in routine clinical practice is as high as 95%, but there are limited data on longer-term persistence with denosumab in this setting. METHODS: This single-arm, prospective, cohort study evaluated 24-month persistence with denosumab administered every 6 months in postmenopausal women receiving treatment for osteoporosis in real-world clinical practice in the USA and Canada. Endpoints and analyses included the percentage of patients who persist with denosumab at 24 months (greater than or equal to four injections with a gap between injections of no more than 6 months plus 8 weeks), the total number of injections received by each patient, changes in BMD in persistent patients, and the incidence of serious adverse events (SAEs) and fractures. RESULTS: Among 935 enrolled patients, 24-month persistence was 58% (50% in US patients and 75% in Canadian patients). A majority of patients received at least four injections over the observation period (62% of US patients and 81% of Canadian patients). Among patients who were persistent at 24 months and who had a baseline, 12-month, and 24-month DXA scan, mean BMD increased from baseline to 24 months by 7.8% at the lumbar spine and 2.1% at the femoral neck. SAEs and fractures were reported for 122 (13.0%) patients and 54 (5.8%) patients, respectively. CONCLUSIONS: Persistence with denosumab for 24 months yields improvement in BMD among postmenopausal women with osteoporosis treated in routine clinical practice in the USA and Canada.}, Doi = {10.1007/s11657-018-0491-z}, Key = {fds337474} } @article{fds326232, Author = {Kerr, C and Bottomley, C and Shingler, S and Giangregorio, L and de Freitas, HM and Patel, C and Randall, S and Gold, DT}, Title = {The importance of physical function to people with osteoporosis.}, Journal = {Osteoporos Int}, Volume = {28}, Number = {5}, Pages = {1597-1607}, Year = {2017}, Month = {May}, url = {http://dx.doi.org/10.1007/s00198-017-3911-9}, Abstract = {UNLABELLED: There is increasing need to understand patient outcomes in osteoporosis. This article discusses that fracture in osteoporosis can lead to a cycle of impairment, driven by complex psychosocial factors, having a profound impact on physical function/activity which accumulates over time. More information is required on how treatments impact physical function. INTRODUCTION: There is increasing need to understand patient-centred outcomes in osteoporosis (OP) clinical research and management. This multi-method paper provides insight on the effect of OP on patients' physical function and everyday activity. METHODS: Data were collected from three sources: (1) targeted literature review on OP and physical function, conducted in MEDLINE, Embase and PsycINFO; (2) secondary thematic analysis of transcripts from patient interviews, conducted to develop a patient-reported outcome instrument. Transcripts were re-coded to focus on OP impact on daily activities and physical function for those with and without fracture history; and (3) discussions of the literature review and secondary qualitative analysis results with three clinical experts to review and interpret the importance and implications of the findings. RESULTS: Results suggest that OP, particularly with fracture, can have profound impacts on physical function/activity. These impacts accumulate over time through a cycle of impairment, as fracture leads to longer term detriments in physical function, including loss of muscle, activity avoidance and reduced physical capacity, which in turn leads to greater risk of fracture and potential for further physical restrictions. The cycle of impairment is complex, as other physical, psychosocial and treatment-related factors, such as comorbidities, fears and beliefs about physical activity and fracture risk influence physical function and everyday activity. CONCLUSION: More information on how treatments impact physical function would benefit healthcare professionals and persons with OP in making treatment decisions and improving treatment compliance/persistence, as these impacts may be more salient to patients than fracture incidence.}, Doi = {10.1007/s00198-017-3911-9}, Key = {fds326232} } @article{fds326233, Author = {Diez-Perez, A and Naylor, KE and Abrahamsen, B and Agnusdei, D and Brandi, ML and Cooper, C and Dennison, E and Eriksen, EF and Gold, DT and Guañabens, N and Hadji, P and Hiligsmann, M and Horne, R and Josse, R and Kanis, JA and Obermayer-Pietsch, B and Prieto-Alhambra, D and Reginster, J-Y and Rizzoli, R and Silverman, S and Zillikens, MC and Eastell, R and Adherence Working Group of the International Osteoporosis Foundation and the European Calcified Tissue Society}, Title = {International Osteoporosis Foundation and European Calcified Tissue Society Working Group. Recommendations for the screening of adherence to oral bisphosphonates.}, Journal = {Osteoporos Int}, Volume = {28}, Number = {3}, Pages = {767-774}, Year = {2017}, Month = {March}, url = {http://dx.doi.org/10.1007/s00198-017-3906-6}, Abstract = {UNLABELLED: Adherence to oral bisphosphonates is low. A screening strategy is proposed based on the response of biochemical markers of bone turnover after 3 months of therapy. If no change is observed, the clinician should reassess the adherence to the treatment and also other potential issues with the drug. INTRODUCTION: Low adherence to oral bisphosphonates is a common problem that jeopardizes the efficacy of treatment of osteoporosis. No clear screening strategy for the assessment of compliance is widely accepted in these patients. METHODS: The International Osteoporosis Foundation and the European Calcified Tissue Society have convened a working group to propose a screening strategy to detect a lack of adherence to these drugs. The question to answer was whether the bone turnover markers (BTMs) PINP and CTX can be used to identify low adherence in patients with postmenopausal osteoporosis initiating oral bisphosphonates for osteoporosis. The findings of the TRIO study specifically address this question and were used as the basis for testing the hypothesis. RESULTS: Based on the findings of the TRIO study, specifically addressing this question, the working group recommends measuring PINP and CTX at baseline and 3 months after starting therapy to check for a decrease above the least significant change (decrease of more than 38% for PINP and 56% for CTX). Detection rate for the measurement of PINP is 84%, for CTX 87% and, if variation in at least one is considered when measuring both, the level of detection is 94.5%. CONCLUSIONS: If a significant decrease is observed, the treatment can continue, but if no decrease occurs, the clinician should reassess to identify problems with the treatment, mainly low adherence.}, Doi = {10.1007/s00198-017-3906-6}, Key = {fds326233} } @article{fds326234, Author = {Eastell, R and O'Neill, TW and Hofbauer, LC and Langdahl, B and Reid, IR and Gold, DT and Cummings, SR}, Title = {Postmenopausal osteoporosis.}, Journal = {Nature Reviews. Disease Primers}, Volume = {2}, Pages = {16069}, Year = {2016}, Month = {September}, url = {http://dx.doi.org/10.1038/nrdp.2016.69}, Abstract = {Osteoporosis is a metabolic bone disorder that is characterized by low bone mass and micro-architectural deterioration of bone tissue. Fractures of the proximal femur, the vertebrae and the distal radius are the most frequent osteoporotic fractures, although most fractures in the elderly are probably at least partly related to bone fragility. The incidence of fractures varies greatly by country, but on average up to 50% of women >50 years of age are at risk of fractures. Fractures severely affect the quality of life of an individual and are becoming a major public health problem owing to the ageing population. Postmenopausal osteoporosis, resulting from oestrogen deficiency, is the most common type of osteoporosis. Oestrogen deficiency results in an increase in bone turnover owing to effects on all types of bone cells. The imbalance in bone formation and resorption has effects on trabecular bone (loss of connectivity) and cortical bone (cortical thinning and porosity). Osteoporosis is diagnosed using bone density measurements of the lumbar spine and proximal femur. Preventive strategies to improve bone health include diet, exercise and abstaining from smoking. Fractures may be prevented by reducing falls in high-risk populations. Several drugs are licensed to reduce fracture risk by slowing down bone resorption (such as bisphosphonates and denosumab) or by stimulating bone formation (such as teriparatide). Improved understanding of the cellular basis for osteoporosis has resulted in new drugs targeted to key pathways, which are under development.}, Doi = {10.1038/nrdp.2016.69}, Key = {fds326234} } @article{fds292779, Author = {Modi, A and Gold, DT and Yang, X and Fan, C-PS and Sajjan, SG}, Title = {Association Between Gastrointestinal Events and Health Care Resource Utilization Among Patients with Osteoporosis: Analysis of a U.S. Managed Care Population.}, Journal = {J Manag Care Spec Pharm}, Volume = {21}, Number = {9}, Pages = {811-821}, Year = {2015}, Month = {September}, ISSN = {2376-0540}, url = {http://dx.doi.org/10.18553/jmcp.2015.21.9.811}, Abstract = {BACKGROUND: Among patients on osteoporosis therapy, including oral bisphosphonates (BIS), upper gastrointestinal (GI) conditions have been linked with lower adherence to treatment and increased treatment discontinuation in clinical practice. Patients who are nonadherent to treatment have a higher risk of osteoporotic fractures and, consequently, have greater use of health care services. The burden of upper gastrointestinal events on health care resource utilization (HCRU) among women initiating oral BIS has not been well investigated. OBJECTIVE: To examine the association of upper GI events and HCRU in women initiating oral BIS. METHODS: Using a U.S. national claims database, this retrospective study identified women aged ≥ 55 years who were prescribed oral BIS during 2001-2011 and had no history of GI events 12 months prior to treatment initiation. Patients with medical claims for an upper GI event ≤ 4 months posttreatment initiation were cases; all others were controls. The date of the first upper GI event among cases and a randomly assigned date ≤ 4 months posttreatment initiation among controls was the index date. Cases were matched 1:1 to controls by propensity scores derived from logistic regression of pre-index patient characteristics. Outcomes were all-cause and osteoporosis (OP)-related HCRU in the 6-month post-index period. Differences were assessed using McNemar's test. RESULTS: Of the 62,863 eligible patients, 4,751 (7.6%) experienced an upper GI event ≤ 4 months posttreatment initiation (cases); 4,739 cases were matched with 4,739 controls. Compared with controls, cases had higher rates of all-cause HCRU (outpatient: 99.3% vs. 87.8%; inpatient: 20.2% vs. 6.4%; emergency room [ER]: 12.5% vs. 7.4%; all P less than 0.0001) and OP-related HCRU (outpatient: 24.6% vs. 18.2%; inpatient: 3.4% vs. 1.0%; ER: 0.7% vs. 0.4%; all P less than 0.05). CONCLUSIONS: Patients with upper GI events had higher rates of all-cause and OP-related health care utilization. Upper GI events may pose an incremental HCRU burden among patients initiating BIS.}, Doi = {10.18553/jmcp.2015.21.9.811}, Key = {fds292779} } @article{fds272787, Author = {Silverman, SL and Siris, E and Kendler, DL and Belazi, D and Brown, JP and Gold, DT and Lewiecki, EM and Papaioannou, A and Simonelli, C and Ferreira, I and Balasubramanian, A and Dakin, P and Ho, P and Siddhanti, S and Stolshek, B and Recknor, C}, Title = {Persistence at 12 months with denosumab in postmenopausal women with osteoporosis: interim results from a prospective observational study.}, Journal = {Osteoporos Int}, Volume = {26}, Number = {1}, Pages = {361-372}, Year = {2015}, Month = {January}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-014-2871-6}, Abstract = {UNLABELLED: To determine persistence with subcutaneous denosumab every 6 months in women being treated for osteoporosis, we conducted a single-arm prospective, observational study in the United States and Canada. Among 935 patients enrolled, 12-month persistence was 82%, with 66 patients (7%) reporting serious adverse events and 19 patients (2%) reporting fractures. INTRODUCTION: Increased persistence with osteoporosis therapy is associated with reduced fracture risk. Denosumab reduced fracture risk in clinical trials; persistence in community settings is undetermined. This study evaluates persistence with denosumab in community practice in the United States (US) and Canada. METHODS: In a 24-month multicenter, prospective, single-arm, observational study, women being treated for osteoporosis were enrolled ≤4 weeks after the first subcutaneous injection of denosumab. For this 12-month prespecified interim analysis, endpoints include persistence (one injection at study entry and another within 6 months + 8 weeks), attributes associated with persistence (univariate analysis), and serious adverse events (SAEs). RESULTS: Among 935 patients (mean age 71 years), mean baseline T-scores were -2.18 (femoral neck) and -2.00 (lumbar spine); 50% of patients had experienced osteoporotic fracture(s). At 12 months, 82 % of patients were persistent with denosumab. Baseline factors significantly (p < 0.05) associated with higher persistence included use of osteoporosis medications >5 years previously, lumbar spine T-score > -2.5, and treatment by female physicians (US). Lower persistence was associated (p < 0.05) with psychiatric diagnoses including depression, southern US residence, being divorced, separated, or widowed (US), and prior hip fracture (Canada). SAEs were reported in 66 patients (7%); no SAEs of osteonecrosis of the jaw, atypical femoral fracture, fracture healing complications, hypocalcemia, eczema, or hypersensitivity were reported. Nineteen patients (2%) reported osteoporotic fractures. CONCLUSIONS: The 12-month persistence observed in this single-arm open-label study of US and Canadian community practice extends the evidence regarding denosumab's potential role in reducing fracture risk in postmenopausal women with osteoporosis.}, Doi = {10.1007/s00198-014-2871-6}, Key = {fds272787} } @article{fds272786, Author = {Shen, W and Burge, R and Naegeli, AN and Shih, J and Alam, J and Gold, DT and Silverman, S}, Title = {Psychometric properties of the osteoporosis assessment questionnaire (OPAQ) 2.0: results from the multiple outcomes of raloxifene evaluation (MORE) study.}, Journal = {Bmc Musculoskeletal Disorders}, Volume = {15}, Pages = {374}, Year = {2014}, Month = {November}, url = {http://dx.doi.org/10.1186/1471-2474-15-374}, Abstract = {BACKGROUND: We explored psychometric properties of the Osteoporosis Assessment Questionnaire 2.0 in terms of reliability, validity, and responsiveness with generic, clinical, demographic, and preference-based data collected from a population of postmenopausal women with osteoporosis. METHODS: The Multiple Outcomes of Raloxifene Evaluation study was a randomized, placebo-controlled, multinational clinical trial evaluating efficacy and safety of raloxifene. The Osteoporosis Assessment Questionnaire 2.0, a generic quality of life measure (Nottingham Health Profile), and a preference-based measure (Health Utilities Index) were administered at baseline and annually. Psychometric properties of the 14 Osteoporosis Assessment Questionnaire 2.0 domains were evaluated by standard statistical techniques. RESULTS: This study included a subset of 1477 women from the Multiple Outcomes of Raloxifene Evaluation study population completing the questionnaires. Mean (standard deviation) age was 68.4 (6.8) years. Prevalent vertebral fractures were found in 70% (n =1038) of women. Internal consistency was >0.7 in 9 Osteoporosis Assessment Questionnaire 2.0 domains. Correlations were moderate and significant for similar Osteoporosis Assessment Questionnaire 2.0 domain scores, Nottingham Health Profile domains, and Health Utilities Index scores. All but 2 Osteoporosis Assessment Questionnaire 2.0 domains distinguished between patients with or without prevalent vertebral fractures and detected worsening with increased number of vertebral fractures. Women with ≥ 1 incident vertebral fracture generally had a greater worsening in Osteoporosis Assessment Questionnaire 2.0 scores (excluding social activity and support of family and friends) from baseline to study endpoint compared with women without incident vertebral fractures. CONCLUSIONS: Most domains in the Osteoporosis Assessment Questionnaire 2.0 demonstrated robust psychometric properties; however, several domains not showing these criteria may need to be reassessed and removed for a potentially shorter and validated version of the Osteoporosis Assessment Questionnaire.}, Doi = {10.1186/1471-2474-15-374}, Key = {fds272786} } @article{fds292780, Author = {Gold, DT and Silverman, SL and Chastek, BJ and Cheng, L-I and Hunter, AG and White, JC and Van Voorhis and D and Stolshek, BS}, Title = {A Patient Survey Study of Zoledronic Acid Utilization and Factors Associated with Persistence.}, Journal = {Arthritis & Rheumatology}, Volume = {66}, Pages = {S509-S509}, Publisher = {WILEY-BLACKWELL}, Year = {2014}, Month = {October}, ISSN = {2326-5191}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000344384902263&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds292780} } @article{fds272791, Author = {Reynolds, K and Viswanathan, HN and Muntner, P and Harrison, TN and Cheetham, TC and Hsu, J-WY and Gold, DT and Silverman, S and Grauer, A and Morisky, DE and O'Malley, CD}, Title = {Validation of the Osteoporosis-Specific Morisky Medication Adherence Scale in long-term users of bisphosphonates.}, Journal = {Qual Life Res}, Volume = {23}, Number = {7}, Pages = {2109-2120}, Year = {2014}, Month = {September}, ISSN = {0962-9343}, url = {http://dx.doi.org/10.1007/s11136-014-0662-3}, Abstract = {PURPOSE: To examine the psychometric properties and validity of the 8-item Osteoporosis-Specific Morisky Medication Adherence Scale (OS-MMAS-8) in postmenopausal women prescribed bisphosphonates (BPs) for at least 15 months. METHODS: A random sample of women aged ≥55 years with osteoporosis prescribed daily or weekly BPs was identified. Pharmacy fill data were extracted to calculate the medication possession ratio (MPR). Eligible women were stratified by low (<0.50), medium (0.50-0.79), or high (≥0.80) MPR, with the a priori goal of recruiting 133 participants in each group. OS-MMAS-8 scores can range from 0 to 8 and were categorized as low (<6), medium (6 to <8), and high (8) adherence. Internal consistency reliability (Cronbach's alpha), test-retest reliability [intraclass correlation coefficients (ICCs)] and convergent validity (correlating OS-MMAS-8 with MPR and other self-reported measures) were assessed. RESULTS: A total of 400 women out of 449 respondents reported that they were still taking their BPs at the time of the survey and completed OS-MMAS-8. Overall, 38.5, 34.3, and 27.3% of participants had low, medium, and high OS-MMAS-8 scores, respectively. The mean (SD) MPRs according to OS-MMAS-8 scores (<6, 6 to <8 and 8) were 56.9 (22.6), 69.0 (24.9), and 76.7 (26.4), respectively. The correlation between OS-MMAS-8 and MPR was 0.36; p < 0.0001. Cronbach's alpha was 0.74, and the ICC was 0.83 (95% CI 0.76-0.88). CONCLUSIONS: OS-MMAS-8 has acceptable psychometric properties for assessing medication adherence in postmenopausal women prescribed therapy for osteoporosis. Additional studies are needed to investigate the psychometric properties of OS-MMAS-8 in other settings and populations.}, Doi = {10.1007/s11136-014-0662-3}, Key = {fds272791} } @article{fds272789, Author = {Nixon, A and Kerr, C and Doll, H and Naegeli, AN and Shingler, SL and Breheny, K and Burge, R and Gold, DT and Silverman, S}, Title = {Osteoporosis Assessment Questionnaire-Physical Function (OPAQ-PF): a psychometrically validated osteoporosis-targeted patient reported outcome measure of daily activities of physical function.}, Journal = {Osteoporos Int}, Volume = {25}, Number = {6}, Pages = {1775-1784}, Year = {2014}, Month = {June}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-014-2695-4}, Abstract = {UNLABELLED: The purpose of this study was to evaluate the measurement properties of the Osteoporosis Assessment Questionnaire-Physical Functioning (OPAQ-PF). Based on this study, the OPAQ-PF has confirmed unidimensionality and acceptable reliability, construct validity, and sensitivity to change in a recent fracture/no recent fracture osteoporosis sample. METHODS: Dimensionality was established through exploratory and confirmatory factor analysis. Patients completed three patient reported outcome (PRO) measures and four performance-based measures (PBMs) at baseline to enable an evaluation of construct validity. Patients without a recent fracture completed the OPAQ-PF 2 weeks after baseline to enable an evaluation of test-retest reliability. Ability to detect change and interpretation of change were investigated following completion of the OPAQ-PF 12 and 24 weeks postbaseline by patients with a recent fracture. RESULTS: A prospective psychometric validation study in 144 postmenopausal women, with moderate to severe osteoporosis, 37 of whom had experienced a recent fragility fracture (<6 weeks). Unidimensionality was established for the OPAQ-PF by factor analysis. The OPAQ-PF had good internal consistency (α = 0.974) and test-retest reliability (mean intraclass correlation coefficient (ICC) 0.993. The OPAQ-PF differentiated between patients with/without recent fracture, and by severity of osteoarthritis; it correlated strongly with hypothesized-related scales and PBMs (r > 0.3, p < 0.001). Ability to detect change was established with high correlations between changes in OPAQ-PF score and changes in global concept scores in recent fracture patients (r ≥ 0.6, 24-week change). Effect size of change on OPAQ-PF score increased by level of global change (p < 0.001). Anchor-based methods identified an OPAQ-PF change of 10 at an individual patient level and 20 at a group level as meaningful to patients. CONCLUSIONS: The OPAQ-PF has confirmed unidimensionality and acceptable reliability, construct validity, and sensitivity to change in a recent fracture/no recent fracture osteoporosis sample.}, Doi = {10.1007/s00198-014-2695-4}, Key = {fds272789} } @article{fds272800, Author = {Naegeli, AN and Nixon, A and Burge, R and Gold, DT and Silverman, S}, Title = {Development of the Osteoporosis Assessment Questionnaire--physical Function (OPAQ-PF): an osteoporosis-targeted, patient-reported outcomes (PRO) measure of physical function.}, Journal = {Osteoporos Int}, Volume = {25}, Number = {2}, Pages = {579-588}, Year = {2014}, Month = {February}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-013-2448-9}, Abstract = {UNLABELLED: We have developed a short, patient-reported outcome questionnaire--the Osteoporosis Assessment Questionnaire--Physical Function (OPAQ-PF)--that assesses the impact of osteoporosis on physical function. OPAQ-PF contains 15 items in three domains (mobility, physical positions, and transfers) and has content validity in osteoporosis patients with and without a history of fracture. INTRODUCTION: This paper describes the development of the Osteoporosis Assessment Questionnaire--Physical Function (OPAQ-PF), a patient-reported outcome (PRO) questionnaire based on OPAQ v.2.0 (60 items, 14 domains) that assesses the impact of osteoporosis on physical function. METHODS: OPAQ v.2.0 was administered to patients with osteoporosis. Item response theory methodology and clinical judgment were used to retain/eliminate items. The resulting instrument was modified during two sets of concept elicitation and cognitive debriefing interviews with osteoporosis patients. RESULTS: Item response theory-based analysis of OPAQ v.2.0 (n = 1,478) coupled with clinician input resulted in the generation of a 21-item, six-domain instrument with a frequency response format. Interview data from 32 participants were used to modify this version and led to generation of the final instrument, OPAQ-PF. This final version has a severity response format and contains 15 items in three domains (mobility, physical positions, and transfers) that group together to provide an overall assessment of physical function in patients with osteoporosis. Twenty-two of the 32 interview participants (69 %) had previously sustained a fracture. Symptoms occurred primarily in these patients. CONCLUSIONS: OPAQ-PF represents a brief, focused, PRO instrument that assesses physical function in patients with osteoporosis, specifically related to mobility, physical positions, and transfers. This questionnaire has content validity in osteoporosis patients who have, and have not, sustained a prior fracture.}, Doi = {10.1007/s00198-013-2448-9}, Key = {fds272800} } @article{fds272790, Author = {Naegeli, AN and Nixon, A and Burge, R and Gold, DT and Silverman, S}, Title = {Development of the osteoporosis assessment questionnaire - Physical function (OPAQ-PF): An osteoporosis-targeted, patient-reported outcomes (PRO) measure of physical function}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {25}, Number = {2}, Pages = {579-588}, Year = {2014}, Month = {January}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-013-2448-9}, Abstract = {Summary: We have developed a short, patient-reported outcome questionnaire - the Osteoporosis Assessment Questionnaire - Physical Function (OPAQ-PF)-that assesses the impact of osteoporosis on physical function. OPAQ-PF contains 15 items in three domains (mobility, physical positions, and transfers) and has content validity in osteoporosis patients with and without a history of fracture. Introduction: This paper describes the development of the Osteoporosis Assessment Questionnaire - Physical Function (OPAQ-PF), a patient-reported outcome (PRO) questionnaire based on OPAQ v.2.0 (60 items, 14 domains) that assesses the impact of osteoporosis on physical function. Methods: OPAQ v.2.0 was administered to patients with osteoporosis. Item response theory methodology and clinical judgment were used to retain/eliminate items. The resulting instrument was modified during two sets of concept elicitation and cognitive debriefing interviews with osteoporosis patients. Results: Item response theory-based analysis of OPAQ v.2.0 (n =1,478) coupled with clinician input resulted in the generation of a 21-item, six-domain instrument with a frequency response format. Interview data from 32 participants were used to modify this version and led to generation of the final instrument, OPAQ-PF. This final version has a severity response format and contains 15 items in three domains (mobility, physical positions, and transfers) that group together to provide an overall assessment of physical function in patients with osteoporosis. Twenty-two of the 32 interview participants (69%) had previously sustained a fracture. Symptoms occurred primarily in these patients. Conclusions: OPAQ-PF represents a brief, focused, PRO instrument that assesses physical function in patients with osteoporosis, specifically related to mobility, physical positions, and transfers. This questionnaire has content validity in osteoporosis patients who have, and have not, sustained a prior fracture. © The Author(s) 2013.}, Doi = {10.1007/s00198-013-2448-9}, Key = {fds272790} } @article{fds344876, Author = {George, LK and Gold, DT}, Title = {Life course perspectives on intergenerational and generational connections}, Volume = {16}, Pages = {67-88}, Year = {2014}, Month = {January}, url = {http://dx.doi.org/10.4324/9781315059303}, Abstract = {Life course perspectives are recent additions to the conceptual armamentarium of the social sciences. Nonetheless, they already have demonstrated their value for understanding temporal aspects of life patterns. At the individual level, life course perspectives have proven to be especially important in highlighting the ways that events and decisions that occur earlier in life can have persistent effects on the structure and quality of life at later points in time. At the macro, population-based level, life course perspectives have been useful in highlighting the ways in whichsocial change generates different patterns of social structure and personal biography across cohorts.}, Doi = {10.4324/9781315059303}, Key = {fds344876} } @article{fds272792, Author = {Burge, R and Shen, W and Naegeli, AN and Alam, J and Silverman, S and Gold, DT and Shih, T}, Title = {Use of health-related quality of life measures to predict health utility in postmenopausal osteoporotic women: results from the Multiple Outcomes of Raloxifene Evaluation study.}, Journal = {Health and Quality of Life Outcomes}, Volume = {11}, Pages = {189}, Year = {2013}, Month = {November}, url = {http://dx.doi.org/10.1186/1477-7525-11-189}, Abstract = {BACKGROUND: The aim of this study is to examine the associations between health utility (HU), health-related quality of life (HRQoL), and patient characteristics in postmenopausal osteoporotic (PMO) women. METHODS: Baseline data from a subsample of 1,245 participants of the Multiple Outcomes of Raloxifene Evaluation study, a randomized, placebo-controlled, multinational clinical trial to evaluate the safety and efficacy of raloxifene, were analyzed. The study cohort included 694 participants from non-European Union (non-EU) countries and 551 participants from EU countries. All participants with complete baseline HU and HRQoL assessments were included in the following analyses: 1) HU (HUI or EQ-5D) and HRQoL (QualEFFO or OPAQ and NHP) associations; 2) HU variability explained by HRQoL domains; and 3) the percentage of HU variability explained by statistically significant (p < 0.05) HRQoL domains, after adjusting for baseline characteristics. RESULTS: Several domains were significantly associated with HU scores. HU variance was well explained (41% to 61%) by 4 to 6 (p < 0.05) significant HRQoL domains. After controlling for baseline characteristics, 48% to 64% of the HU variance was well explained by 5 to 7 significant (p < 0.05) HRQoL domains. Additional trend analyses detected statistically significant decreases in HRQoL and HU scores with an increased number of vertebral and non-vertebral fractures. CONCLUSIONS: Both disease-targeted and generic HRQoL domains were well correlated with HU. A large percentage (48% to 64%) of the HU variance was explained by HRQoL, after adjusting for baseline characteristics. Both disease-targeted and generic HRQoL measures were significant predictors of HU. HRQoL and HU scores decreased with increased vertebral and non-vertebral fractures.}, Doi = {10.1186/1477-7525-11-189}, Key = {fds272792} } @article{fds272802, Author = {Reynolds, K and Muntner, P and Cheetham, TC and Harrison, TN and Morisky, DE and Silverman, S and Gold, DT and Vansomphone, SS and Wei, R and O'Malley, CD}, Title = {Primary non-adherence to bisphosphonates in an integrated healthcare setting.}, Journal = {Osteoporos Int}, Volume = {24}, Number = {9}, Pages = {2509-2517}, Year = {2013}, Month = {September}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-013-2326-5}, Abstract = {UNLABELLED: We estimated primary non-adherence to oral bisphosphonate medication and examined the factors associated with primary non-adherence. Nearly 30% of women did not pick up their new bisphosphonate within 60 days. Identifying barriers and developing interventions that address patients' needs and concerns at the time a new medication is prescribed are warranted. INTRODUCTION: To estimate primary non-adherence to oral bisphosphonate medications using electronic medical record data in a large, integrated healthcare delivery system and to describe patient and prescribing provider factors associated with primary non-adherence. METHODS: Women aged 55 years and older enrolled in Kaiser Permanente Southern California (KPSC) with a new prescription for oral bisphosphonates between December 1, 2009 and March 31, 2011 were identified. Primary non-adherence was defined as failure to pick up the new prescription within 60 days of the order date. Multivariable logistic regression models were used to investigate patient factors (demographics, healthcare utilization, and health conditions) and prescribing provider characteristics (demographics, years in practice, and specialty) associated with primary non-adherence. RESULTS: We identified 8,454 eligible women with a new bisphosphonate order. Among these women, 2,497 (29.5%) did not pick up their bisphosphonate prescription within 60 days of the order date. In multivariable analyses, older age and emergency department utilization were associated with increased odds of primary non-adherence while prescription medication use and hospitalizations were associated with lower odds of primary non-adherence. Prescribing providers practicing 10 or more years had lower odds of primary non-adherent patients compared with providers practicing less than 10 years. Internal medicine and rheumatology providers had lower odds of primary non-adherent patients than primary care providers. CONCLUSION: This study found that nearly one in three women failed to pick up their new bisphosphonate prescription within 60 days. Identifying barriers and developing interventions aimed at reducing the number of primary non-adherent patients to bisphosphonate prescriptions are warranted.}, Doi = {10.1007/s00198-013-2326-5}, Key = {fds272802} } @article{fds272839, Author = {Silverman, S and Calderon, A and Kaw, K and Childers, TB and Stafford, BA and Brynildsen, W and Focil, A and Koenig, M and Gold, DT}, Title = {Patient weighting of osteoporosis medication attributes across racial and ethnic groups: a study of osteoporosis medication preferences using conjoint analysis.}, Journal = {Osteoporos Int}, Volume = {24}, Number = {7}, Pages = {2067-2077}, Year = {2013}, Month = {July}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-012-2241-1}, Abstract = {UNLABELLED: We studied the ranking of osteoporosis (OP) medication attributes in a convenience sample of four different racial/ethnic groups in the United States. Our study showed that postmenopausal women differ in the ranking of OP medication attributes based on age, educational level, income, and prior fracture history. INTRODUCTION: Decision making about OP medication-related behavior relies heavily on patient preferences about specific medication attributes. Patients may decide to initiate, change, or stop therapies based on ranking of perceived attributes of the therapy and their personal attitudes toward those attributes. We used MaxDiff, a form of conjoint analysis (Ryan and Farrar 2000), to explore patient weighting of attributes across four racial/ethnic groups at two sites in the United States and defined four critical attributes that influence such decisions (safety, efficacy, cost, and convenience) from qualitative interviews. METHODS: We recruited a sample of 367 Postmenopausal (PM) women at risk of OP fractures from four racial/ethnic groups: Caucasian (n = 100), African American (n = 100), Asian American (n = 82), and Hispanic American (n = 85). Respondents completed a laptop-based questionnaire that included demographic items, several short scales on medical care preference and OP patient perceptions, and a MaxDiff procedure that determines comparative ranking of attributes either as least important or most important to their decisions. RESULTS: MaxDiff analyses were done to evaluate the relative weight of specific statements for each participant and to determine whether racial/ethnic groups differed across dimensions. Overall, participants in all four groups rated efficacy > safety > cost > convenience. CONCLUSIONS: Although there were no significant differences among the racial/ethnic groups on overall ranking of attributes, subgroup analyses revealed significant impact of age, education, income, and prior fracture on these decisions. The findings from this study suggest that postmenopausal women differ in their ranking of OP medication attributes, and healthcare providers must account for personal preferences in their communication about and selection of OP medications.}, Doi = {10.1007/s00198-012-2241-1}, Key = {fds272839} } @article{fds272788, Author = {Gold, DT}, Title = {Condition Critical: Compliance and Persistence with Osteoporosis Medications}, Pages = {1909-1921}, Publisher = {Elsevier}, Year = {2013}, Month = {January}, url = {http://dx.doi.org/10.1016/B978-0-12-415853-5.00082-0}, Abstract = {Since the introduction of alendronate as the first bisphosphonate approved for osteoporosis prevention and treatment, compliance and persistence with osteoporosis medications has been a serious problem for healthcare professionals and patients alike. Initially, it seemed as though forgetfulness was most problematic in influencing patients not to take medications as directed. However, studies began to show that intentional nonadherence-that is, choosing deliberately not to take a medication-is what is driving poor medication-related behaviors. Extended dosing intervals, different drug delivery methods, and other changes seem not to have improved how patients take their medicine, especially not for an asymptomatic disease. In addition, primary nonadherence (never filling the prescription) may account for over one-quarter of the problems we face in trying to treat this devastating disease. © 2013 Elsevier Inc. All rights reserved.}, Doi = {10.1016/B978-0-12-415853-5.00082-0}, Key = {fds272788} } @article{fds272838, Author = {Thomas, T and Horlait, S and Ringe, JD and Abelson, A and Gold, DT and Atlan, P and Lange, JL}, Title = {Oral bisphosphonates reduce the risk of clinical fractures in glucocorticoid-induced osteoporosis in clinical practice.}, Journal = {Osteoporos Int}, Volume = {24}, Number = {1}, Pages = {263-269}, Year = {2013}, Month = {January}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-012-2060-4}, Abstract = {UNLABELLED: This study aims to estimate bisphosphonate effectiveness by comparing fracture incidence over time on therapy in glucocorticoid-induced osteoporosis (GIO). From this observational study, alendronate and risedronate decreased clinical vertebral and nonvertebral fractures over time. The effectiveness of each bisphosphonate is consistent with their efficacies demonstrated on surrogate markers in randomized controlled trials (RCTs). INTRODUCTION: This study aims to estimate bisphosphonate effectiveness by comparing fracture incidence over time on therapy with fracture incidence during a short period after starting a therapy. METHODS: The study population was a subgroup of a larger cohort study comprising two cohorts of women aged ≥65 years, prescribed with alendronate or risedronate. Within the two study cohorts, 11,007 women were identified as having received glucocorticoids. Within each cohort, the baseline incidence of clinical fractures at nonvertebral and vertebral sites was defined by the initial 3-month period after starting therapy. Relative to these baseline data, we then compared the fracture incidence during the subsequent 12 months on therapy. RESULTS: The baseline incidence of clinical nonvertebral and vertebral fractures was similar in the alendronate cohort (5.22 and 5.79/100 person-years, respectively) and in the risedronate cohort (5.51 and 5.68/100 person-years, respectively). Relative to the baseline incidence, fracture incidence was significantly lower in the subsequent 12 months in both cohorts of alendronate (33 % lower at nonvertebral sites and 59 % at vertebral sites) and risedronate (28 % lower at nonvertebral sites and 54 % at vertebral sites). CONCLUSION: From this observational study not designed to compare drugs, both alendronate and risedronate decreased clinical vertebral and nonvertebral fractures over time. The reductions observed in fracture incidence, within each cohort, suggest that the effectiveness of each bisphosphonate in clinical practice is consistent with their efficacies demonstrated on surrogate markers in randomized controlled trials.}, Doi = {10.1007/s00198-012-2060-4}, Key = {fds272838} } @article{fds272841, Author = {Reynolds, K and Viswanathan, HN and O'Malley, CD and Muntner, P and Harrison, TN and Cheetham, TC and Hsu, J-WY and Gold, DT and Silverman, S and Grauer, A and Morisky, DE}, Title = {Psychometric properties of the Osteoporosis-specific Morisky Medication Adherence Scale in postmenopausal women with osteoporosis newly treated with bisphosphonates.}, Journal = {Ann Pharmacother}, Volume = {46}, Number = {5}, Pages = {659-670}, Year = {2012}, Month = {May}, ISSN = {1060-0280}, url = {http://dx.doi.org/10.1345/aph.1Q652}, Abstract = {BACKGROUND: Poor adherence to oral osteoporosis medications is common. Strategies for improving adherence begin with identification of the problem. The 8-item Morisky Medication Adherence Scale for self-reported adherence to antihypertensive medications was modified for assessing adherence to oral osteoporosis medications. An evaluation of the measurement properties of the Osteoporosis-Specific Morisky Medication Adherence Scale (OS-MMAS) was needed. OBJECTIVE: To examine the psychometric properties of the OS-MMAS in women with postmenopausal osteoporosis. METHODS: Five hundred women aged 55 years and older with osteoporosis who were newly prescribed daily or weekly oral bisphosphonates between May 15, 2010, and August 15, 2010, were randomly selected from Kaiser Permanente Southern California, a large integrated health care delivery system, and mailed a self-administered survey that included the 8-item OS-MMAS, Self-Efficacy for Appropriate Medication Use Scale (SEAMS), Beliefs about Medicines Questionnaire (BMQ), Treatment Satisfaction Questionnaire for Medication (TSQM), Gastrointestinal Symptom Rating Scale (GSRS), and 12-item Short-Form Health Survey (SF-12v2). OS-MMAS scores can range from 0 to 8, with higher scores indicating better medication adherence. Internal consistency reliability was evaluated using Cronbach α coefficient. Test-retest reliability was assessed using intraclass correlation coefficients (ICCs) in a subset of 102 participants. Construct validity was assessed using confirmatory factor analysis and correlations between OS-MMAS and related measures. RESULTS: Of 197 participants, 150 reported that they were still taking their bisphosphonate at the time of the survey and completed the OS-MMAS. Overall, 30.7%, 32.7%, and 36.7% had low, medium, and high OS-MMAS scores (<6, 6 to <8, and 8, respectively). Cronbach α was 0.82 and the ICC was 0.77. Convergent validity was supported by significant correlations with SEAMS, BMQ necessity, and TSQM scores. In confirmatory factor analysis, a single-factor scale was supported. CONCLUSIONS: The OS-MMAS showed strong psychometric properties with good reliability and construct validity and may provide a valuable assessment of self-reported medication adherence in women newly prescribed oral osteoporosis medications.}, Doi = {10.1345/aph.1Q652}, Key = {fds272841} } @article{fds316724, Author = {Calderon, A and Silverman, SL and Gold, DT}, Title = {RELATIVE IMPORTANCE OF ATTRIBUTES THAT INFLUENCE OSTEOPOROSIS DECISION-MAKING IN CAUCASIAN AND AFRICAN AMERICAN POSTMENOPAUSAL WOMEN}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {23}, Pages = {S458-S458}, Publisher = {SPRINGER LONDON LTD}, Year = {2012}, Month = {April}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000309260300032&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316724} } @article{fds272840, Author = {Solimeo, SL and Silverman, SL and Calderon, AD and Nguyen, A and Gold, DT}, Title = {Measuring health-related quality of life (HRQOL) in osteoporotic males using the Male OPAQ.}, Journal = {Osteoporos Int}, Volume = {23}, Number = {3}, Pages = {841-852}, Year = {2012}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21528362}, Abstract = {UNLABELLED: The Male Osteoporosis Assessment Questionnaire (OPAQ™) is a health-related quality of life (HRQOL) instrument that can differentiate between men with and without fracture. The Male OPAQ™ is a reliable and validated instrument that may be utilized in clinical trials seeking to include male populations. INTRODUCTION: Men with osteoporosis (OP) experience poorer clinical outcomes than do women with the disorder, but little is known about the impact of OP on men's HRQOL. This study aimed to test the validity, reliability, and ability to differentiate between men with and without fracture of an HRQOL for men with osteoporosis, the Male OPAQ™. METHODS: The OPAQ and OPAQ-SV were tested for face validity in interviews with male OP patients, and a revised, male-specific instrument was developed. Thirty-seven men ages 50+ completed the Male OPAQ™ and SF-12 at baseline and a two-week retest of the Male OPAQ™. To analyze both the domain and dimension scores, a normalization procedure was performed on the data to determine health status scores from 0 to 100. Descriptive statistics were calculated for each item and site. Reliability and validity of the Male OPAQ™ were assessed using Pearson's r. RESULTS: The Male OPAQ™ can discriminate between men with and without fracture, and men who have more fractures have poorer scores. Instrument domains correspond to those of the SF-12. CONCLUSIONS: The Male OPAQ(TM) is a brief and sensitive tool for measuring HRQOL in men with OP. Further testing in a more diverse and large sample is warranted.}, Doi = {10.1007/s00198-011-1625-y}, Key = {fds272840} } @article{fds272797, Author = {Gold, DT}, Title = {Late-life death and dying in 21st-century america}, Pages = {235-247}, Publisher = {Elsevier}, Year = {2011}, Month = {December}, url = {http://dx.doi.org/10.1016/B978-0-12-380880-6.00017-4}, Abstract = {The social and medical changes of the twentieth century have been remarkable, and expectations for such change in the twenty-first century seem almost without bounds. Medical technology assists physicians to identify ways in which life can be extended. This chapter examines how social factors and institutions affect and contextualize death. All societies must manage death, but cultural responses differ substantially both across and within societies. Age, a critical social factor, influences perceptions about death, as do religiosity and education. Death is the end of life and biological functioning. Several theories now offer perspectives for understanding and studying death and dying. Changing mortality rates and causes of death were driving forces that increased the use of institutions as places of death. Extensive empirical evidence suggests that care for the terminally ill has high human and resource costs. The heterogeneity of the American population-especially in late life-results in wide variability of beliefs and attitudes toward death and dying. Age, race/ethnicity, SES, and gender all influence how people will cope with short-term and long-term consequences of death and dying. © 2011 Elsevier Inc. All rights reserved.}, Doi = {10.1016/B978-0-12-380880-6.00017-4}, Key = {fds272797} } @article{fds272837, Author = {Gold, DT and Horne, R and Coon, CD and Price, MA and Borenstein, J and Varon, SF and Satram-Hoang, S and Macarios, D}, Title = {Development, reliability, and validity of a new Preference and Satisfaction Questionnaire.}, Journal = {Value Health}, Volume = {14}, Number = {8}, Pages = {1109-1116}, Year = {2011}, Month = {December}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22152181}, Abstract = {OBJECTIVES: Existing questionnaires that assess preference and/or satisfaction with postmenopausal bone loss treatments were reviewed and determined to be inadequate for the assessment of an oral pill versus a subcutaneous injection. The Preference and Satisfaction Questionnaire (PSQ) was developed to assess preference, satisfaction, and bother with a weekly oral tablet versus a once every 6 months subcutaneous injection for treatment of postmenopausal bone loss. METHODS: Questions were developed based on literature review and expert input. Content validity of the PSQ in this patient population was assessed among current or previous bisphosphonate users in group interviews, and item comprehension and readability were also evaluated. Reliability, validity, and structure of the questionnaire were assessed in two phase 3 randomized clinical trials. RESULTS: Twenty-four women participated in cognitive interviews and found the PSQ understandable and acceptable. Subsequently, 1583 trial participants took the PSQ. Interitem correlations, ranging from 0.50 to 0.97 for preference items, 0.85 to 0.94 for pill-satisfaction items, and 0.84 to 0.92 for injection-satisfaction items, and a well-fitting confirmatory factor analysis (root mean square error of approximation 0.04, nonnormed fit index 0.99, and root mean square residual 0.08) supported the structure of the instrument. Cronbach's alpha reliability values for pill satisfaction, injection satisfaction, pill bother, and injection bother were 0.93, 0.89, 0.82, and 0.61, respectively. Discriminative validity was indicated with better satisfaction and bother scores being related to adherence and the absence of adverse events. CONCLUSIONS: The PSQ is a valid and reliable measure and may be a valuable tool to assess patient preference and satisfaction with a weekly oral tablet and 6-month subcutaneous injection for postmenopausal bone loss.}, Doi = {10.1016/j.jval.2011.06.010}, Key = {fds272837} } @article{fds272836, Author = {Solimeo, SL and Weber, TJ and Gold, DT}, Title = {Older men's explanatory model for osteoporosis.}, Journal = {The Gerontologist}, Volume = {51}, Number = {4}, Pages = {530-539}, Year = {2011}, Month = {August}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21310768}, Abstract = {PURPOSE: To explore the nature of men's experiences of osteoporosis by developing an understanding of men's explanatory models. DESIGN AND METHODS: This descriptive study invited community-residing male osteoporosis patients aged 50+ to participate in interviews about osteoporosis. Participants were recruited from a hospital-affiliated bone clinic. Men completed a questionnaire on demographic, medication, and fracture-related information, and descriptive statistics were calculated using Statistical Package for the Social Sciences. Interviews elicited the 5 domains of men's explanatory model (Kleinman, 1987) and open-ended information regarding men's experiences living with this disorder. Narrative data were analyzed both for content and inductively. RESULTS: Men's narratives demonstrate that an osteoporosis diagnosis is accompanied by negative psychosocial sequelae in this population. Men defined it as a disease of the bone that may increase the likelihood of fracture and that may cause pain. Participants reported that osteoporosis is diagnosed by bone mineral density (BMD) score and that disease progression is measured by a decrease in BMD and an increase in pain or new fractures. Men described a reluctance to take medications, dissatisfaction with side effects, and a perception that osteoporosis treatment in men had little basis in long-term medication efficacy or safety data. They viewed osteoporosis as a degenerative chronic disease with an overall stable course. IMPLICATIONS: Participants' explanatory models for osteoporosis are substantively different than clinical models. These differences provide a foundation for exploring the importance of gender to osteoporosis outcomes, a context for making sense of men's bone health behavior, and a clear case for an increase in advocacy and educational efforts for men who have or are at risk for osteoporosis.}, Doi = {10.1093/geront/gnq123}, Key = {fds272836} } @article{fds272835, Author = {Smith, GM and Lewis, VR and Whitworth, E and Gold, DT and Thornburg, CD}, Title = {Growing up with sickle cell disease: a pilot study of a transition program for adolescents with sickle cell disease.}, Journal = {Journal of Pediatric Hematology/Oncology}, Volume = {33}, Number = {5}, Pages = {379-382}, Year = {2011}, Month = {July}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21602723}, Abstract = {We implemented the Duke Sickle Cell Disease (SCD) Transition Program for adolescents with SCD and investigated the knowledge about SCD; concerns and emotions about transitioning; and the initial impact of the Transition Program. Thirty-three adolescents participated in the initial study. Gaps in knowledge included ethnicities affected by SCD and inheritance of SCD. Adolescents were primarily concerned about transferring to a new medical team. There was a mix of both positive and negative emotions that varied over time. Overall, we have identified educational gaps and concerns and emotions about transitioning, which we will address through the Duke SCD Transition Program.}, Doi = {10.1097/MPH.0b013e318211bb2e}, Key = {fds272835} } @article{fds316726, Author = {Silverman, SL and Gold, DT}, Title = {SELF EFFICACY ACROSS BONE HEALTH BEHAVIORS IS NOT CONSISTENT}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {22}, Pages = {S437-S437}, Publisher = {SPRINGER LONDON LTD}, Year = {2011}, Month = {May}, ISSN = {0937-941X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000309257500026&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds316726} } @article{fds272833, Author = {Gold, DT}, Title = {Understanding patient compliance and persistence with osteoporosis therapy.}, Journal = {Drugs Aging}, Volume = {28}, Number = {4}, Pages = {249-255}, Year = {2011}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21553400}, Abstract = {Chronic non-terminal diseases, including postmenopausal osteoporosis, are associated with poor treatment compliance and persistence. The longer a patient with osteoporosis complies and persists with treatment, the lower the risk of fracture. Retrospective studies with emphasis on real-world data have led to a greater understanding of the factors affecting medication compliance and persistence, and their association with improved treatment outcomes. However, these data do not contain information about patient choices of medication or patient commitment to particular medication regimens. Patient preferences can affect compliance and persistence behaviours. While recent evidence questions the importance of dosing regimen in patient preferences, other recent data show that medication efficacy and safety remain the most important determinants of patient preference. Informed patient decision making about treatment options, adverse effects and outcomes can have a beneficial impact on medication-taking behaviour. Healthcare professionals play a crucial role in the management of factors associated with poor compliance and persistence with osteoporosis therapies. Education about disease consequences and differences among treatment options, as well as treatment monitoring and positive reinforcement, are crucial to improving medication compliance and persistence in osteoporotic patients.}, Doi = {10.2165/11586880-000000000-00000}, Key = {fds272833} } @article{fds272834, Author = {Silverman, SL and Gold, DT}, Title = {Healthy users, healthy adherers, and healthy behaviors?}, Journal = {J Bone Miner Res}, Volume = {26}, Number = {4}, Pages = {681-682}, Year = {2011}, Month = {April}, ISSN = {0884-0431}, url = {http://dx.doi.org/10.1002/jbmr.384}, Doi = {10.1002/jbmr.384}, Key = {fds272834} } @article{fds272831, Author = {Silverman, SL and Schousboe, JT and Gold, DT}, Title = {Oral bisphosphonate compliance and persistence: a matter of choice?}, Journal = {Osteoporos Int}, Volume = {22}, Number = {1}, Pages = {21-26}, Year = {2011}, Month = {January}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-010-1274-6}, Abstract = {Compliance to oral bisphosphonates is suboptimal, with negative consequences of increased healthcare utilization and less effective fracture risk reduction. Extending dose interval increased adherence only moderately. We used literature derived from multiple chronic conditions to examine the problem of noncompliance with osteoporosis medication. We reviewed the literature on adherence to osteoporosis medication as well as that across multiple chronic conditions to understand what is known about the cause of the poor adherence. Poor compliance to oral medications is due mostly, not to forgetfulness, but to deliberate choice. Gender differences and style of healthcare management also play a role. Preliminary data suggest psychobehavioral interventions may help to improve motivation. We need to understand better reasons for poor compliance before effective interventions can be developed. Forgetfulness is only a small part of poor compliance. Patient preferences must be considered in medication decision making.}, Doi = {10.1007/s00198-010-1274-6}, Key = {fds272831} } @article{fds326235, Author = {Gold, DT and Weinstein, DL and Pohl, G and Krohn, KD and Chen, Y and Meadows, ES}, Title = {Factors Associated with Persistence with Teriparatide Therapy: Results from the DANCE Observational Study.}, Journal = {J Osteoporos}, Volume = {2011}, Pages = {314970}, Year = {2011}, url = {http://dx.doi.org/10.4061/2011/314970}, Abstract = {Purpose. Determine patient-reported reasons for discontinuation with teriparatide. Methods. Patients taking teriparatide in a multicenter, prospective, and observational study were given three questionnaires: baseline, follow-up questionnaire 1 (QF1, 2 to 6 months), and follow-up questionnaire 2 (QF2, 12 months). Discontinuation reported at QF1 and QF2 was defined as "early" and "late," respectively, and remaining patients were considered persistent. Cochran-Armitage trend test was used to identify factors associated with discontinuation. Results. Side effects, concern about improper use, injection difficulties, and several patient-perceived physician issues were associated with early discontinuation. Low patient-perceived importance of continuing treatment, side effects, difficulty paying, and low patient-perceived physician knowledge were associated with late discontinuation. The most common specific reasons selected for discontinuing treatment were "concerns about treatment outweighing the benefits" (n = 53) and "difficulty paying" (n = 47). Conclusions. Persistence with teriparatide is dependent on managing side effects, addressing financial challenges, proper training, and obtaining support from the healthcare provider.}, Doi = {10.4061/2011/314970}, Key = {fds326235} } @article{fds272798, Author = {Gold, DT and Silverman, SL}, Title = {Adverse Health Outcomes in Men with Osteoporosis}, Pages = {395-401}, Publisher = {Elsevier}, Year = {2010}, Month = {December}, url = {http://dx.doi.org/10.1016/B978-0-12-374602-3.00032-8}, Abstract = {The evidence about men and osteoporosis has changed over the last 30 years. Recent data suggest that at least 20% of people with osteoporosis are men. That means that 2 million men or more already have osteoporosis and another 12 million are at risk of the disease. As life expectancy in the USA continues to rise, osteoporosis prevalence in men will increase. In light of these changing demographics, a better understanding of the incidence and gender-specific consequences of osteoporosis in men is needed. This chapter reviews research findings from the last decade that specifically illuminate the adverse outcomes of osteoporosis and consequent fractures in men. These outcomes include, but are not limited to, physical morbidity, psychosocial outcomes (including health-related quality of life) and mortality. Although the empirical evidence about men and their osteoporosis outcomes is somewhat limited, some recent studies have begun to help researchers understand what happens when men with osteoporosis experience fractures. © 2010 Elsevier Inc. All rights reserved.}, Doi = {10.1016/B978-0-12-374602-3.00032-8}, Key = {fds272798} } @article{fds272832, Author = {Silverman, S and Gold, DT}, Title = {Compliance and persistence with osteoporosis medications: a critical review of the literature.}, Journal = {Rev Endocr Metab Disord}, Volume = {11}, Number = {4}, Pages = {275-280}, Year = {2010}, Month = {December}, ISSN = {1389-9155}, url = {http://dx.doi.org/10.1007/s11154-010-9138-0}, Abstract = {It is widely acknowledged that compliance and persistence with oral osteoporosis medications, particularly with bisphosphonates, is poor. Several excellent reviews have been written on compliance and persistence with osteoporosis medications and have discussed improvements seen with extended dosing intervals. This review begins with studies on extended dosing intervals to examine the limitations of administrative claims data. It also looks at compliance and persistence across multiple medical conditions, examining the importance of prescription fulfillment, intentional choice, causation and possible interventions.}, Doi = {10.1007/s11154-010-9138-0}, Key = {fds272832} } @article{fds272829, Author = {Abelson, A and Ringe, JD and Gold, DT and Lange, JL and Thomas, T}, Title = {Longitudinal change in clinical fracture incidence after initiation of bisphosphonates.}, Journal = {Osteoporos Int}, Volume = {21}, Number = {6}, Pages = {1021-1029}, Year = {2010}, Month = {June}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-009-1046-3}, Abstract = {SUMMARY: There are differences in the risk profile of patients prescribed alendronate, risedronate, or ibandronate. Observed reductions in fracture incidence over time suggest that the effectiveness of each bisphosphonate in clinical practice has been consistent with their efficacies demonstrated in randomized controlled trials. INTRODUCTION: Observational studies of bisphosphonate effectiveness for fracture prevention are subject to bias from unknown characteristics of baseline fracture risk at the start of therapy. The fracture incidence during the short period after starting a bisphosphonate and before any expected clinical benefit likely reflects baseline fracture risk. Bisphosphonate effectiveness may then be estimated by measuring the change in fracture incidence over time on therapy. METHODS: Administrative billing data were used to follow three cohorts of women aged 65 and older (total n = 210,144) after starting therapy either on alendronate, risedronate, or ibandronate in the USA between market introduction and 2006. Within each cohort, the baseline incidence of clinical fractures at the hip, vertebral, and nonvertebral sites was defined by the initial 3-month period after starting therapy. Relative to these baselines, we then compared the fracture incidence during the subsequent 12 months on therapy. RESULTS: At the start of therapy, the ibandronate cohort was younger and had fewer prior fractures than either the risedronate or alendronate cohorts. Accordingly, the baseline incidence of hip fractures was higher in the risedronate cohort (0.90 per 100 person-years) and in the alendronate cohort (0.77) than in the ibandronate cohort (0.64). Relative to the baseline incidence, fracture incidence was significantly lower in the subsequent 12 months in both cohorts of alendronate (18% lower at hip, 28% at nonvertebral sites, and 57% at vertebral sites) and risedronate (27% lower at hip, 21% at nonvertebral sites, and 54% at vertebral sites). In the ibandronate cohort, the fracture incidence was lower (31%) only at vertebral sites. CONCLUSIONS: Differences in the baseline fracture incidence among the cohorts may reflect differences in the risk profile of patients prescribed each bisphosphonate. The reductions observed in fracture incidence over time within each cohort suggest that the effectiveness of each bisphosphonate in clinical practice has been consistent with their efficacies demonstrated in randomized controlled trials.}, Doi = {10.1007/s00198-009-1046-3}, Key = {fds272829} } @article{fds272830, Author = {Kendler, DL and Bessette, L and Hill, CD and Gold, DT and Horne, R and Varon, SF and Borenstein, J and Wang, H and Man, H-S and Wagman, RB and Siddhanti, S and Macarios, D and Bone, HG}, Title = {Preference and satisfaction with a 6-month subcutaneous injection versus a weekly tablet for treatment of low bone mass.}, Journal = {Osteoporos Int}, Volume = {21}, Number = {5}, Pages = {837-846}, Year = {2010}, Month = {May}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-009-1023-x}, Abstract = {UNLABELLED: The Preference and Satisfaction Questionnaire (PSQ) compares patient preference and satisfaction between a 6-month subcutaneous injection and weekly oral tablet for treatment of bone loss. Patients preferred and were more satisfied with a treatment that was administered less frequently, suggesting the acceptability of the 6-month injection for treatment of bone loss. INTRODUCTION: The PSQ compares patient preference and satisfaction between a 6-month subcutaneous injection and a weekly oral tablet for treatment of bone loss. METHODS: Postmenopausal women with low bone mass who enrolled in two separate randomized phase 3 double-blind, double-dummy studies received a 6-month subcutaneous denosumab injection (60 mg) plus a weekly oral placebo or a weekly alendronate tablet (70 mg) plus a 6-month subcutaneous placebo injection. After 12 months, patients completed the PSQ to rate their preference, satisfaction, and degree of bother with each regimen. RESULTS: Most enrolled patients (1,583 out of 1,693; 93.5%) answered >or=1 item of the PSQ. Significantly more patients preferred and were more satisfied with the 6-month injection versus the weekly tablet (P < 0.001). More patients reported no bother with the 6-month injection (90%) than the weekly tablet (62%). CONCLUSION: Patients preferred, were more satisfied, and less bothered with a 6-month injection regimen for osteoporosis.}, Doi = {10.1007/s00198-009-1023-x}, Key = {fds272830} } @article{fds272793, Author = {Gold, DT}, Title = {Compliance and Persistence With Osteoporosis Medications}, Pages = {254-256}, Publisher = {JOHN WILEY & SONS INC}, Year = {2009}, Month = {December}, url = {http://dx.doi.org/10.1002/9780470623992.ch54}, Doi = {10.1002/9780470623992.ch54}, Key = {fds272793} } @article{fds272828, Author = {Gold, DT and Trinh, H and Safi, W}, Title = {Weekly versus monthly drug regimens: 1-year compliance and persistence with bisphosphonate therapy.}, Journal = {Curr Med Res Opin}, Volume = {25}, Number = {8}, Pages = {1831-1839}, Year = {2009}, Month = {August}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19530982}, Abstract = {OBJECTIVE: To determine compliance and persistence with weekly risedronate and monthly ibandronate therapy. RESEARCH DESIGN AND METHODS: The IMS longitudinal prescription database was used to evaluate compliance (mean medication possession ratio), persistence (days until a gap >90 days between prescriptions occurred) and cumulative drug availability (ratio of drug supply and days between first fill date and the end of the study) among patients taking weekly risedronate or monthly ibandronate over a 12-month period using three retrospective cohorts: overall sample, new to osteoporosis therapy, and new to osteoporosis therapy after initial market availability. Comparisons were made between drug groups for each measure. RESULTS: Compliance was significantly different for the overall sample (80.15 +/- 18.90% for risedronate vs. 74.68 +/- 22.56% for ibandronate; p < 0.0001), and marginally different during the initial post-marketing year (p = 0.091), but not for patients new to therapy (p = 0.693). Persistence was significantly different for the overall sample (250.04 +/- 132.34 days for risedronate vs. 151.54 +/- 137.24 days for ibandronate; p < 0.0001), for patients new to therapy (154.38 +/- 135.29 days for risedronate vs. 133.33 +/- 130.36 days for ibandronate; p < 0.0001), and after initial market availability (165.00 +/- 141.58 days for risedronate vs. 133.33 +/- 130.36 days for ibandronate; p < 0.0001). Mean cumulative drug availability was significantly different for the overall sample (64.54 +/- 29.86% for risedronate vs. 43.38 +/- 32.96% for ibandronate; p < 0.0001), for patients new to therapy (40.34 +/- 31.84% for risedronate vs. 36.05 +/- 31.09% for ibandronate; p < 0.0001), and after initial market availability (43.17 +/- 33.34% for risedronate vs. 36.05 +/- 31.09% for ibandronate; p < 0.0001). CONCLUSIONS: Patient compliance, persistence and cumulative drug availability were similar for monthly ibandronate and weekly risedronate dosing. Interpretations from this study are limited by assumptions of persistence based on initial drug dosing and selected refill gap length measured. Furthermore, comparisons with earlier studies are difficult, due to differences in definitions of compliance and persistence. Further studies are needed to explore factors affecting patterns of medication use, particularly the effects of patient preference, acceptance, and patient education on compliance and persistence.}, Doi = {10.1185/03007990903035604}, Key = {fds272828} } @article{fds272842, Author = {Whitson, HE and Sanders, LL and Pieper, CF and Morey, MC and Oddone, EZ and Gold, DT and Cohen, HJ}, Title = {Correlation between symptoms and function in older adults with comorbidity.}, Journal = {Journal of the American Geriatrics Society}, Volume = {57}, Number = {4}, Pages = {676-682}, Year = {2009}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19392960}, Abstract = {OBJECTIVES: To describe the relationship between symptom scores and mobility function measures, assess whether symptom scores and disease scores are similarly associated with mobility function, and identify clusters of symptoms that are most strongly associated with functional status in older adults. DESIGN: Secondary analysis of cross-sectional data from three cohorts. SETTING: Academic medical center. PARTICIPANTS: One hundred ninety-five community-dwelling subjects with poor flexibility or cardiorespiratory fitness (fitness cohort), 211 female retirement community residents with vertebral fractures (VF cohort), and 61 subjects with Parkinson's disease (PD cohort). MEASUREMENTS: Twenty-item self-reported symptom scale, 17-item self-reported disease scale, Medical Outcomes Study 36-item Short Form Survey (SF-36) Physical Functioning Scale, 5-item Nagi Disability scale, 10-m walk time, supine to stand time. RESULTS: Symptom scores correlated with mobility function measures (Spearman correlation coefficients ranged from 0.222 to 0.509) at least as strongly as, if not more strongly than, did disease scores. Symptom scores remained associated with functional outcomes after controlling for disease score and demographic variables. Adding symptom scores to models that contained disease scores significantly increased the association with functional outcomes. In the fitness cohort, muscle weakness was the most explanatory single symptom, associated with an average decrease of 17.8 points on the Physical Functioning Scale. A model that included only muscle weakness, pain, and shortness of breath accounted for 21.2% of the variability in the Physical Functioning Score. CONCLUSION: Symptoms represent useful indicators of disability burden in older adults and are promising targets for interventions to improve function in medically complex patients.}, Doi = {10.1111/j.1532-5415.2009.02178.x}, Key = {fds272842} } @article{fds272796, Author = {Gold, DT and Solimeo, S}, Title = {The Conundrum of Compliance and Persistence with Oral Bisphosphonates for Postmenopausal Osteoporosis}, Pages = {1547-1553}, Publisher = {Elsevier}, Year = {2008}, Month = {December}, url = {http://dx.doi.org/10.1016/B978-012370544-0.50066-5}, Doi = {10.1016/B978-012370544-0.50066-5}, Key = {fds272796} } @article{fds272826, Author = {Gold, DT and Bonnick, SL and Amonkar, MM and Kamel, HK and Agarwal, S and Zaidi, M}, Title = {Descriptive analysis of concomitant prescription medication patterns from 1999 to 2004 among US women receiving daily or weekly oral bisphosphonate therapy.}, Journal = {Gender Medicine}, Volume = {5}, Number = {4}, Pages = {374-384}, Year = {2008}, Month = {December}, ISSN = {1550-8579}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19108810}, Abstract = {BACKGROUND: To improve medication-taking behavior, it is important to identify factors that may contribute to suboptimal compliance and persistence with osteoporosis medications. OBJECTIVE: The purpose of this descriptive analysis was to identify concurrent prescription medication use (number and type) among women receiving daily or weekly oral bisphosphonate therapy. METHODS: Patient prescription data were collected from November 1999 to June 2004 from a US patient claims database accessed through Wolters Kluwer Health (formerly NDC Health), which represents >65 million patients annually. Women aged >or=50 years who were receiving daily or weekly oral bisphosphonate medication during the study months were included. Concomitant medications were defined based on >or=14 days of prescription supply in the same month as bisphosphonate therapy. Data were examined to determine the frequency with which certain drugs and drug classes were prescribed concomitantly with bisphosphonates. Each study month was treated independently to assess concomitant medication use. RESULTS: Over the study period, the number of female bisphosphonate recipients in the database increased from 78,909 to 250,286. At the end of the study, 16.2%, 12.2%, 8.7%, and 19.1% of bisphosphonate recipients were prescribed 3, 4, 5, or >or=6 concomitant medications, respectively. The most commonly prescribed concomitant drug classes were cholesterol reducers, diuretics, beta-blockers, calcium channel blockers, synthetic thyroid hormones, angiotensin-converting enzyme inhibitors, systemic analgesics/anti-inflammatory drugs, and antispasmodics/antisecretory drugs. From July 2001 until the end of the study, the number of concomitant medications was higher for women receiving daily bisphosphonates than for those receiving weekly bisphosphonates, 4.16 versus 3.77 as of June 2004. In addition, the mean number of concomitant medications prescribed increased with age: in the aged 50 to 64 years cohort, the aged 65 to 74 years cohort, and the aged >or=75 years cohort, the mean number was 3.09, 3.62, and 3.97, respectively, as of June 2004. CONCLUSION: This analysis suggests that women prescribed bisphosphonates have a high medication burden, with the majority of patients (56%) taking >or=3 concomitant prescription medications.}, Doi = {10.1016/j.genm.2008.10.004}, Key = {fds272826} } @article{fds272827, Author = {Whitson, HE and Sanders, L and Pieper, CF and Gold, DT and Papaioannou, A and Richards, JB and Adachi, JD and Lyles, KW and CaMos Research Group}, Title = {Depressive symptomatology and fracture risk in community-dwelling older men and women.}, Journal = {Aging Clinical and Experimental Research}, Volume = {20}, Number = {6}, Pages = {585-592}, Year = {2008}, Month = {December}, ISSN = {1594-0667}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19179844}, Abstract = {BACKGROUND AND AIMS: Previous studies suggest that depression increases risk of falls, low bone mineral density, and fractures. Our aim was to evaluate whether depressive symptomatology alone predicts 5- year clinical fracture risk in older adults. METHODS: In this secondary analysis of a community-based, prospective cohort study including 4175 women and 1652 men in Canada, depressive symptomatology was assessed at baseline by the mental health inventory-5 (MHI-5) and the mental component score (MCS) of the short form 36 questionnaire (SF-36). Fracture events were assessed annually for five years; all reported incident fragility fractures were confirmed radiographically. RESULTS: Depressive symptomatology did not predict time to first fracture in men (hazard ratio [HR] 0.86, 95% confidence interval [CI] 0.45-1.65) or women (HR 1.09, 95% CI 0.86-1.39). Results were similar after controlling for potential confounders. Depressive symptoms were not significantly associated with baseline bone mineral density at the lumbar spine or femoral neck. Women with depressive symptoms were more likely to report falls in the previous month (odds ratio [OR] 1.52, 95% CI 1.12-2.06, p=0.01). This association did not achieve statistical significance in men (OR 1.71, 95% CI 0.96-3.04, p=0.07). CONCLUSION: In this large, community cohort, depressive symptomatology did not predict five-year risk of clinical fracture. Further research is needed to determine if individuals with major depressive disorder (MDD) are at higher fracture risk and whether neuroendocrine or hormonal dysregulation might contribute to such risk in MDD.}, Doi = {10.1007/BF03324888}, Key = {fds272827} } @article{fds272825, Author = {Kleerekoper, M and Gold, DT}, Title = {Osteoporosis prevention and management: an evidence-based review.}, Journal = {Clin Obstet Gynecol}, Volume = {51}, Number = {3}, Pages = {556-563}, Year = {2008}, Month = {September}, ISSN = {0009-9201}, url = {http://dx.doi.org/10.1097/GRF.0b013e3181809ae0}, Abstract = {Evidence-based guidelines that have been prepared by many professional organizations aimed at assisting the clinician in the initial evaluation of postmenopausal women who should be considered for bone mineral density evaluation by dual-energy x-ray absorptiometry; history, physical examination, and laboratory testing in those women being considered for pharmacologic intervention; and monitoring and management of women for whom therapy is prescribed are discussed.}, Doi = {10.1097/GRF.0b013e3181809ae0}, Key = {fds272825} } @article{fds272824, Author = {Silverman, SL and Gold, DT}, Title = {Compliance and persistence with osteoporosis therapies.}, Journal = {Current Rheumatology Reports}, Volume = {10}, Number = {2}, Pages = {118-122}, Year = {2008}, Month = {April}, ISSN = {1523-3774}, url = {http://dx.doi.org/10.1007/s11926-008-0021-x}, Abstract = {The US Food and Drug Administration has approved a diverse group of effective osteoporosis therapies. However, these therapies obviously only work when patients with osteoporosis take them. Data from retrospective observational databases have shown poor compliance and persistence with all osteoporosis drugs, particularly oral bisphosphonate therapy. Patients on weekly therapies are more compliant and persistent than those on daily dosing. Data have also shown decreased fracture risk, decreased health care utilization, and lower costs in compliant and persistent patients.}, Doi = {10.1007/s11926-008-0021-x}, Key = {fds272824} } @article{fds272795, Author = {Brunton, S and Carmichael, B and Gold, D and Hull, B and Kauffman, TL and Papaioannou, A and Rasch, R and Stracke, HHG and Truumees, E}, Title = {Osteoporosis}, Pages = {121-128}, Publisher = {Elsevier}, Year = {2007}, Month = {December}, url = {http://dx.doi.org/10.1016/B978-0-443-10233-2.50026-2}, Doi = {10.1016/B978-0-443-10233-2.50026-2}, Key = {fds272795} } @article{fds272823, Author = {Silverman, SL and Gold, DT and Cramer, JA}, Title = {Reduced fracture rates observed only in patients with proper persistence and compliance with bisphosphonate therapies.}, Journal = {South Med J}, Volume = {100}, Number = {12}, Pages = {1214-1218}, Year = {2007}, Month = {December}, ISSN = {0038-4348}, url = {http://dx.doi.org/10.1097/SMJ.0b013e31815a9685}, Abstract = {Numerous studies have analyzed data from administrative claims databases to determine persistence and compliance with bisphosphonate therapy for osteoporosis; several of these studies have also examined how persistence and compliance with therapy affect fracture outcomes. All of the studies included in this review demonstrated that patients who were persistent or compliant with therapy had a decreased risk of fracture. None, however, adequately addressed the question of what level of persistence or compliance is necessary to obtain a reduced risk of fracture. There is agreement among studies that compliance and persistence rates are suboptimal for all osteoporosis treatments. Measures to improve persistence and compliance with osteoporosis medications are needed if patients are to achieve the full clinical benefit of treatment.}, Doi = {10.1097/SMJ.0b013e31815a9685}, Key = {fds272823} } @article{fds272821, Author = {Gold, DT and Silverman, SL}, Title = {Compliance and persistence with osteoporosis therapies: We can do better}, Journal = {Future Rheumatology}, Volume = {2}, Number = {5}, Pages = {443-445}, Publisher = {Future Medicine Ltd}, Year = {2007}, Month = {October}, ISSN = {1746-0816}, url = {http://dx.doi.org/10.2217/17460816.2.5.443}, Doi = {10.2217/17460816.2.5.443}, Key = {fds272821} } @article{fds272822, Author = {Cramer, JA and Silverman, SL and Gold, DT}, Title = {Methodological considerations in using claims databases to evaluate persistence with bisphosphonates for osteoporosis.}, Journal = {Curr Med Res Opin}, Volume = {23}, Number = {10}, Pages = {2369-2377}, Year = {2007}, Month = {October}, ISSN = {0300-7995}, url = {http://dx.doi.org/10.1185/030079907X226311}, Abstract = {OBJECTIVE: To demonstrate that retrospective analyses of medication persistence require careful methodological approaches to assure accuracy and consistency across various types of databases. Bisphosphonates (BPs) are used as an example because of the availability of diverse dosing options that can create a unique set of challenges for persistence analyses. METHODS: Reports of BP persistence were compared for methodological approaches, including data source, duration of follow-up, allowed gap for persistence, and presentation of results. MAIN OUTCOME MEASURES: Medication persistence. RESULTS: Comparisons among reports of BP persistence for weekly and monthly formulations revealed inconsistent definitions and a variety of methods. Persistence analyses varied greatly, particularly in allowed gaps and adjustment for demographic and clinical characteristics that affected results. Persistence with weekly dosing was 179-249 days, with 24-78% remaining on treatment at 1 year. Analyses of persistence with monthly treatment was complicated by the variety of gap lengths (30-90 days). The studies reviewed had many limitations, including lack of an established threshold for efficacy, inadequacy of information in databases, and potential biases in case selection (treatment-naive or experienced). CONCLUSIONS: The limitations of published studies reveal the need for a more consistent approach to medication persistence analyses using claims databases to allow for comparison across reports. The analysis plan should present definitions of all terms, details of all methods and types of adjustments needed for demographic and clinical characteristics, as well as specify allowed gaps between refills. These approaches would improve clinical utility of data describing BP persistence and its impact on fracture risk.}, Doi = {10.1185/030079907X226311}, Key = {fds272822} } @article{fds272820, Author = {Cramer, JA and Gold, DT and Silverman, SL and Lewiecki, EM}, Title = {A systematic review of persistence and compliance with bisphosphonates for osteoporosis.}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {18}, Number = {8}, Pages = {1023-1031}, Year = {2007}, Month = {August}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-006-0322-8}, Abstract = {UNLABELLED: Fourteen reports utilizing data from de-identified administrative databases were reviewed. Studies contained at least one measure of patient persistence or compliance with bisphosphonates or bisphosphonates and other anti-osteoporosis medications. These studies confirm that women with osteoporosis have suboptimal persistence and compliance rates with bisphosphonate therapy. INTRODUCTION: This review summarizes patient persistence and compliance with bisphosphonates for the treatment of osteoporosis. METHODS: We conducted a MEDLINE search for the period from January 1998 to May 2006, using a detailed list of terms related to persistence and compliance with anti-osteoporosis medications. Studies were included if they contained at least one measure of persistence or compliance derived from de-identified administrative databases containing patient demographics and prescription information. RESULTS: We reviewed 14 reports, which described 14 databases. The percentage of patients persisting with therapy for 1 year ranged from 17.9% to 78.0%. Compliance, assessed as mean medication possession ratio (MPR), ranged from 0.59 to 0.81. When comparing compliance with weekly and daily bisphosphonates, the mean MPR was consistently higher for weekly versus daily therapy (0.58 to 0.76 versus 0.46 to 0.64 for patients receiving weekly and daily bisphosphonate therapy respectively). Persistence was also improved in patients receiving weekly bisphosphonates, assessed by both length of persistence (194 to 269 days [weekly] and 134 to 208 days [daily]) and percentage of persistent patients at the end of the follow-up period (35.7% to 69.7% [weekly] and 26.1% to 55.7% [daily]). CONCLUSION: Although patients using weekly bisphosphonate medication follow their prescribed dosing regimens better than those using daily therapy, overall compliance and persistence rates were suboptimal.}, Doi = {10.1007/s00198-006-0322-8}, Key = {fds272820} } @article{fds272818, Author = {Gold, DT and Martin, BC and Frytak, JR and Amonkar, MM and Cosman, F}, Title = {A claims database analysis of persistence with alendronate therapy and fracture risk in post-menopausal women with osteoporosis.}, Journal = {Curr Med Res Opin}, Volume = {23}, Number = {3}, Pages = {585-594}, Year = {2007}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17355739}, Abstract = {OBJECTIVE: To explore the relationship between persistence with alendronate therapy and fracture rates in women with postmenopausal osteoporosis. RESEARCH DESIGN AND METHODS: Claims data from a large US health plan database were used to examine persistence with therapy in postmenopausal women followed for 24 months. Persistence was defined as the time (in days) from the date of first fill to the run-out date of the last prescription with no lapses > 30 days after completion of the previous refill. A persistent cohort (length of persistence > or = 182 days) and a nonpersistent cohort (length of persistence < 182 days) were defined. The number of patients with a fracture claim in each cohort was determined. Cox-proportional hazards regression (HR) analysis was used to determine significant differences in fracture rates between the two cohorts. RESULTS: 4769 patients were followed for 24 months. Patients in the persistent cohort were significantly more likely to receive a treatment (vs. prevention) dose of alendronate (p = 0.03) and to be older than 65 years (p = 0.04). There was a trend toward more fractures in the non-persistent (4.9%) than in the persistent cohort (3.9%; p = 0.09). When controlled for other significant factors (including age and previous fractures) patients in the persistent cohort were 26% less likely to have a fracture diagnosis claim during the study period than those in the non-persistent cohort (HR = 0.74; 95% CI, 0.549-0.996; p = 0.045). Prescription fill data are an indirect measure of medication-taking behavior. The use of claims data to estimate persistence and identify fracture events prohibits the establishment of causality between these two variables. CONCLUSION: Study results demonstrated that non-persistence with therapy, along with previous fracture and increasing age, was associated with a greater risk of fracture.}, Doi = {10.1185/030079906X167615}, Key = {fds272818} } @article{fds272819, Author = {Gold, DT and Silverman, SL}, Title = {Do estrogen or selective estrogen receptor modulators improve quality of life for women with postmenopausal osteoporosis?}, Journal = {Current Osteoporosis Reports}, Volume = {5}, Number = {1}, Pages = {3-7}, Year = {2007}, Month = {March}, ISSN = {1544-1873}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17320021}, Abstract = {Osteoporotic fractures result in significant deficits in health-related quality of life (HRQOL). The accumulation of deficits resulting from osteoporosis and fractures is now recognized as a major cause of reduced HRQOL in women after the menopause and in later life. Some of these same postmenopausal women may also have deficits in HRQOL related to vasomotor symptoms during the menopausal transition. Although estrogen therapy has not been shown to improve overall HRQOL in late postmenopausal women in randomized, controlled trials, it may improve menopausal symptoms. In contrast, selective estrogen receptor modulators (SERMs) such as raloxifene may increase vasomotor symptoms. Although estrogen is not indicated for the primary prevention of osteoporosis, estrogen therapy may be considered for the postmenopausal woman at risk of osteoporotic fracture who is symptomatic and who is not at high risk of breast cancer or cardiovascular events. Raloxifene decreases risk of invasive breast cancer and may be considered in women at high risk of breast cancer. Decision making about osteoporosis treatment should also consider the impact of the treatment on HRQOL.}, Doi = {10.1007/BF02938616}, Key = {fds272819} } @article{fds272815, Author = {Gold, DT and Solimeo, S}, Title = {Osteoporosis and depression: a historical perspective.}, Journal = {Current Osteoporosis Reports}, Volume = {4}, Number = {4}, Pages = {134-139}, Year = {2006}, Month = {December}, ISSN = {1544-1873}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17112423}, Abstract = {In the early 1980s, researchers studying osteoporosis noted that depression was one of the major negative consequences of bone loss and fractures. These researchers believed that osteoporosis and fractures occurred first, causing a reactive depression. Meanwhile, a similar but distinct psychiatry literature noted that osteoporosis or bone loss appeared to be an undesirable consequence of major depression. Here, depression was seen as the causal factor, and osteoporosis was the outcome. The psychiatric perspective is more biological, based on the presence of hypercorticoidism in depressed individuals. Those who believe that osteoporosis leads to depression point out that depression is a consequence of many chronic illnesses. Regardless of the correct causal order, the strong positive relationship between osteoporosis and depression merits further clinical and research attention in the future.}, Doi = {10.1007/s11914-996-0021-6}, Key = {fds272815} } @article{fds272816, Author = {Gold, DT and Safi, W and Trinh, H}, Title = {Patient preference and adherence: comparative US studies between two bisphosphonates, weekly risedronate and monthly ibandronate.}, Journal = {Curr Med Res Opin}, Volume = {22}, Number = {12}, Pages = {2383-2391}, Year = {2006}, Month = {December}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17257452}, Abstract = {OBJECTIVES: To determine how patients' preferences for weekly versus monthly bisphosphonate therapy is influenced by their knowledge of the medication's proven fracture efficacy. An additional objective is to determine whether patient adherence to therapy with weekly risedronate versus monthly ibandronate is related to patient preferences Methods: Preference data were collected for weekly versus monthly bisphosphonate therapy among women currently using bisphosphonates. In addition, the IMS longitudinal prescription database was used to evaluate adherence among patients currently taking weekly risedronate or monthly ibandronate, using three cohorts: overall sample; new to osteoporosis therapy; and 6 months after initial market availability. RESULTS: More patients preferred weekly over monthly therapy (82% vs. 18% respectively, p < 0.0001) after receiving information about fracture efficacy differences. Mean compliance was significantly higher for the overall sample and the post-market group. Mean persistence for risedronate versus ibandronate patients was significantly different (p < 0.0001) for the overall sample (144.3 +/- 55.5 days vs. 100.1 +/- 67.4 days), new to therapy (103.5 +/- 66.4 days vs. 92.1 +/- 65.9 days), and post-market (104.8 +/- 67.3 days vs. 92.1 +/- 65.9 days). Adherence was significantly higher (p < 0.0001) in patients taking risedronate versus ibandronate in all groups (72.7 +/- 26.4% vs. 52.8 +/- 31.5%, overall sample; 51.7 +/- 31.3% vs. 46.6 +/- 30.7%, new to therapy; 53.0 +/- 32.2% vs. 46.6 +/- 30.7%, post-market). In the persistence analyses, biases might have occurred due to the methodology of breaking down the dose of the bisphosphonate the patient received during the index month, as well as due to the selected refill gap length. CONCLUSIONS: Patients preferred a weekly dosing regimen with proven vertebral and non-vertebral fracture efficacy. A monthly dosing regimen did not increase patient compliance and persistence with bisphosphonate therapy in this study. However, patient compliance, persistence and adherence are complex, and methods to increase adherence beyond dosing schedules should be further investigated.}, Doi = {10.1185/030079906X154042}, Key = {fds272816} } @article{fds272817, Author = {Keen, R and Jodar, E and Iolascon, G and Kruse, H-P and Varbanov, A and Mann, B and Gold, DT}, Title = {European women's preference for osteoporosis treatment: influence of clinical effectiveness and dosing frequency.}, Journal = {Curr Med Res Opin}, Volume = {22}, Number = {12}, Pages = {2375-2381}, Year = {2006}, Month = {December}, ISSN = {0300-7995}, url = {http://dx.doi.org/10.1185/030079906X154079}, Abstract = {OBJECTIVE: To determine participant preference for weekly versus monthly bisphosphonate therapy for osteoporosis after being informed about differences in fracture efficacy. DESIGN: 20-minute, semi-structured, face-to-face or telephone interviews. Two bisphosphonate choices were presented on the basis of block randomization: weekly therapy with proven efficacy to reduce fracture risk at the spine and hip, or monthly therapy with proven efficacy to reduce fracture risk at the spine but not the hip. SUBJECTS: Women from the UK, Germany, France, Spain and Italy, with postmenopausal osteoporosis and aged > or = 55 years. Fifty percent were currently taking a weekly bisphosphonate; 50% had no history of taking any bisphosphonate. MEASURES: An efficacy rating scale and an intention-to-use rating scale were developed for this study. The primary endpoint was preference for weekly or monthly therapy. Reasons for preference were recorded. RESULTS: A preference was recorded for 1248 women (1253 were recruited). More women preferred weekly to monthly therapy (82% vs. 18%, respectively; p < 0.001). Among women who preferred weekly therapy, efficacy was the most commonly cited reason (65%). Ninety-two percent of the total cohort rated the efficacy of the weekly therapy as 'excellent/good' versus 38% for monthly (p < 0.001). Sixty-nine percent intended to use weekly bisphosphonates compared with 34% for monthly (p < 0.001). CONCLUSIONS: When informed about differences in fracture efficacy in weekly and monthly bisphosphonates, a significantly greater proportion (82%) of women preferred a weekly bisphosphonate with proven fracture efficacy at the spine and hip over a monthly bisphosphonate with proven fracture efficacy only at the spine.}, Doi = {10.1185/030079906X154079}, Key = {fds272817} } @article{fds272812, Author = {Gold, DT and Alexander, IM and Ettinger, MP}, Title = {How can osteoporosis patients benefit more from their therapy? Adherence issues with bisphosphonate therapy.}, Journal = {The Annals of Pharmacotherapy}, Volume = {40}, Number = {6}, Pages = {1143-1150}, Year = {2006}, Month = {June}, ISSN = {1060-0280}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16735667}, Abstract = {OBJECTIVE: To review the evidence on adherence with bisphosphonates and evolving dosing strategies for osteoporosis treatment. DATA SOURCES: Articles were identified by searching MEDLINE (1975-December 2005) using the following terms: osteoporosis, postmenopausal, fracture, adherence, compliance, persistence, drug therapy, bisphosphonates, alendronate, risedronate, ibandronate, and zoledronate. Additional data included bibliographies from identified articles. STUDY SELECTION AND DATA EXTRACTION: All pertinent English-language articles that discussed adherence issues in patients with osteoporosis were included. Both those that reviewed overall issues of medication adherence in osteoporosis and those that focused specifically on adherence to bisphosphonates were included, as were articles that addressed strategies for overcoming nonadherence. DATA SYNTHESIS: Inadequate diagnosis and treatment of osteoporosis result in a higher risk of fractures than is necessary. Even patients who are diagnosed and beginning treatment often do not persist with their osteoporosis medication because they perceive their fracture risk to be low and, given the asymptomatic nature of osteoporosis, do not experience the benefit of symptom reduction after taking the drugs. Factors that affect adherence to osteoporosis therapy include drug costs, adverse effects, dosing frequency, disease education, patient follow-up, and patient involvement in treatment decisions. CONCLUSIONS: By considering and implementing strategies that can improve adherence and persistence, primary care providers and pharmacists (via counseling) may enhance long-term outcomes for patients with osteoporosis.}, Doi = {10.1345/aph.1G534}, Key = {fds272812} } @article{fds272813, Author = {Weiss, TW and Gold, DT and Silverman, SL and McHorney, CA}, Title = {An evaluation of patient preferences for osteoporosis medication attributes: results from the PREFER-US study.}, Journal = {Current Medical Research and Opinion}, Volume = {22}, Number = {5}, Pages = {949-960}, Year = {2006}, Month = {May}, ISSN = {0300-7995}, url = {http://dx.doi.org/10.1185/030079906X104740}, Abstract = {OBJECTIVE: To evaluate preferences for eight medication attributes that women may consider when evaluating prescription osteoporosis medications. RESEARCH DESIGN AND METHODS: The eligible sample consisted of women aged 50 years or older who responded to the 2003 or 2004 Internet-based National Health and Wellness Survey as being diagnosed with osteoporosis, considering themselves at risk, or having a family history of osteoporosis. In this Internet survey (the PREFER survey), respondents were asked to: (1) force-rank order the eight attributes from one to eight according to their preferences and (2) separately rate the importance of each attribute on a Likert-type scale from 1 (extremely unimportant) to 7 (extremely important). RESULTS: We collected 999 responses across 3 days from a sample of 3368 women and stopped compiling responses after achieving sample size targets. Drug effectiveness (e.g., ability to reduce the risk of fractures) was force ranked as the No. 1 preferred osteoporosis medication attribute by 37% of the sample. Side effects were force ranked as the No. 1 preferred medication attribute by 36% of the sample. Dosing frequency, dosing procedure, and formulation (i.e., how the drug is taken) were each force ranked as No. 1 by 2% or less of the sample. Drug effectiveness had the highest percentage of 'extremely important' responses (59%) followed by drug interactions (53%). Drug effectiveness was the highest-rated attribute (mean [S.D.] = 6.1 [1.6], median = 7), while dosing frequency was the lowest-rated attribute (mean [S.D.] = 4.7 [1.8], median = 5). CONCLUSIONS: In our sample of women with a diagnosis of osteoporosis or at risk for osteoporosis, drug effectiveness was the most highly ranked and rated of eight osteoporosis medication attributes. Side effects and drug interactions were also highly ranked and rated. Healthcare providers should consider incorporating patient preferences for key medication attributes into their therapeutic decision-making processes.}, Doi = {10.1185/030079906X104740}, Key = {fds272813} } @article{fds272810, Author = {Gold, DT and McClung, B}, Title = {Approaches to patient education: emphasizing the long-term value of compliance and persistence.}, Journal = {Am J Med}, Volume = {119}, Number = {4 Suppl 1}, Pages = {S32-S37}, Year = {2006}, Month = {April}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16563940}, Abstract = {Approximately 50% of patients with chronic disease do not obtain optimal clinical benefit from treatment because of poor compliance with medication regimens. Lack of compliance is associated with poor clinical outcomes, increased hospitalizations, lower quality of life, and higher overall healthcare costs. Although poor compliance and persistence are common across many disease states, they may be particularly poor in treatment for asymptomatic chronic diseases such as osteoporosis. Patient education has been demonstrated to significantly improve compliance with medication across a broad range of conditions and disease severities. In a study in which patients received educational materials, referral for bone densitometry, and physician consultation, 67% were compliant with treatment after 6 months. Patient satisfaction with treatment has been linked to compliance with therapy; by improving patient care through fulfilling expectations for physician visits and providing frequent feedback, the healthcare provider can dramatically improve compliance. Self-management programs focusing on day-to-day management of chronic diseases have been shown to significantly improve heath behaviors and health status. Regardless of the strategy used, attention must be directed to identifying the patients least likely to persist with treatment and to providing the education and support these patients need to adhere to osteoporosis therapy.}, Doi = {10.1016/j.amjmed.2005.12.021}, Key = {fds272810} } @article{fds272811, Author = {Weber, TJ and Gold, DT}, Title = {Update on male osteoporosis}, Journal = {Advanced Studies in Medicine}, Volume = {6}, Number = {4}, Pages = {171-181}, Year = {2006}, Month = {April}, ISSN = {1530-3004}, Abstract = {PURPOSE: Fragility fractures are increasingly recognized as an important cause of morbidity and mortality in men. This review focuses on the potential causes, means of diagnosis, and available treatment for male osteoporosis. EPIDEMIOLOGY: More than 2 million men in the United States have osteoporosis, and approximately 1 in 5 fractures occur in men. Moreover, it is estimated that there will be 800 000 hip fractures in men worldwide in 2025, reflecting a greater rate of increase in men (89%) than that in women (69%). REVIEW SUMMARY: Male osteoporosis is a multifactorial disorder with testosterone deficiency, excessive glucocorticoids, and excess alcohol intake the most commonly observed causes. Although the lifetime risk of fracture is lower in men than in women, men have higher mortality rates after hip and other types of osteoporotic fracture. Diagnostic assessment of osteoporosis in men generally should be more comprehensive than that in women, given that more than half of men will have an identifiable secondary disorder that contributes to their disease. Treatment with pharmacologic agents does have favorable effects on bone mineral density in men, though definitive evidence of antifracture benefit is lacking to date. TYPE OF AVAILABLE EVIDENCE: Systematic reviews, prospective cohort studies, randomized-controlled trials, meta-analyses. GRADE OF AVAILABLE EVIDENCE: Fair. CONCLUSION: Male osteoporosis is a common disorder associated with significant morbidity and mortality. An approach of lifestyle modification, appropriate nutrition (with calcium/vitamin D), and selective use of pharmacologic agents appears to confer skeletal benefit to men similar to that in women.}, Key = {fds272811} } @article{fds272851, Author = {Gold, DT and Pantos, BS and Masica, DN and Misurski, DA and Marcus, R}, Title = {Initial experience with teriparatide in the United States.}, Journal = {Current Medical Research and Opinion}, Volume = {22}, Number = {4}, Pages = {703-708}, Year = {2006}, Month = {April}, ISSN = {0300-7995}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16684431}, Abstract = {Teriparatide has been commercially available in the United States (US) for over 3 years. This summary spans the early experience with this therapy. As of December 31, 2005, over 235 000 patients had filled a prescription for teriparatide world-wide. Data collected from July to December 2004, from 15,000 retail pharmacies in the US, indicated that the mean age of patients was 67.5 years, and more recent data collected from January through October 2005 indicated that 90% of patients were female. According to market research conducted with prescribing physicians from February through March of 2005, it is estimated that over 80% of patients receiving prescriptions for teriparatide had already experienced one or more prior fractures. Since teriparatide is administered subcutaneously, it is important that patients receive training on the use of the teriparatide injection device (i.e., the pen device). Educational programs are available for those who have been prescribed teriparatide therapy. Patients may also contact a customer care program regarding a variety of topics, including pen device use. Based on patient feedback, design changes have been implemented in the pen device to facilitate optimal use. Updates have also been made to the prescribing information to reflect the post-marketing surveillance experience. Adverse experiences reported to date have been consistent with the current product label and with cumulative teriparatide clinical trial experience. As of December 31, 2005 no reports of pathology-confirmed osteosarcoma have been received for individuals who have been treated with teriparatide, either with the commercially available drug or in clinical trials. We are unaware of any reports of osteosarcoma in association with other preparations of teriparatide, or other peptides of parathyroid hormone, either in the setting of clinical trials or from marketed drug experience.}, Doi = {10.1185/030079906X100159}, Key = {fds272851} } @article{fds272809, Author = {Gold, DT and Silverman, S}, Title = {Review of adherence to medications for the treatment of osteoporosis.}, Journal = {Current Osteoporosis Reports}, Volume = {4}, Number = {1}, Pages = {21-27}, Year = {2006}, Month = {March}, ISSN = {1544-1873}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16527004}, Abstract = {One of the major challenges of successful osteoporosis management is poor patient adherence to current therapies. Individuals who are nonadherent have significant consequences of reduced bone mineral density response, reduced bone marker suppression, and increased risk for fracture compared with individuals who are adherent. Although reducing the dosing interval from daily to weekly oral bisphosphonates has improved adherence, adherence with weekly bisphosphonates remains suboptimal. Barriers to adherence include patient health beliefs, inadequate patient education and age. Potential solutions include increased health care provider-patient interaction, and longer times between doses of medications.}, Doi = {10.1007/s11914-006-0011-8}, Key = {fds272809} } @article{fds272808, Author = {Gold, DT}, Title = {Introduction to osteoporosis: From pathogenesis to prevention and treatment strategies}, Journal = {American Journal of Obstetrics and Gynecology}, Volume = {194}, Number = {2 SUPPL.}, Pages = {S1-S2}, Publisher = {Elsevier BV}, Year = {2006}, Month = {January}, ISSN = {0002-9378}, url = {http://dx.doi.org/10.1016/j.ajog.2005.08.046}, Doi = {10.1016/j.ajog.2005.08.046}, Key = {fds272808} } @article{fds272850, Author = {Miller, PD and Silverman, SL and Gold, DT and Taylor, KA and Chen, P and Wagman, RB}, Title = {Rationale, objectives and design of the Direct Analysis of Nonvertebral Fracture in the Community Experience (DANCE) study.}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {17}, Number = {1}, Pages = {85-90}, Year = {2006}, Month = {January}, ISSN = {0937-941X}, url = {http://dx.doi.org/10.1007/s00198-005-1915-3}, Abstract = {The experience in randomized placebo-controlled clinical trials may differ from that in community practice. The pivotal teriparatide [rhPTH(1-34)] studies were initiated when few therapeutic options for osteoporosis were available. The Direct Analysis of Non-Vertebral Fractures in Community Experience (DANCE) study is a prospective observational trial designed to examine the occurrence of nonvertebral fragility fractures in a large, diverse patient population treated with teriparatide. The occurrence of clinical vertebral fractures and back pain will also be examined, as will bone mineral density, bone mineral content, bone area, safety and tolerability. Subjects will be followed through a course of teriparatide therapy for up to 24 months and for an additional 24 months after cessation of treatment. Therefore, subjects may participate in this study for up to 48 months. DANCE will provide data on the effectiveness and tolerability of teriparatide therapy in clinical practice that will complement the results of published controlled clinical trials.}, Doi = {10.1007/s00198-005-1915-3}, Key = {fds272850} } @article{fds272807, Author = {Gold, DT}, Title = {Elevated calcium requirements for women and unique approaches to improving calcium adherence.}, Journal = {The Journal of Reproductive Medicine}, Volume = {50}, Number = {11 Suppl}, Pages = {891-895}, Year = {2005}, Month = {November}, ISSN = {0024-7758}, Abstract = {Recent analyses from the Women's Health Initiative have shed new light on the importance of adequate calcium and vitamin D intake to women's bone health. This new information reveals the need for behavioral change in women's calcium and vitamin D intake. This is especially important considering that women, at certain points in their lives have calcium requirements that significantly increase, not only with menopause, but with pregnancy, post pregnancy and lactation. Despite the dissemination of this important information, women are still not complying with the calcium requirements. This paper will explore the reasons why women are not complying with the calcium requirements during their life course even though they are aware of the requirements.}, Key = {fds272807} } @article{fds272806, Author = {Brunton, S and Carmichael, B and Gold, D and Hull, B and Kauffman, T and Papaioannou, A and Rasch, R and Stracke, HHG and Truumees, E and Primary Care Education Consortium, and Texas Academy of Family Physicians}, Title = {Vertebral compression fractures in primary care: recommendations from a consensus panel.}, Journal = {Journal of Family Practice}, Volume = {54}, Number = {9}, Pages = {781-788}, Year = {2005}, Month = {September}, Abstract = {Vertebral compression fractures are a relatively common but often unrecognized consequence of osteoporosis. Back pain is the typical presenting symptom; patients older than 50 years with acute back pain should undergo a clinical workup for a VCF. Primary care clinicians have important roles as educators about bone health and as providers of pharmacologic therapies. Additionally, they are critical in coordinating the multidisciplinary care of a patient with a VCF. Kyphoplasty and vertebroplasty stabilize a VCF, increase spinal function, and restore normal daily function. Both may be performed as an inpatient or outpatient procedure, as determined by medical necessity. They provide rapid pain improvement with a low complication rate. Restoration of the vertebral height is an added benefit of kyphoplasty. Copyright © 2005 Dowden Health Media.}, Key = {fds272806} } @article{fds272846, Author = {Gold, DT and Martin, B and Freytak, J and Amonkar, M and Cosman, F}, Title = {Fracture risk, persistence with therapy, and gastrointestinal healthcare utilization in a claims analysis of bisphosphonate therapy for osteoporosis}, Journal = {Mayo Clinic Proceedings}, Year = {2005}, Key = {fds272846} } @article{fds272847, Author = {Silverman, SL and Gold, DT}, Title = {The downward spiral of osteoporosis}, Journal = {Annals of Internal Medicine}, Year = {2005}, Key = {fds272847} } @article{fds272848, Author = {Gold, DT and Alexander, IM and Ettinger, MP}, Title = {How can osteoporosis patients get more out of their therapy?}, Journal = {American Family Physician}, Year = {2005}, Key = {fds272848} } @article{fds272849, Author = {Gold, DT}, Title = {Profile in gerontology. Linda K. George, Ph.D.: The subjective side of aging}, Journal = {Contemporary Gerontology}, Year = {2005}, Key = {fds272849} } @article{fds272854, Author = {Roberto, KA and Gold, DT and Yorgason, JB}, Title = {The influence of osteoporosis on the marital relationship of older couples}, Journal = {Journal of Applied Gerontology}, Volume = {23}, Number = {4}, Pages = {443-456}, Publisher = {SAGE Publications}, Year = {2004}, Month = {December}, ISSN = {0733-4648}, url = {http://dx.doi.org/10.1177/0733464804270856}, Abstract = {Thirty-four older wives and their husbands participated in interviews about adaptation to the wives' osteoporosis and its influence on their relationship. For most couples, the wives' osteoporosis resulted in changes in the structure of their marital relationship but not the overall quality of the marriage. Discrepancies in pain perceptions were associated with lower marital adjustment for wives but not for husbands. The findings suggest the need to focus on the dynamics of the marital relationship to understand chronic illness in late-life families.}, Doi = {10.1177/0733464804270856}, Key = {fds272854} } @article{fds272853, Author = {Gold, DT and Shipp, KM and Pieper, CF and Duncan, PW and Martinez, S and Lyles, KW}, Title = {Group treatment improves trunk strength and psychological status in older women with vertebral fractures: results of a randomized, clinical trial.}, Journal = {Journal of the American Geriatrics Society}, Volume = {52}, Number = {9}, Pages = {1471-1478}, Year = {2004}, Month = {September}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15341548}, Abstract = {OBJECTIVES: To assess whether group exercise and coping classes reduce physical and psychological impairments and functional disability in older women with prevalent vertebral fractures (VFs). DESIGN: Randomized, controlled trial (modified cross-over) with site as unit of assignment; testing at baseline and 3, 6, 9, and 12 months. SETTING: Nine North Carolina retirement communities. PARTICIPANTS: One hundred eighty-five postmenopausal Caucasian women (mean age 81), each with at least one VFs. INTERVENTION: The intervention group had 6 months of exercise (3 meetings weekly, 45 minutes each) and coping classes (2 meetings weekly, 45 minutes each) in Phase 1, followed by 6 months of self-maintenance. The control group had 6 months of health education control intervention (1 meeting weekly, 45 minutes) in Phase 1, followed by the intervention described above. MEASUREMENTS: Change in trunk extension strength, change in pain with activities, and change in psychological symptoms. RESULTS: Between-group differences in the change in trunk extension strength (10.68 foot pounds, P<.001) and psychological symptoms (-0.08, P=.011) were significant for Phase 1. Changes in pain with activities did not differ between groups (-0.03, P=.64); there was no change in the pain endpoint. In Phase 2, controls showed significant changes in trunk strength (15.02 foot pounds, P<.001) and psychological symptoms (-0.11, P=.006) from baseline. Change in pain with activities was not significant (-0.03, P=.70). During self-maintenance, the intervention group did not worsen in psychological symptoms, but improved trunk extension strength was not maintained. CONCLUSION: Weak trunk extension strength and psychological symptoms associated with VFs can be improved in older women using group treatment, and psychological improvements are retained for at least 6 months.}, Doi = {10.1111/j.1532-5415.2004.52409.x}, Key = {fds272853} } @article{fds272852, Author = {Gold, DT and Silverman, SL}, Title = {Osteoporosis self-management: Choices For Better Bone Health.}, Journal = {Southern Medical Journal}, Volume = {97}, Number = {6}, Pages = {551-554}, Year = {2004}, Month = {June}, ISSN = {0038-4348}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15255420}, Abstract = {Despite recent pharmacologic advances in the prevention and treatment of osteoporosis, the disease remains incurable. Effective disease management ultimately lies in the hands of the individual patient, who must take responsibility for key health behaviors related to bone health. One behavior modification strategy that has proven effective, but which has not previously been applied to osteoporosis, is "self-management." This article describes the principals, evolution, and initial outcomes of a new self-management program, Choices For Better Bone Health. Choices is a group education course directed to postmenopausal women who are at risk or already affected by osteoporosis, and has shown positive results in early evaluations.}, Doi = {10.1097/00007611-200406000-00007}, Key = {fds272852} } @article{fds136840, Author = {MR Benjamins and MA Musick and DT Gold and LK George}, Title = {Age-related declines in activity level: the relationship between chronic illness and religious activities.}, Journal = {The journals of gerontology. Series B, Psychological sciences and social sciences, United States}, Volume = {58}, Number = {6}, Pages = {S377-85}, Year = {2003}, Month = {November}, ISSN = {1079-5014}, Keywords = {Aged • Aging • Cerebrovascular Accident • Chronic Disease • Female • Hip Fractures • Humans • Life Change Events* • Male • Neoplasms • Religion* • Social Behavior • Social Isolation* • psychology • psychology*}, Abstract = {OBJECTIVES: When they are faced with major life transitions such as worsening health, older adults may selectively withdraw from activities. Because of the importance of religion to a large proportion of the elderly population, research is needed to determine whether levels of religious involvement are affected by serious health problems such as the onset of a chronic disease. METHODS: Multiple waves of data from the Duke Established Populations for Epidemiologic Studies of the Elderly were used to analyze the effects of five different chronic conditions on two religious activities: service attendance and religious media use. RESULTS: Findings show that broken hip, cancer, and stroke were significantly related to levels of religious attendance. Furthermore, the combined conditions also significantly predicted religious attendance, with more conditions being associated with lower attendance. Neither the individual or summed conditions were significantly related to religious media use. DISCUSSION: The study finds some evidence to support the idea that older adults withdraw from social activities such as religious involvement when faced with declining health. In contrast, levels of religious media use remain stable following the onset of one or more new chronic conditions.}, Key = {fds136840} } @article{fds272890, Author = {Blazer, DG and Fillenbaum, GG and Gold, DT and Burchett, BM and Hays, JC}, Title = {APOE epsilon4 as a predictor of subjective quality of life in a biracial older person community sample.}, Journal = {Journal of Aging and Health}, Volume = {15}, Number = {4}, Pages = {645-660}, Year = {2003}, Month = {November}, ISSN = {0898-2643}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14594022}, Keywords = {African Continental Ancestry Group • Aged • Alleles • Alzheimer Disease • Apolipoproteins E • Educational Status • European Continental Ancestry Group • Female • Genotype • Health Status* • Humans • Male • Quality of Life* • Risk Factors • genetics • genetics* • psychology}, Abstract = {UNLABELLED: The epsilon4 allele of apolipoprotein E (APOE) has been associated with health-related outcomes that may adversely affect quality of life (QOL) in older adults. In the absence of published information, we sought to determine whether the epsilon4 allele was associated with subjective QOL across 5 parameters in a community sample of older adults. DESIGN: Prospective cohort study. SETTING: Community-based sample of older adults in North Carolina (Duke site of the Established Populations for Epidemiologic Studies of the Elderly [Duke EPESE]). PARTICIPANTS: Self-responding genotyped sample members (n = 1,880) of whom 1,254 provided longitudinal data. MEASUREMENTS: APOE genotype and five newly constructed, reliable, and valid measures of subjective QOL derived from the Duke EPESE questionnaire. The 5 parameters measured were social, economic, mental and physical health, and functional status. Control variables included age, gender, race (African American or White), education and urban/rural residence. RESULTS: Among those with good baseline QOL, there was no significant association between the epsilon4 allele and any of the parameters of subjective QOL in longitudinal analyses. In controlled longitudinal analysis, older age women predicted poorer functional status; being African American, and reporting lower education predicted poorer subjective economic well-being; and being African American predicted better self-assessed mental health. CONCLUSIONS: This study is among the first to explore the association of the epsilon4 allele with overall QOL. Considered from a public health perspective, these findings challenge the uncritical assumption that the presence of this susceptibility gene in the population implies an excess burden of poor QOL. The findings do not contradict the previous association of epsilon4 with Alzheimer's disease (AD) and other conditions. Such conditions continue to merit full attention.}, Doi = {10.1177/0898264303256216}, Key = {fds272890} } @article{fds272899, Author = {Benjamins, MR and Musick, MA and Gold, DT and George, LK}, Title = {Age-related declines in activity level: the relationship between chronic illness and religious activities.}, Journal = {The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences}, Volume = {58}, Number = {6}, Pages = {S377-S385}, Year = {2003}, Month = {November}, ISSN = {1079-5014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14614127}, Abstract = {OBJECTIVES: When they are faced with major life transitions such as worsening health, older adults may selectively withdraw from activities. Because of the importance of religion to a large proportion of the elderly population, research is needed to determine whether levels of religious involvement are affected by serious health problems such as the onset of a chronic disease. METHODS: Multiple waves of data from the Duke Established Populations for Epidemiologic Studies of the Elderly were used to analyze the effects of five different chronic conditions on two religious activities: service attendance and religious media use. RESULTS: Findings show that broken hip, cancer, and stroke were significantly related to levels of religious attendance. Furthermore, the combined conditions also significantly predicted religious attendance, with more conditions being associated with lower attendance. Neither the individual or summed conditions were significantly related to religious media use. DISCUSSION: The study finds some evidence to support the idea that older adults withdraw from social activities such as religious involvement when faced with declining health. In contrast, levels of religious media use remain stable following the onset of one or more new chronic conditions.}, Doi = {10.1093/geronb/58.6.s377}, Key = {fds272899} } @article{fds272912, Author = {Gold, DT}, Title = {Osteoporosis and quality of life psychosocial outcomes and interventions for individual patients.}, Journal = {Clinics in Geriatric Medicine}, Volume = {19}, Number = {2}, Pages = {271-vi}, Year = {2003}, Month = {May}, ISSN = {0749-0690}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12916286}, Keywords = {Humans • Osteoporosis • Quality of Life* • psychology*}, Abstract = {Despite the substantial psychosocial impact of osteoporosis, little research has evolved in this area. Early reports conceptualized these nonskeletal problems as psychosocial in nature, but more recent investigations focus on health-related quality of life (HRQOL). Multiple HRQOL instruments have been designed to measure this construct in people with osteoporosis, and each has its strengths and weaknesses. Unfortunately, so much investigative energy has been spent on psychometric testing that these instruments have not been put to work efficiently to identify problem areas in HRQOL. It is from such results that interventions to improve HRQOL will occur.}, Doi = {10.1016/s0749-0690(02)00077-0}, Key = {fds272912} } @article{fds272855, Author = {Long, KM and Sudha, S and Sloane, PD and Gold, DT}, Title = {Staff perceptions of successful management of severe behavioral problems in dementia special care units}, Journal = {Dementia}, Volume = {2}, Number = {1}, Pages = {105-124}, Publisher = {SAGE Publications}, Year = {2003}, url = {http://dx.doi.org/10.1177/1471301203002001998}, Abstract = {Factors that promote successful management of persons with severe behavioral problems in special care units (SCUs) for dementia were evaluated. Using qualitative data from staff interviews conducted in 36 nursing home SCUs, the study examined the relationships among demographic and behavioral characteristics of 70 residents, management techniques of the staff, and family participation in the management of persons with severe behavioral problems. Problem behaviors were often managed successfully in SCUs, although unpredictable aggression was particularly difficult to control and was a common reason for discharge. Use of multiple non-pharmacological techniques was associated with a greater likelihood of successful management, and physical restraints were used as a last resort. SCU staff members also reported that large, physically aggressive men and residents with real or suspected psychiatric comorbidity were especially difficult to manage. Finally, family involvement and support were critical to resident success and often buffered against resident discharge. © 2003, Sage Publications. All rights reserved.}, Doi = {10.1177/1471301203002001998}, Key = {fds272855} } @article{fds272892, Author = {Bonner, FJ and Sinaki, M and Grabois, M and Shipp, KM and Lane, JM and Lindsay, R and Gold, DT and Cosman, F and Bouxsein, ML and Weinstein, JN and Gallagher, RM and Melton, LJ and Salcido, RS and Gordon, SL}, Title = {Health professional's guide to rehabilitation of the patient with osteoporosis.}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {14 Suppl 2}, Pages = {S1-22}, Year = {2003}, ISSN = {0937-941X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12759719}, Keywords = {Aged • Diet • Exercise Therapy • Female • Humans • Male • Osteoporosis • Patient Education • complications • methods • prevention & control • rehabilitation*}, Doi = {10.1007/s00198-002-1308-9}, Key = {fds272892} } @article{fds272874, Author = {Roberto, KA and Gold, DT}, Title = {Chronic pain in later life women: issues and challenges from the research literature.}, Journal = {Journal of the American Medical Women'S Association (1972)}, Volume = {57}, Number = {2}, Pages = {97-99}, Year = {2002}, ISSN = {0098-8421}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11991430}, Keywords = {Aged • Aging* • Databases, Factual* • Female • Humans • Middle Aged • Pain • Research Design • Sex Factors • Women's Health* • physiopathology* • therapy}, Abstract = {Because research on chronic pain in older adults comes from many disciplines, existing information about geriatric pain is widely scattered. In order to establish a foundation from which to construct future research and interventions for older women and men, we developed a comprehensive, multidisciplinary database of the chronic pain and aging literature published between 1990 and 1998. We searched 10 electronic databases that index scientific journals and found 302 articles that focused on chronic pain in later life. Given the disproportionately high number of women in many of the study samples, gender comparisons were not always statistically feasible. Because a limited number of studies reported sex differences in older adults, it is difficult to determine whether older women's experiences with chronic pain are unique and require special attention from health care providers or whether the causes, treatments, and consequences of chronic pain should be considered universal to the older-population as a whole.}, Key = {fds272874} } @article{fds272873, Author = {Mendes de Leon and CF and Gold, DT and Glass, TA and Kaplan, L and George, LK}, Title = {Disability as a function of social networks and support in elderly African Americans and Whites: the Duke EPESE 1986--1992.}, Journal = {The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences}, Volume = {56}, Number = {3}, Pages = {S179-S190}, Year = {2001}, Month = {May}, ISSN = {1079-5014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11316843}, Keywords = {Activities of Daily Living • African Americans • Aged • Analysis of Variance • Community Networks* • Disabled Persons • European Continental Ancestry Group • Family • Female • Geriatric Assessment • Health Surveys • Humans • Interpersonal Relations • Linear Models • Male • North Carolina • Population Surveillance • Questionnaires • Risk Factors • Social Support* • psychology • psychology*}, Abstract = {OBJECTIVES: We examined the association of structural and functional aspects of social relationships with change in disability, and the degree to which race modifies these associations. METHODS: Data are from a population-based sample of 4,136 African Americans and Whites aged > or = 65 living in North CAROLINA: Disability data were collected during seven consecutive yearly interviews and summarized in two outcome measures. Measures of social relationships included five measures representing network size, extent of social interaction, and specific type of relationships, as well as instrumental and emotional support. Weighted proportional odds models were fitted to model disability as a function of baseline social network and support variables, and the interaction of each variable with follow-up time. RESULTS: Network size and social interaction showed significant negative associations with disability risks, which did not vary by race, or as a function of time. Social interaction with friends was associated with a reduced risk for disability, but social interaction with children or relatives was not related to disability. Instrumental support was associated with a significantly increased disability risk, with a greater adverse effect among Whites than African AMERICANS: Emotional support was not associated with disability, but a protective effect for ADL disability was found after controlling for its intercorrelation with instrumental support. DISCUSSION: The findings provide further evidence for the role of social relationships in the disablement process, although not all types of social relationships may be equally beneficial. Furthermore, these associations may be more complex than simple causal effects. There were few racial differences in the association of social relationships with disability, with the possible exception of instrumental support, which may allude to possible sociocultural differences in the experience of instrumental support exchanges.}, Doi = {10.1093/geronb/56.3.s179}, Key = {fds272873} } @article{fds272881, Author = {Gold, DT}, Title = {The nonskeletal consequences of osteoporotic fractures. Psychologic and social outcomes.}, Journal = {Rheumatic Disease Clinics of North America}, Volume = {27}, Number = {1}, Pages = {255-262}, Year = {2001}, Month = {February}, ISSN = {0889-857X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11285999}, Keywords = {Anxiety • Depression • Female • Fractures, Bone • Humans • Osteoporosis • Quality of Life* • complications* • etiology • etiology* • psychology*}, Abstract = {The prevalence of osteoporosis is rising as the population of the United States and other developed countries ages. These increasing numbers of people have motivated pharmaceutical companies to develop and market several antiresorptive medications that can slow down the bone loss associated with osteoporosis. Although these are not cures for this disease, they are an important first step in a vital ongoing public health effort to prevent osteoporosis in the future and to manage osteoporosis now. We cannot expect to remediate the problems caused by this disease if we attend only to its skeletal implications. Like any other chronic disease, osteoporosis has significant psychologic and social consequences. From anxiety and depression to social withdrawal and isolation, if these problems are left unresolved, they can have a significant negative impact not only on health issues but also on overall quality of life. No quick fixes exist for the numerous ways in which osteoporosis can transform an autonomous person into a dependent and hopeless patient. In part, responsibility for helping this patient rests with the medical community. Referrals to appropriate providers can improve a patient's physical and emotional well-being. Physician specialists can help the patient manage comorbid conditions. Physical and occupational therapists can teach exercises, home safety, and safe movement. Social workers can provide a framework for coping that enables individuals to improve their interpersonal interactions and minimize stress in their lives. Nutritionists, pharmacists, nurses, and other health care professionals can make major contributions to the quality of life of people with osteoporosis and should be encouraged to do so. Unfortunately, managed care has set policies that deprive patients with osteoporosis of the kinds of care that would be most useful to them. As we have advocated for the last 15 years, a multidisciplinary approach offers patients the most positive overall way to manage osteoporosis. Therefore, new alternatives need to be examined, alternatives that provide both low-cost and high-quality care. In the long run, patients who practice self-management, that is, those who take responsibility for their own calcium and vitamin D intake, are compliant with medications, exercise, and practice home safety, and who have a healthy outlook, can control their osteoporosis. The most effective intervention for the future may be to teach individuals how to use self-management strategies so that they can take charge of their osteoporosis and positively influence their quality of life.}, Doi = {10.1016/s0889-857x(05)70197-6}, Key = {fds272881} } @article{fds136801, Title = {Roberto, K.A., & Gold, D.T. (2001). The challenges of chronic pain in later life: A selectively annotated bibliography. Westport, CT: Greenwood Press.}, Year = {2001}, Key = {fds136801} } @article{fds136830, Title = {Blalock, S.J., Currey, S.S., DeVellis, R.F., DeVellis, B.M., Giorgino, K.B., Anderson, J.J.B., Dooley, M.A., & Gold, D.T. (2000). Effects of educational materials concerning osteoporosis on women's knowledge, beliefs, and behavior. American Journal of Health Promotion, 14, 161-169.}, Year = {2001}, Key = {fds136830} } @article{fds136831, Title = {Gold, D.T. (2001). The non-skeletal consequences of osteoporotic fractures: Psychological and social outcomes. Rheumatic Disease Clinics of North America, 27, 255-262.}, Year = {2001}, Key = {fds136831} } @article{fds136832, Title = {Mendes de Leon, C.F., Gold, D.T., Glass, T.A., Kaplan, L., & George, L.K. (2001). Disability as a function of social networks and support in elderly African-Americans and whites: the Duke EPESE 1986-1992. Journal of Gerontology: Social Sciences, 56B, S179-S190.}, Year = {2001}, Key = {fds136832} } @article{fds272914, Author = {Hegarty, V and Burchett, BM and Gold, DT and Cohen, HJ}, Title = {Racial differences in use of cancer prevention services among older Americans.}, Journal = {Journal of the American Geriatrics Society}, Volume = {48}, Number = {7}, Pages = {735-740}, Year = {2000}, Month = {July}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10894310}, Keywords = {African Americans • Aged • Aged, 80 and over • European Continental Ancestry Group • Female • Health Services for the Aged • Humans • Male • Mass Screening • Neoplasms • North Carolina • Utilization Review • epidemiology • ethnology • prevention & control* • statistics & numerical data* • utilization • utilization*}, Abstract = {CONTEXT: Racial differences in receipt of cancer prevention services may be related to poorer outcomes for minorities. Understanding reasons for such differences could help target appropriate interventions. OBJECTIVES: To determine if racial differences exist in the use of cancer prevention services among older blacks and whites and to explore explanatory factors. DESIGN: Sixth follow-up survey of probability sample, four-stage stratified household design with 4,162 at baseline in 1986-1987 and 2,846 surveyed in 1992-1993. SETTING: The Piedmont area of North Carolina. PARTICIPANTS: At time of follow-up survey in 1992-1993 there were 1,486 women and 726 men age >70 years, of whom 1,246 were black and 966 were white. MEASUREMENTS: Self-reported use of Papanicolou (pap) testing, clinical breast examination, mammography, rectal examination, and fecal occult blood testing on a regular basis within the last two years. RESULTS: Compared with older whites, older black persons are less likely to receive pap test (48.1% black vs 56.6% white, P < .001), clinical breast examination (64.6% black vs 69.2% white, P < .007), mammography (30.2% black vs 40.5% white, P < .001), rectal examination (50.2% black vs 62.4% white, P < .001), and fecal occult blood testing (37.5% black vs 46.2% white, P < .001). Effect of race on receipt of cancer prevention services was not significant when levels of education, income, and insurance coverage were considered. CONCLUSION: Racial differences exist in the use of cancer prevention services among older Americans. However, these differences are related to educational, income, and insurance differences between blacks and whites.}, Doi = {10.1111/j.1532-5415.2000.tb04746.x}, Key = {fds272914} } @article{fds272885, Author = {Shipp, KM and Purse, JL and Gold, DT and Pieper, CF and Sloane, R and Schenkman, M and Lyles, KW}, Title = {Timed loaded standing: a measure of combined trunk and arm endurance suitable for people with vertebral osteoporosis.}, Journal = {Osteoporosis International : a Journal Established as Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the Usa}, Volume = {11}, Number = {11}, Pages = {914-922}, Year = {2000}, ISSN = {0937-941X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11193243}, Keywords = {Aged • Aged, 80 and over • Exercise Test • Female • Fractures, Spontaneous • Humans • Muscle Fatigue • Muscle Weakness • Osteoporosis • Physical Endurance • Reproducibility of Results • Sensitivity and Specificity • Spinal Fractures • Weight-Bearing • complications • etiology • methods • physiology • physiology* • physiopathology • physiopathology*}, Abstract = {Chronic back tiredness or fatigue is a common complaint of people who have a history of osteoporotic vertebral fracture. Trunk muscle endurance has not been studied in people with vertebral osteoporosis, partly due to the lack of assessment tools. We developed a measure of combined trunk and arm endurance suitable for people with vertebral osteoporosis, timed loaded standing (TLS). TLS measures the time a person can stand while holding a two-pound dumbbell in each hand with the arms at 90 degrees of shoulder flexion and the elbows extended. Intraclass correlation coefficients (ICCs) for same day inter-trial and six to ten day test-retest reliability were 0.89 (lower bound 95% confidence interval [LB 95% CI] 0.79) and 0.84 (LB 95% CI 0.68), respectively, in a sample of 21 older women with no known osteoporosis. In 127 women with vertebral fractures, the ICC for same day inter-trial reliability was 0.81 (LB 95% CI 0.75). In a sub-sample of 30 of these women with vertebral fractures, the six to ten day test-retest reliability was 0.85 (LB 95% CI 0.75). Moderately strong and statistically significant (p < or = 0.05) correlations were found between TLS and sixteen of eighteen measures of physical impairment and function. Functional reach distance, gait velocity, MOS-36 Physical Function Subscale, shoulder flexion strength, and six minute walk distance were most strongly associated with TLS time. Women with vertebral fractures who endorsed having back tiredness when standing and working with the arms in front of the body, sitting to rest because of back tiredness or pain, and planning rest periods because of back tiredness or pain had significantly lower TLS times. TLS is a simple, safe physical performance measure of combined trunk and arm endurance that demonstrates acceptable reliability (inter-trial and test- retest) and concurrent validity.}, Doi = {10.1007/s001980070029}, Key = {fds272885} } @article{fds272888, Author = {Blalock, SJ and Currey, SS and DeVellis, RF and DeVellis, BM and Giorgino, KB and Anderson, JJ and Dooley, MA and Gold, DT}, Title = {Effects of educational materials concerning osteoporosis on women's knowledge, beliefs, and behavior.}, Journal = {American Journal of Health Promotion : Ajhp}, Volume = {14}, Number = {3}, Pages = {161-169}, Year = {2000}, ISSN = {0890-1171}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10787768}, Keywords = {Adult • Calcium, Dietary • Exercise • Female • Health Knowledge, Attitudes, Practice* • Health Promotion • Humans • North Carolina • Osteoporosis • Regression Analysis • Teaching Materials* • methods* • prevention & control*}, Abstract = {PURPOSE: This study examined the effects of brief written educational materials on osteoporosis-related knowledge, beliefs, and behaviors. The study also examined whether observed effects varied as a function of one's stage in the precaution adoption process. DESIGN: The study used an experimental research design. SETTING: Participants were identified from North Carolina driver's license records. SUBJECTS: Of the 1476 women in the initial sample, 536 (36.3%) enrolled in the study and 307 completed all follow-up assessments. INTERVENTION: Participants were randomly assigned to one of four groups. One group received an information packet containing general information about osteoporosis. One group received an action plan packet containing instructions on how to increase one's level of exercise and calcium intake. One group received both packets. The final group received neither packet. MEASURES: Primary study variables were beliefs related to osteoporosis, calcium, and exercise; osteoporosis knowledge; calcium and exercise stage; calcium intake; and exercise level. RESULTS: Overall, receipt of the information packet was associated with changes in knowledge and beliefs (F[18,283] = 2.11, p < .01) irrespective of participants' stage of change. No effects on behavior were observed. CONCLUSIONS: These findings suggest that brief written educational materials can facilitate knowledge and belief change but that they do not promote behavior change. The generalizability of these findings is limited by the low study response rate.}, Doi = {10.4278/0890-1171-14.3.161}, Key = {fds272888} } @article{fds272905, Author = {Gold, DT and Roberto, KA}, Title = {Correlates and consequences of chronic pain in older adults.}, Journal = {Geriatric Nursing (New York, N.Y.)}, Volume = {21}, Number = {5}, Pages = {270-273}, Year = {2000}, ISSN = {0197-4572}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11035311}, Keywords = {Aged • Bibliometrics* • Chronic Disease • Humans • Pain* • Research* • physiopathology • psychology}, Abstract = {Chronic pain is a frequent challenge to older adults' coping skills. Despite the widespread occurrence of chronic geriatric pain, no comprehensive body of literature on this topic exists. Instead, research on chronic pain is scattered across disciplines and is perceived as inaccessible by scientists. We completed a comprehensive review and qualitative analysis of the geriatric chronic pain literature since 1990 and found 314 articles on this topic that reported. North American research. Physical, social, and psychologic variables associated with chronic pain and the elderly were mentioned in just over half (53%) of the articles. However, both psychosocial causes and consequences of chronic pain were understudied. Only 16% of the articles had social variables (gender, race, and age) as their primary interest; 27% focused on psychologic or psychiatric issues, with half including depression as the variable of interest. An analysis of the articles' content suggests that research on chronic pain in later life would be substantially improved if a more structured and comprehensive approach were used that combined the study of psychosocial issues with that of physical pain. Researchers and clinicians with a global understanding of chronic pain might help improve quality of life for older adults.}, Doi = {10.1067/mgn.2000.110838}, Key = {fds272905} } @article{fds272906, Author = {Gold, DT and Burchett, BM and Shipp, KM and Pieper, CF and Lyles, KW}, Title = {Factors associated with self-rated health in patients with Paget's disease of bone.}, Journal = {Journal of Bone and Mineral Research}, Volume = {14 Suppl 2}, Pages = {99-102}, Year = {1999}, Month = {October}, ISSN = {0884-0431}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10510224}, Keywords = {Aged • Female • Health Status* • Humans • Male • Osteitis Deformans • Questionnaires • Self Assessment (Psychology)* • Socioeconomic Factors • psychology*}, Abstract = {Multiple studies show that poor self-rated health (SRH) increases the risk of mortality up to 5-fold when compared to excellent SRH. This powerful association remains even with objective health status and risk factors controlled. However, few studies have examined the determinants of SRH, especially as they relate to specific chronic diseases. Here we identify personal characteristics and disease-related attributes that are strongly associated with SRH in a sample of patients with Paget's disease of bone to determine whether any factors can be modified. Two thousand people randomly selected from the Paget Foundation mailing list received a survey asking for information on demographics, general health and functioning, and the impact of Paget's disease. Nine hundred and fifty-eight PD patients returned the completed survey and answered the question, "How would you rate your overall health?" Answers ranged from excellent (1) to poor (5). Ordinary least squares regression was used, with SRH as the dependent variable, to identify those variables significantly associated with SRH. The overall regression model was significant (p = 0.0001; R2 = 0.44). Age (p = 0. 005), satisfaction with family help (p = 0.0001), number of comorbid conditions (p = 0.0001), functional limitations (p = 0.0003), disease impact (p = 0.0002), health compared to 5 years ago (p = 0. 0001), and depressive symptoms (p = 0.012) were significant predictors. Of these, satisfaction with family help, functional limitations, disease impact, and depressive symptoms are potentially modifiable with appropriate interventions. Future longitudinal studies should examine the effectiveness of such interventions in improving SRH.}, Doi = {10.1002/jbmr.5650140221}, Key = {fds272906} } @article{fds272907, Author = {Purser, JL and Pieper, CF and Branch, LG and Shipp, KM and Gold, DT and Lyles, KW}, Title = {Spinal deformity and mobility self-confidence among women with osteoporosis and vertebral fractures.}, Journal = {Aging (Milan, Italy)}, Volume = {11}, Number = {4}, Pages = {235-245}, Year = {1999}, Month = {August}, ISSN = {0394-9532}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10605612}, Keywords = {Aged • Aged, 80 and over • Cross-Sectional Studies • Female • Humans • Osteoporosis • Self Concept* • Spinal Curvatures • Spinal Fractures • complications • complications* • psychology*}, Abstract = {This study evaluated the direct and indirect effects of spinal deformity on confidence in mobility among 185 older women with osteoporosis and vertebral fractures. We administered multidimensional tests of physical and psychosocial impairment and function to female residents of continuing care retirement communities, and used path analytic regression methods to delineate relationships between spinal deformity, pain, function and mobility self-confidence. No direct effect of spinal deformity on confidence in mobility was observed. However, important indirect paths mediated by functional limitations were confirmed. A pattern of indirect effects was observed for a broad array of impairment-level constructs. These results support current models of the disablement process that propose functional limitations as the major pathway to disability. However, they also suggest that the impact of impairment-level constructs might be overlooked unless we evaluate indirect, as well as direct effects, on disability.}, Doi = {10.1007/BF03339664}, Key = {fds272907} } @article{fds272889, Author = {Bohannon, AD and Hanlon, JT and Landerman, R and Gold, DT}, Title = {Association of race and other potential risk factors with nonvertebral fractures in community-dwelling elderly women.}, Journal = {American Journal of Epidemiology}, Volume = {149}, Number = {11}, Pages = {1002-1009}, Year = {1999}, Month = {June}, ISSN = {0002-9262}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10355375}, Keywords = {African Americans • Aged • European Continental Ancestry Group • Female • Fractures, Bone • Humans • North Carolina • Odds Ratio • Osteoporosis, Postmenopausal • Risk Factors • complications • epidemiology • ethnology • ethnology* • etiology • statistics & numerical data*}, Abstract = {This study determined potential associations of sociodemographic, lifestyle, health, and drug use factors known to affect bone metabolism with incident nonvertebral fractures. The baseline sample consisted of 2,590 female, nonproxy subjects from the Duke Established Populations for Epidemiologic Studies of the Elderly, which focuses on five adjacent counties in the Piedmont area of North Carolina. Information about potential risk factors was collected during a baseline in-home interview during 1986-1987. Subsequent nonvertebral fractures were reported at follow-up interviews during the annual follow-up periods (1988-1993). The authors used multivariate analyses in which weighted data were adjusted for sampling design. After controlling for other potential confounding sociodemographic, lifestyle, health, and drug use factors, they found that African American race (adjusted odds ratio (OR) = 0.43, 95% confidence interval (CI) 0.31-0.58), age (adjusted OR = 1.04, 95% CI 1.01-1.06), alcohol consumption (adjusted OR = 1.61, 95% CI 1.01-2.57), being underweight (adjusted OR = 1.63, 95% CI 1.13-2.34), cognitive impairment (adjusted OR = 1.67, 95% CI 1.12-2.48), impaired mobility (adjusted OR = 1.15, 95% CI 1.03-1.29), and phenytoin use (adjusted OR = 2.93, 95% CI 1.04-8.30) were associated with first fracture occurrence. Similar findings were observed for nonhip, nonvertebral fractures. African Americans were less likely than Whites to have nonvertebral fractures, and these differences were not related to lifestyle or health factors examined in this study.}, Doi = {10.1093/oxfordjournals.aje.a009744}, Key = {fds272889} } @article{fds272904, Author = {Purser, JL and Pieper, CF and Duncan, PW and Gold, DT and McConnell, ES and Schenkman, MS and Morey, MC and Branch, LG}, Title = {Reliability of physical performance tests in four different randomized clinical trials.}, Journal = {Archives of Physical Medicine and Rehabilitation}, Volume = {80}, Number = {5}, Pages = {557-561}, Year = {1999}, Month = {May}, ISSN = {0003-9993}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10326921}, Keywords = {Ankle Joint • Disability Evaluation* • Female • Geriatric Assessment* • Hip Joint • Humans • Male • Middle Aged • Osteoporosis • Parkinson Disease • Randomized Controlled Trials • Reproducibility of Results • physiopathology}, Abstract = {OBJECTIVES: (1) To assess the test-retest reliability of physical performance tests in subject groups with different levels of impairment and disability, and (2) to assess the stability of these tests over different time intervals. DESIGN: Test-retest, repeated measures reliability design. SETTING: (1) A university's center for aging and research center, (2) a continuing care retirement community, and (3) an extended care and rehabilitation center at a Veterans Affairs medical center. SUBJECTS: Twenty-four community-dwelling elders, 15 community-dwelling elders with Parkinson disease, 12 older women with vertebral osteoporosis and compression fractures, and 14 elderly nursing home residents. MEASURES: Lower extremity isometric strength (ankle dorsiflexion, hip abduction), spinal configuration (thoracic kyphosis, lumbar lordosis), lumbosacral motion (flexion, extension), and timed measures of the ability to get in and to get out of bed at a usual pace. RESULTS: Most of the within-group intraclass correlation coefficients (ICCs) were good to excellent (.70 to .97). Overall, ICCs for all groups combined were between .70 and .96, and no decrement in reliability was noted after controlling for group membership. In addition, no decrement in the ICC was observed for short (1 day) vs. longer (1 week) intervals of testing. CONCLUSIONS: These performance-based measures may be used reliably across a wider range of testing environments and elderly populations than has been reported.}, Doi = {10.1016/s0003-9993(99)90199-5}, Key = {fds272904} } @article{fds272883, Author = {Koplas, PA and Gans, HB and Wisely, MP and Kuchibhatla, M and Cutson, TM and Gold, DT and Taylor, CT and Schenkman, M}, Title = {Quality of life and Parkinson's disease.}, Journal = {The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences}, Volume = {54}, Number = {4}, Pages = {M197-M202}, Year = {1999}, Month = {April}, ISSN = {1079-5006}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10219011}, Keywords = {Activities of Daily Living • Aged • Aged, 80 and over • Attitude to Health • Cross-Sectional Studies • Depression • Disabled Persons • Disease Progression • Female • Forecasting • Humans • Internal-External Control • Male • Middle Aged • Motor Skills • Multivariate Analysis • Parkinson Disease • Quality of Life* • Regression Analysis • Social Adjustment • classification • physiology • physiopathology • psychology • psychology*}, Abstract = {BACKGROUND: People with Parkinson's disease (PD) have a progressive loss of function eventually leading to severe disability. Although PD would be expected to have a profound impact on an individual's psychosocial health, there is relatively limited research on its psychosocial effect. The purposes of this study were (a) to examine the relationships between physical disability, depression, and control beliefs and quality of life in people with PD and (b) to characterize how these psychosocial variables differ by stage of disease. METHODS: Eighty-six individuals from five stages based on clinical disability, ages 51-87, were interviewed. Established instruments were used to measure physical disability, depression, and control beliefs. Quality of life (QOL) was rated on a 5-point Likert scale. RESULTS: A multivariable regression model including physical disability, stage of disease, depression, mastery, and health locus of control predicted QOL (R2 = 0.48), with mastery as the only significant predictor (p = .0001). There were significant differences by PD stage for all variables (p < .05). CONCLUSIONS: Mastery predicted quality of life in individuals with PD even when depression and physical disability were included in the model. Differences in psychosocial variables by stage of PD suggest that the psychosocial profile of PD patients may change as the disease progresses.}, Doi = {10.1093/gerona/54.4.m197}, Key = {fds272883} } @article{fds272856, Author = {Purser, JL and Pieper, CF and Branch, LG and Shipp, KM and Gold, DT and Lyles, KW}, Title = {Spinal deformity and mobility self-confidence among women with osteoporosis}, Journal = {Aging: Clinical and Experimental Research}, Volume = {11}, Pages = {235-245}, Year = {1999}, Key = {fds272856} } @article{fds272857, Author = {Bohannon, AD and Hanlon, JT and Landerman, LR and Gold, DT and Langlois, J and Harris, T}, Title = {Relationship between race and other potential risk factors and nonvertebral fractures in community-dwelling elderly women}, Journal = {American Journal of Epidemiology}, Volume = {149}, Pages = {1002-1009}, Year = {1999}, Key = {fds272857} } @article{fds272878, Author = {Blalock, SJ and Currey, SS and DeVellis, RF and Anderson, JJ and Gold, DT and Dooley, MA}, Title = {Using a short food frequency questionnaire to estimate dietary calcium consumption: a tool for patient education.}, Journal = {Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association}, Volume = {11}, Number = {6}, Pages = {479-484}, Year = {1998}, Month = {December}, ISSN = {0893-7524}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10030180}, Keywords = {Adult • Calcium, Dietary • Diet Surveys • Female • Humans • North Carolina • Nutrition Assessment* • Nutrition Physiology • Patient Education • Questionnaires • Regression Analysis • Reproducibility of Results • Women's Health • administration & dosage* • education* • methods* • standards*}, Abstract = {OBJECTIVE: To develop a short food frequency questionnaire (FFQ) assessing calcium intake and a prediction equation for estimating total calcium intake from the short FFQ. METHODS: Data were collected from 536 women via mailed questionnaires at 3 time points. Stepwise regression analyses were used to identify those foods and beverages included in the Black Health Habits and History Questionnaire (HHHQ) that explained the most variance in participants' dietary calcium intake. A prediction equation was developed to estimate total calcium intake based only on information from the foods/beverages identified. RESULTS: Calcium obtained from 15 foods/beverages explained 97.2% of the variance in total calcium intake. The mean absolute difference between total calcium intake estimated from the 15 foods/beverages and the full HHHQ was less than 50 mg at each time point. CONCLUSION: Findings suggest that a short FFQ can provide estimates of total dietary calcium consumption comparable to the full Block HHHQ.}, Doi = {10.1002/art.1790110608}, Key = {fds272878} } @article{fds272887, Author = {Landerman, LR and Fillenbaum, GG and Pieper, CF and Maddox, GL and Gold, DT and Guralnik, JM}, Title = {Private health insurance coverage and disability among older Americans.}, Journal = {The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences}, Volume = {53}, Number = {5}, Pages = {S258-S266}, Year = {1998}, Month = {September}, ISSN = {1079-5014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9750574}, Keywords = {Aged • Disabled Persons • Female • Health Behavior • Health Services • Health Status • Humans • Income • Insurance Coverage • Insurance, Health • Male • United States • economics • statistics & numerical data • statistics & numerical data* • utilization}, Abstract = {OBJECTIVES: This study examines the relationship between the lack of private supplemental health insurance coverage and the development of disability among adults aged 65 and older. METHODS: Data are from the baseline and six follow-up waves of the Duke Established Populations for Epidemiologic Studies of the Elderly survey (N = 4,000). Discrete-time hazard models were used to estimate the impact of insurance coverage and other risk factors on the incidence of disability among those unimpaired at baseline. RESULTS: Controlling for education, income, and other potential confounders, the odds of developing disability were 35-49% higher among those without private coverage. Insurance coverage also statistically explained part of the increased risk of disability among low-income persons. DISCUSSION: The results indicate that changes in health insurance coverage as well as in individual behaviors may be needed to reduce disability generally and disability among the socioeconomically disadvantaged, in particular.}, Doi = {10.1093/geronb/53b.5.s258}, Key = {fds272887} } @article{fds272898, Author = {Gold, DT and Shipp, KM and Lyles, KW}, Title = {Managing patients with complications of osteoporosis.}, Journal = {Endocrinology and Metabolism Clinics of North America}, Volume = {27}, Number = {2}, Pages = {485-496}, Year = {1998}, Month = {June}, ISSN = {0889-8529}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9669151}, Keywords = {Depression • Employment • Fractures, Bone • Humans • Osteoporosis • Pain • Self Concept • complications* • psychology • therapy}, Abstract = {This article reviews the impact of osteoporosis on quality of life. It defines specific impairments and suggests how best to minimize the impact of osteoporosis on patients' daily lives. Specific issues such as a spinal deformity, limitations on activities of daily living, pain, functionality, social impairment, self esteem, and depression also are addressed. Finally, a multidisciplinary team approach to osteoporosis is advocated.}, Doi = {10.1016/s0889-8529(05)70018-9}, Key = {fds272898} } @article{fds272886, Author = {Lyles, KW and Gold, DT and Newton, RA and Parekh, S and Shipp, KM and Pieper, CF and Krishan, R and Carson, CC}, Title = {Peyronie's disease is associated with Paget's disease of bone.}, Journal = {Journal of Bone and Mineral Research}, Volume = {12}, Number = {6}, Pages = {929-934}, Year = {1997}, Month = {June}, ISSN = {0884-0431}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9169352}, Keywords = {Aged • Alkaline Phosphatase • Dupuytren's Contracture • Humans • Male • Middle Aged • Osteitis Deformans • Penile Induration • Questionnaires • United States • blood • complications • complications* • enzymology • epidemiology • etiology}, Abstract = {Peyronie's disease is an idiopathic disorder in which an inflammatory fibrosis occurs in the tunica albuginea of the corpora cavernosa which causes the erect penis to become deformed. Peyronie's disease has a prevalence of 1% in men over age 50 years. Paget's disease of bone is a chronic skeletal disease with areas of increased bone turnover leading to pain, deformity, and in some cases arthritis. Because of a high rate of Peyronie's disease in subjects in a Paget's disease industry-sponsored drug trial, we asked whether there was an association between Peyronie's disease and Paget's disease of bone. We evaluated 61 men with Paget's disease attending our clinic for metabolic bone disease in a tertiary referral hospital, reviewed hospital records of all men discharged from our three hospitals with the diagnosis of Peyronie's disease, and mailed a validated questionnaire about shape of the erect penis to 1500 male members of the Paget Foundation. In the clinic population of men with Paget's disease of bone, 51 of 61 (83.6%) reported having normal erections; 10 patients (16.4%) were impotent. Sixteen of the 51 men (31.4%) had developed a bend or deformity in their erect penis which was confirmed by a urologist's examination to be Peyronie's disease. When the men with Paget's disease with and without Peyronie's disease were compared, there was no difference in their ages, years with Paget's disease, or serum alkaline phosphatase level. Upon medical record review, 1 patient of 262 (0.4%) with Peyronie's disease was found to have Paget's disease of bone. The men with Paget's disease returned their questionnaires for a response rate of 44.8% and reported Peyronie's disease with a prevalence of 14.5%. We suggest that Peyronie's disease is associated with Paget's disease of bone. Furthermore, we suggest that Peyronie's disease may be a previously unrecognized complication of Paget's disease of bone.}, Doi = {10.1359/jbmr.1997.12.6.929}, Key = {fds272886} } @article{fds272910, Author = {Blazer, DG and Hays, JC and Fillenbaum, GG and Gold, DT}, Title = {Memory complaint as a predictor of cognitive decline: a comparison of African American and White elders.}, Journal = {Journal of Aging and Health}, Volume = {9}, Number = {2}, Pages = {171-184}, Year = {1997}, Month = {May}, ISSN = {0898-2643}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10182402}, Keywords = {Activities of Daily Living • African Americans* • Age Factors • Aged • Cognition Disorders* • Depression • Educational Status • European Continental Ancestry Group* • Humans • Memory Disorders* • North Carolina • Questionnaires • Sex Factors • epidemiology}, Abstract = {Of a representative, racially mixed community sample of older adults in North Carolina, 59% of Whites and 49% of African Americans reported worsening memory. The complaint about memory was positively correlated with age, depressive symptomatology, and physical function but not with level of cognitive function as measured by the Short Portable Mental Status Questionnaire (SPMSQ) at baseline. In a controlled analysis of longitudinal data, initial SPMSQ score, age, African American race, lower education, depressive symptomatology, and physical deficits at baseline, but not memory complaint, predicted a decline in cognitive function as measured by the SPMSQ 3 years later. Whereas African Americans were less likely to complain of deterioration in memory, actual decline as measured by the SPMSQ was greater for African Americans than for Whites.}, Doi = {10.1177/089826439700900202}, Key = {fds272910} } @article{fds272858, Author = {Roberto, KA and Gold, DT}, Title = {Spousal support of older women with osteoporotic pain: Congruity of perceptions}, Journal = {Journal of Women & Aging}, Volume = {9}, Number = {1-2}, Pages = {17-31}, Publisher = {Informa UK Limited}, Year = {1997}, Month = {January}, url = {http://dx.doi.org/10.1300/J074v09n01_03}, Abstract = {Thirty-four couples were interviewed to assess the congruity of husbands’ and wives’ perceptions of the wives’ osteoporotic pain and the exchange of instrumental support within the marital relationship. Moderate correlations were found between the husbands’ and wives’ ratings of two specific dimensions of the wives’ pain experience: interference with daily life and pain severity. Wives who perceived their pain as more severe but as having a lesser impact on their personal lives provided the most frequent help to their husbands. The wives’ pain perceptions were not predictive of the amount of assistance they perceived receiving from their spouses. Husbands’ perceptions of their wives’ pain experience were not predictive of the frequency of instrumental support they either received from or gave to their wives. © 1997 by the Women & Aging.}, Doi = {10.1300/J074v09n01_03}, Key = {fds272858} } @article{fds136799, Title = {Hays, J.C., Gold, D.T., & Pieper, C.F. (1997). Sibling bereavement in late life. Omega, 35, 25-42.}, Year = {1997}, Key = {fds136799} } @article{fds136800, Title = {Roberto, K.A., & Gold, D.T. (in press). Older families and chronic health problems: The influence of osteoporosis on the lives of married couples. In Brubaker, T. (Ed.), Family relationships in later life, 2nd edition.}, Year = {1997}, Key = {fds136800} } @article{fds136827, Title = {Roberto, K.A., & Gold, D.T. (1997). Spousal support of older women with osteoporotic pain: Congruity of perceptions. Journal of Women and Aging, 9, 17-31}, Year = {1997}, Key = {fds136827} } @article{fds136828, Title = {Blazer, D.G., Hays, J.C., Fillenbaum, G.G., & Gold, D.T. (1997). Memory complaint as a predictor of cognitive decline: A comparison of African-American and White elders. Journal of Aging and Health, 9, 171-184.}, Year = {1997}, Key = {fds136828} } @article{fds136829, Title = {Lyles, K.W., Gold, D. T., Newton, R.A., Parekh, S., Shipp, K.M., Pieper, C.F., Krishan, R., & Carson, CC III (1997). Peyronie's disease is associated with Paget's disease of bone. Journal of Bone and Mineral Research, 12, 929-934.}, Year = {1997}, Key = {fds136829} } @article{fds272913, Author = {Gold, DT and Boisture, J and Shipp, KM and Pieper, CF and Lyles, KW}, Title = {Paget's disease of bone and quality of life.}, Journal = {Journal of Bone and Mineral Research}, Volume = {11}, Number = {12}, Pages = {1897-1904}, Year = {1996}, Month = {December}, ISSN = {0884-0431}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8970891}, Keywords = {Adaptation, Psychological* • Aged • Aged, 80 and over • Demography • Female • Humans • Male • Osteitis Deformans* • Patient Satisfaction* • Quality of Life* • Questionnaires • Regression Analysis • Social Adjustment* • psychology}, Abstract = {Little is known about how Paget's disease of bone affects quality of life. To better understand the relative impact of factors on quality of life, we mailed a brief survey to 2000 people randomly selected from the Paget's Foundation mailing list. The sample was geographically stratified to examine the effects of specialist availability. Nine hundred and fifty-eight persons responded to the questionnaire (53% response rate after adjustment for death, incorrect addresses, and nondeliverable mailings). The sample had equal proportions of males and females, with a mean age of 74 years (SD = 9.0). Most (97%) were white, with high levels of education (mean 13 years; SD 3.7) and income (60% earned more than $20,000 annually). They reported pagetic bone in the skull (34%), spine (35%), pelvis (49%), and leg (48%). The most frequently mentioned complications were hearing loss (37%) and bowed limbs (31%). Comorbidity included arthritis (64%), hypertension (32%), and heart problems (28%). Nearly half (47%) reported feelings of depression, and 42% said that their health was fair or poor. Only 21% reported that quality of life was very good or excellent. In multiple partial F-test regression analyses, variables were divided into four domains (social, psychological, care, and biomedical). The psychological domain explained 19% of the variance beyond that explained by all other variables; the social domain explained 3%, the biomedical domain explained 3% and the care domain explained 1%. The importance of the psychological aspects of Paget's disease suggests that treatment protocols should include psychological intervention to improve quality of life.}, Doi = {10.1002/jbmr.5650111210}, Key = {fds272913} } @article{fds272900, Author = {Hays, JC and Schoenfeld, D and Blazer, DG and Gold, DT}, Title = {Global self-ratings of health and mortality: hazard in the North Carolina Piedmont.}, Journal = {Journal of Clinical Epidemiology}, Volume = {49}, Number = {9}, Pages = {969-979}, Year = {1996}, Month = {September}, ISSN = {0895-4356}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8780604}, Keywords = {Activities of Daily Living • Aged • Aged, 80 and over • Female • Health Status* • Humans • Male • Mortality* • North Carolina • Population Surveillance* • Proportional Hazards Models • Risk-Taking • Rural Population • Survival Analysis • Urban Population • epidemiology}, Abstract = {We analyzed the first 5 years of surveillance data from the Established Population for the Epidemiologic Studies of the Elderly (EPESE) in the Piedmont of North Carolina (n = 4162) to estimate the effect of a global self-rating of health on survival. Covariates used in Cox proportional hazard models included sociodemographic factors, chronic medical conditions, activities of daily living, use of health services, health risk behaviors, cognitive function, affective mood, and negative life events. Adjusted risk of mortality associated with poor (compared to excellent) self-ratings of health was significantly elevated among urban men only. Confounders of the association between survival and overall health assessment varied widely by subgroup. Pooled estimates from heterogeneous populations may mask significant subgroup differences both in the pattern of variables that mediate crude risk and also in the magnitude of residual risk of global self-ratings of health.}, Doi = {10.1016/0895-4356(96)00138-2}, Key = {fds272900} } @article{fds272915, Author = {Gold, DT and Pieper, CF and Westlund, RE and Blazer, DG}, Title = {Do racial differences in hypertension persist in successful agers? Findings from the MacArthur Study of Successful Aging.}, Journal = {Journal of Aging and Health}, Volume = {8}, Number = {2}, Pages = {207-219}, Year = {1996}, Month = {May}, ISSN = {0898-2643}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10160558}, Keywords = {Aged • Aging* • Continental Population Groups • Demography • Health Status • Humans • Hypertension • Models, Theoretical • Socioeconomic Factors • ethnology*}, Abstract = {The objective of this study was to determine whether racial differences in hypertension in a random sample of community-dwelling older adults also remained significant in a sample of successful agers. Data for the random sample of community-dwelling older adults came from the Duke University Established Populations for Epidemiologic Studies of the Elderly (4,162 community-dwelling adults age 65 and older) and showed strong racial differences in hypertension. Data for successful agers came from the Duke MacArthur (428 of EPESE respondents in the top 30% in terms of physical, cognitive, and psychosocial performance). The mean of two sitting blood pressure measurements was the dependent variable for both sets of analyses. Independent variables included demographics and health factors. Using logistic regression, odds ratios in the Duke EPESE and Duke MacArthur samples for race were similar (Duke EPESE odds ratio = 1.30; Duke MacArthur odds ratio = 1.29). Sample size differences affected statistical significance. However, race differences in hypertension in older adults appear to be unexplained by socioeconomic status or other usual explanatory variables. Even among successful agers, racial differences in hypertension persist.}, Doi = {10.1177/089826439600800203}, Key = {fds272915} } @article{fds272861, Author = {Gold, DT}, Title = {Introduction.}, Journal = {Gerontologist}, Volume = {36}, Number = {2}, Pages = {224-225}, Year = {1996}, Month = {April}, ISSN = {0016-9013}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:A1996UL78000013&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.1093/geront/36.2.224}, Key = {fds272861} } @article{fds272884, Author = {Blalock, SJ and DeVellis, RF and Giorgino, KB and DeVellis, BM and Gold, DT and Dooley, MA and Anderson, JJ and Smith, SL}, Title = {Osteoporosis prevention in premenopausal women: using a stage model approach to examine the predictors of behavior.}, Journal = {Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association}, Volume = {15}, Number = {2}, Pages = {84-93}, Year = {1996}, Month = {March}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8681924}, Keywords = {Adult • Calcium, Dietary • Exercise • Female • Food Habits • Health Behavior* • Health Education* • Health Knowledge, Attitudes, Practice • Humans • Internal-External Control • Middle Aged • Osteoporosis, Postmenopausal • Personality Assessment • Risk Factors • administration & dosage • etiology • prevention & control* • psychology}, Abstract = {The precaution adoption process model was used to examine the predictors of 2 behaviors recommended to reduce the risk of developing osteoporosis: calcium consumption and weight-bearing exercise. A total of 452 premenopausal women completed a mailed questionnaire assessing stage in the precaution adoption process and 12 knowledge and attitudinal variables. Participants were also given an opportunity to request information about osteoporosis. In all, 11 of the 12 knowledge and attitudinal variables were associated with calcium stage; 8 were associated with exercise stage. Information requests were associated with both calcium and exercise stage. Findings provide substantial support for the precaution adoption process model and suggest that the model can be usefully applied in this area to increase understanding of why many women do not practice behaviors that could reduce their risk of developing osteoporosis.}, Doi = {10.1037//0278-6133.15.2.84}, Key = {fds272884} } @article{fds272894, Author = {Gold, DT}, Title = {The clinical impact of vertebral fractures: quality of life in women with osteoporosis.}, Journal = {Bone}, Volume = {18}, Number = {3 Suppl}, Pages = {185S-189S}, Year = {1996}, Month = {March}, ISSN = {8756-3282}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8777086}, Keywords = {Bone Density • Chronic Disease • Female • Humans • Osteoporosis, Postmenopausal • Pain • Quality of Life* • Role • Social Support • Spinal Fractures • epidemiology • physiology* • physiopathology • psychology* • therapy}, Abstract = {Osteoporosis has obvious physical and functional consequences such as kyphosis, restricted range of motion, and pain. What are not so obvious are the psychosocial sequelae that result from this metabolic bone disease. Many patients in the initial phases of the disease express substantial anxiety, especially about the possibility of future fractures and physical deformity. As the disease progresses, depression can become profound for those who experience hip or multiple vertebral fractures. The effects of the chronicity of osteoporosis, its disabling and disfiguring aspects, and the chronic postural pain that develops as time passes challenge even the most stable individuals. In addition, osteoporosis has substantial impact on interpersonal relationships and social roles. The dependency created by this disease affects close relationships, because the patient with osteoporosis cannot reciprocate in social support. Today's older women find the restrictions of the disease socially devastating. These women, unlikely to work in the labor force, took pride in their roles of housekeeper and cook. Unfortunately, severe osteoporosis can force women to relinquish even these social roles, leaving them with no source of self-esteem or accomplishment. In all, osteoporosis is devastating both psychologically and socially.}, Doi = {10.1016/8756-3282(95)00500-5}, Key = {fds272894} } @article{fds136791, Title = {Gold DT, Pieper CF, Westlund RE, Blazer DG: Do racial differences in hypertension persist in successful agers? Findings from the MacArthur Study of Successful Aging. Journal of Aging and Health 8: 207-219, 1996.}, Year = {1996}, Key = {fds136791} } @article{fds136796, Title = {Gold DT, Boisture J, Shipp KM, Pieper CF, Lyles KW: Paget's disease of bone and quality of life. Journal of Bone and Mineral Research 11: 1897-1903, 1996.}, Year = {1996}, Key = {fds136796} } @article{fds136797, Title = {Gold DT: Continuities and discontinuities in sibling relationships across the life span. In VL Bengtson (ed), Adulthood and Aging: Research on Continuities and Discontinuities, New York: Springer, pp 228-243, 1996.}, Year = {1996}, Key = {fds136797} } @article{fds136798, Title = {Gold DT, Lyles KW, Shipp KM, Harper KD, Drezner MK: Unexpected consequences of osteoporosis: An evolving basis for treatment decisions. In Marcus R, Feldman D Kelsey J (eds): Osteoporosis, San Diego, CA: Academic Press, pp 1089-1096, 1996.}, Year = {1996}, Key = {fds136798} } @article{fds136814, Title = {Gold DT: The clinical impact of vertebral fractures: Quality of life in women with osteoproosis. Bone 18: 185S-190S, 1996.}, Year = {1996}, Key = {fds136814} } @article{fds136824, Title = {Gold DT: Cross-fertilization of the life course and other theoretical paradigms: An introduction. The Gerontologist 36: 224-225, 1996.}, Year = {1996}, Key = {fds136824} } @article{fds136825, Title = {Blalock SJ, DeVellis RF, Giorgino KB, DeVellis BM, Gold DT, Dooley MA, Anderson JJB, Smith SL: Osteoporosis prevention: Using a stage model approach to examine the predictors of behavior. Health Psychology 15: 84-93, 1996.}, Year = {1996}, Key = {fds136825} } @article{fds136826, Title = {Hays JC, Schoenfeld D, Blazer DG, Gold DT: Global self-ratings of health mortality: Hazard in the North Carolina Piedmont. Journal of Clinical Epidemiology 49: 969-979, 1996.}, Year = {1996}, Key = {fds136826} } @article{fds272860, Author = {Blalock, SJ and DeVellis, RF and Giorgino, KB and DeVellis, BM and Gold, DT and Dooley, MA and Anderson, JJB and Smith, SL}, Title = {Osteoporosis prevention: Using a stage model approach to examine the predictors of behavior}, Journal = {Health Psychology}, Volume = {15}, Pages = {84-93}, Year = {1996}, Key = {fds272860} } @article{fds272875, Author = {Hays, JC and Fillenbaum, GG and Gold, DT and Shanley, MC and Blazer, DG}, Title = {Black-white and urban-rural differences in stability of household composition among elderly persons.}, Journal = {The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences}, Volume = {50}, Number = {5}, Pages = {S301-S311}, Year = {1995}, Month = {September}, ISSN = {1079-5014}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7656081}, Keywords = {African Americans* • Aged • Aged, 80 and over • Educational Status • European Continental Ancestry Group* • Family Characteristics* • Female • Humans • Income • Male • Marital Status • Rural Population* • Urban Population*}, Abstract = {The dynamic nature of household composition in a population of elderly persons, with particular focus on Black-White and urban-rural differences, is described in this study. The Duke EPESE is a stratified, random household sample (N = 4,162) of elderly persons in a five-county mixed urban-rural area of North Carolina with respondents contacted annually to report on health and social factors. Between 1986 and 1990, 35 percent of the households underwent some change in composition, with 14 percent contracting and/or expanding more than once. Where elders lived alone and where married elders lived with the spouse and/or others, Black elders were significantly more likely to experience a net expansion of their household than were White elders of the same age, gender, socioeconomic, and functional status. Elderly residents of rural areas who lived alone were slightly more likely to add one or more persons to their households than were comparable elderly urban residents. No additional risk of household instability was noted in sociodemographic or health-related subgroups by race or residence. Future analyses should examine the outcomes of instability.}, Doi = {10.1093/geronb/50b.5.s301}, Key = {fds272875} } @article{fds272903, Author = {Lyles, KW and Lammers, JE and Shipp, KM and Sherman, L and Pieper, CF and Martinez, S and Gold, DT}, Title = {Functional and mobility impairments associated with Paget's disease of bone.}, Journal = {Journal of the American Geriatrics Society}, Volume = {43}, Number = {5}, Pages = {502-506}, Year = {1995}, Month = {May}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7730531}, Keywords = {Activities of Daily Living* • Aged • Alkaline Phosphatase • Case-Control Studies • Female • Humans • Male • Osteitis Deformans • Self Assessment (Psychology) • blood • enzymology • physiopathology*}, Abstract = {OBJECTIVE: To determine if patients with Paget's disease of bone involving the tibia, femur, and/or acetabular portion of the ilium had more impairments in function and mobility than age- and sex-matched control subjects. PATIENTS AND METHODS: A case control study with Paget's disease patients selected from a center for bone disease at a tertiary medical center; control subjects were volunteers from the Duke University Aging Center subject registry. Demographic characteristics, physical examination and serum alkaline phosphatase levels were obtained. Radiographs of the pelvis and lower extremities were evaluated by a radiologist. All participants completed a Functional Status Questionnaire (FSQ). Mobility measures included mobility skills protocol, 10-foot walk time, 360-degree turn left (number of steps), and 6-minute walk distance. RESULTS: The 12 Paget's disease patients were no different in age (70.7 +/- 6.2 years) than the 12 control subjects (69.5 +/- 6.2 years). Serum alkaline phosphatase levels were elevated in Paget's patients (539 +/- 530 IU/L), and normal in control subjects (85 +/- 17 IU/L). In addition to Paget's disease, radiographs showed joint space loss in joints proximate to the diseased bone. On the FSQ scales Paget's disease patients had significantly lower scores in basic activities of daily living (P < .05), instrumental activities of daily living (P < .001), and social activity than control subjects (P < .05). There was no difference between the groups on scales measuring mental health and quality of social interaction. On mobility measurements, Paget's disease patients showed significant impairments when compared with control subjects: mobility skills protocol score (22.5 +/- 2.5 vs 25.6 +/- 0.7, P < .001); 10-foot walk (3.96 +/- 1.3 vs 2.55 +/- 0.5 seconds, P < .001); 360 degree turn left (8.0 +/- 1.0 vs 5.9 +/- 0.6 steps, P < .001); and 6-minute walk (342.0 +/- 108.5 vs 519.4 +/- 100 meters, P < .001). CONCLUSION: When compared with control subjects, patients who have Paget's disease of bone involving the tibia, femur, or acetabular portion of the ilium have clinically and statistically significant functional and mobility impairments compared to age- and gender-matched controls.}, Doi = {10.1111/j.1532-5415.1995.tb06096.x}, Key = {fds272903} } @article{fds136821, Title = {Lyles, K.W., Lammers, J.E., Shipp, K.M., Sherman, L., Pieper, C.F., & Gold, D.T. (1995). Functional and mobility impairments associated with Paget's Disease of Bone. Journal of the American Geriatrics Society, 43, 502-506.}, Year = {1995}, Key = {fds136821} } @article{fds136822, Title = {Hays, J.C., Fillenbaum, G.G., Gold, D.T. ,Shanley, M.C., & Blazer, D.G. (1995). Black-white and urban-rural differences in stability of household composition among the elderly. Journal of Gerontology: Social Sciences, 50B, S301-S311.}, Year = {1995}, Key = {fds136822} } @article{fds136823, Title = {Gold, D.T., & Drezner, M.K. (1995). Osteoporosis and quality of life: Impact on delivery of care. In B.L. Riggs and L.J. Melton III (Eds.), Osteoporosis: Etiology, diagnosis, and management (pp. 475-486), 2nd edition. Philadephia: Lippincott-Raven Publishers.}, Year = {1995}, Key = {fds136823} } @article{fds272862, Author = {Gold, DT}, Title = {Chronic musculoskeletal pain: Older women and their coping strategies}, Journal = {Journal of Women & Aging}, Volume = {6}, Number = {4}, Pages = {43-58}, Publisher = {Informa UK Limited}, Year = {1994}, Month = {November}, ISSN = {0895-2841}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:A1994QD29800005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {Two diseases, osteoporosis and osteoarthritis, are responsible for a majority of the chronic musculoskeletal pain that older women experience. Osteoporosis is the metabolic bone disease most common in older women and is responsible for fractures, kyphosis, and chronic pain. Osteoarthritis, the most commonly diagnosed musculoskeletal problem in older women, causes degeneration of the weight-bearing joints in the body, resulting in limited function and chronic pain. In this paper, these and other common disorders are briefly described and typical coping strategies used by older women in pain are reviewed. In addition, potential multidisciplinary treatment regimens are discussed. © 1995 by The Haworth Press, Inc. All rights reserved.}, Doi = {10.1300/J074v06n04_04}, Key = {fds272862} } @article{fds272877, Author = {Schoenfeld, DE and Malmrose, LC and Blazer, DG and Gold, DT and Seeman, TE}, Title = {Self-rated health and mortality in the high-functioning elderly--a closer look at healthy individuals: MacArthur field study of successful aging.}, Journal = {Journal of Gerontology}, Volume = {49}, Number = {3}, Pages = {M109-M115}, Year = {1994}, Month = {May}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8169332}, Keywords = {African Continental Ancestry Group • Aged • Aging • Alcohol Drinking • Attitude to Health* • Chronic Disease • Cohort Studies • European Continental Ancestry Group • Female • Forecasting • Health* • Hospitalization • Humans • Longitudinal Studies • Male • Mortality • Odds Ratio • Self Concept* • Sex Factors • Smoking • physiology* • psychology}, Abstract = {BACKGROUND: This study tested the predictive value of self-rated health on 3-year mortality, with attention focused on healthy, high-functioning elders. METHODS: Data from the MacArthur Field Study of Successful Aging were utilized. Subjects were 70-79-year-old (at baseline) residents of the communities of East Boston, MA, New Haven, CT, and a five-county area in and around Durham County, NC (N = 1192) which comprise three sites of the Established Populations for Epidemiologic Studies of the Elderly (EPESE). In-home interviews were conducted in 1988 and 1991. Logistic regression was performed to create odds ratios adjusted for age, sex, race, marital status, education, alcohol consumption, cigarette smoking, chronic diseases, past hospitalizations, and cognitive function. The sample was then divided into healthy and less healthy cohorts based on number of chronic diseases, and the analyses were repeated. RESULTS: The adjusted odds ratios for self-rated health (poor/bad ratings compared to excellent ratings) in relation to mortality were 19.56 in the general sample, 93.51 in the healthy cohort, and 2.75 in the less healthy cohort. CONCLUSION: Self-rated health is predictive of mortality in controlled analyses, with the greatest impact seen in healthy individuals. Health care professionals should be sensitive to the significance of poor self-rated health in apparently healthy patients.}, Doi = {10.1093/geronj/49.3.m109}, Key = {fds272877} } @article{fds272893, Author = {Linzer, M and Gold, DT and Pontinen, M and Divine, GW and Felder, A and Brooks, WB}, Title = {Recurrent syncope as a chronic disease: preliminary validation of a disease-specific measure of functional impairment.}, Journal = {Journal of General Internal Medicine}, Volume = {9}, Number = {4}, Pages = {181-186}, Year = {1994}, Month = {April}, ISSN = {0884-8734}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8014722}, Keywords = {Activities of Daily Living • Attitude to Health • Cohort Studies • Female • Health Status • Humans • Male • Middle Aged • Outcome Assessment (Health Care)* • Pilot Projects • Quality of Life • Questionnaires • Recurrence • Severity of Illness Index • Syncope • epidemiology* • psychology}, Abstract = {BACKGROUND: A disease-specific measure of functional health in syncope would provide an important outcome measure for use either in clinical trials or in the clinical management of patients with recurrent syncope. METHODS AND MEASUREMENTS: In a previous study the authors used formal functional status measures to determine physical and psychosocial impairment in recurrent syncope. This study provides a preliminary assessment of a disease-specific measure of function. The measure was pilot tested on 84 subjects, and validated in a separate cohort of 49 patients. The measure consists of 1) an 11-question matrix of yes/no questions, assessing the ways that syncope interferes with a patient's life (the result is expressed as a proportion of the total number of ways that syncope might interfere and is called the Impairment Score), and 2) three Likert-scale questions that assess the patient's fear and worry about syncope. Correlations were obtained between scores on the disease-specific measure and other measures of functional health. RESULTS: Among the 49 patients in the test cohort, final scores on the disease-specific measure correlated with both physical and psychosocial dimension scores on a measure of functional status, the Sickness Impact Profile (r = 0.35-0.36, p = 0.01), and with five of ten subscale scores on a measure of psychological distress, the Symptom Checklist 90-R (r = 0.30-0.43, p = 0.004-0.02). CONCLUSIONS: This new disease-specific quality-of-life measure in syncope measures both physical and psychosocial components of impairment and could be a valuable adjunct in measuring outcomes in syncope patients.}, Doi = {10.1007/BF02600121}, Key = {fds272893} } @article{fds136794, Title = {Gold DT: Social support in later life. In (ed Manheimer RJ), Older Americans Almanac. Detroit: Gale Research Inc., pp 359-370, 1994.}, Year = {1994}, Key = {fds136794} } @article{fds136795, Title = {Gold, D.T. (1994). Chronic musculoskeletal pain: Older women and their coping strategies. Journal of Women and Aging, 6, 43-58.}, Year = {1994}, Key = {fds136795} } @article{fds136818, Title = {Schoenfeld DE, Malmrose LC, Blazer DG, Gold DT, Seeman TE: Self-rated health and mortality in the high-functioning elderly--a closer look at healthy individuals: MacArthur Field Study of Successful Aging. Journal of Gerontology: Medical Sciences 49: M109-M115, 1994.}, Year = {1994}, Key = {fds136818} } @article{fds136819, Title = {Linzer M, Gold DT, Pontinen M, Divine GW, Felder A, Brooks WB: Recurrent syncope as a chronic disease: Preliminary validation of a disease-specific measure of functional impairment. Journal of Geneal Internal Medicine 9: 181-186, 1994.}, Year = {1994}, Key = {fds136819} } @article{fds136820, Title = {Gold DT: Family relationships in later life. In (Manheimer RJ) Older Americans Almanac. Detroit: Gale Research Inc., pp 319-342, 1994.}, Year = {1994}, Key = {fds136820} } @article{fds272895, Author = {Lyles, KW and Gold, DT and Shipp, KM and Pieper, CF and Martinez, S and Mulhausen, PL}, Title = {Association of osteoporotic vertebral compression fractures with impaired functional status.}, Journal = {The American Journal of Medicine}, Volume = {94}, Number = {6}, Pages = {595-601}, Year = {1993}, Month = {June}, ISSN = {0002-9343}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8506884}, Keywords = {Activities of Daily Living • Adult • Aged • Aged, 80 and over • Case-Control Studies • Exercise • Female • Fractures, Spontaneous • Humans • Lumbar Vertebrae • Osteoporosis, Postmenopausal • Spinal Fractures • Thoracic Vertebrae • complications • etiology • injuries • physiopathology* • psychology • radiography}, Abstract = {PURPOSE: To determine if vertebral compression fractures in elderly women were associated with impairments in physical, functional, and psychosocial performance. SUBJECTS AND METHODS: Ten white women with confirmed vertebral compression fractures were age- and race-matched with 10 control subjects without fractures in a case-control design. All subjects invited to participate in this study were patients of the Geriatrics Division of the Department of Medicine at Duke University Medical Center. All study participants lived either in the community or in the independent-living sections of local retirement communities in and around Durham, NC. Subjects with fractures (mean age = 81.9 years, SD = 5.9 years) had two or more vertebral compression fractures in their medical records, whereas control subjects (mean age = 79.6 years, SD = 6.5 years) had no history of vertebral fractures. Spinal radiographs of all women confirmed group assignment. Physical, functional, and psychosocial performances were evaluated. Physical performance was assessed by measurements of maximal trunk extension torque and thoracic and lumbar spinal motion in the sagittal plane, functional reach, mobility skills, 10-ft timed walk, and 6-minute walk test. Thoracic and lumbar spinal configurations were also determined. Functional performance was assessed using the Functional Status Index. Psychosocial performance was assessed with the following scales: Hopkins Symptom Checklist 90 Revised, Rosenberg Self-Esteem Scale, West Haven-Yale Pain Inventory, Beck Depression Inventory, and single-item health-belief questions. RESULTS: Control subjects were not significantly different from patients with fractures in age, weight, number of current illnesses, number of prescribed medications, number of pain medications, ratings of lumbar spine degenerative disc disease, or lumbar spine facet joint arthritis. Activity levels and exercise participation were similar in both groups. Control subjects had no vertebral fractures, whereas fracture subjects had 4.2 +/- 2.6 fractures (range: 2 to 10). Thoracic kyphosis was increased and lumbar lordosis was reduced in fracture subjects. Fracture subjects had reduced maximal trunk extension torque, thoracic and lumbar spine sagittal plane motion, functional reach, mobility skills, and 6-minute walk test. The Functional Status Index showed reduced levels of functional performance in fracture subjects compared with controls with increased levels of assistance, pain with activity, and difficulty in activities. Psychosocial performance was limited in fracture subjects with increased psychiatric symptoms, increased pain, and greater perception of problems caused by health. CONCLUSION: Vertebral compression fractures are associated with significant performance impairments in physical, functional, and psychosocial domains in older women.}, Doi = {10.1016/0002-9343(93)90210-g}, Key = {fds272895} } @article{fds272882, Author = {Weinberger, M and Gold, DT and Divine, GW and Cowper, PA and Hodgson, LG and Schreiner, PJ and George, LK}, Title = {Expenditures in caring for patients with dementia who live at home.}, Journal = {American Journal of Public Health}, Volume = {83}, Number = {3}, Pages = {338-341}, Year = {1993}, Month = {March}, ISSN = {0090-0036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8438969}, Keywords = {Aged • Caregivers • Dementia • Female • Health Expenditures* • Home Care Services • Home Nursing • Humans • Male • Middle Aged • economics* • therapy*}, Abstract = {OBJECTIVES: Given the national interest in progressive dementia, we estimated expenditures incurred in caring for dementia patients who live at home. METHODS: Primary caregivers of 264 patients from a university-based memory disorders clinic were interviewed at baseline and asked to keep service use diaries for 6 months; 141 caregivers who returned the diaries are the focus of this report. We examined both formal and informal services (distinguished by whether money was exchanged) and associated expenditures. RESULTS: Neither caregivers returning diaries nor their patients differed at baseline from those not returning diaries and their patients. Expenditures incurred over 6 months were extensive for both formal ($6986) and informal ($786) services. Out-of-pocket expenditures were high (e.g., in-home companion or sitter, adult day care, visiting nurse). Multivariable analyses indicated that patients with more severe symptoms of dementia and families with higher incomes reported significantly higher expenditures. CONCLUSIONS: The expense of caring for patients with progressive dementia living at home may be higher than previously estimated and frequently involves expenses paid directly by patients and their families.}, Doi = {10.2105/ajph.83.3.338}, Key = {fds272882} } @article{fds272908, Author = {Hays, JC and Blazer, DG and Gold, DT}, Title = {CES-D: cutpoint or change score?}, Journal = {Journal of the American Geriatrics Society}, Volume = {41}, Number = {3}, Pages = {344-345}, Year = {1993}, Month = {March}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8440864}, Keywords = {Aged • Bereavement* • Depression • Female • Humans • Male • Risk Factors • diagnosis*}, Doi = {10.1111/j.1532-5415.1993.tb06718.x}, Key = {fds272908} } @article{fds272909, Author = {Weinberger, M and Gold, DT and Divine, GW and Cowper, PA and Hodgson, LG and Schreiner, PJ and George, LK}, Title = {Social service interventions for caregivers of patients with dementia: impact on health care utilization and expenditures.}, Journal = {Journal of the American Geriatrics Society}, Volume = {41}, Number = {2}, Pages = {153-156}, Year = {1993}, Month = {February}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8426038}, Keywords = {Aged • Caregivers* • Delivery of Health Care • Dementia • Educational Status • Evaluation Studies • Family • Female • Humans • Income • Male • Marriage • Middle Aged • Social Work* • economics • therapy* • utilization*}, Abstract = {OBJECTIVES: An intervention, which had as its primary goal the enhancement of compliance to social work recommendations, was shown to produce extremely high rates of compliance. This report addresses the secondary objective of the study: to evaluate the impact of the intervention on short-term (ie, 6-month) health services utilization and expenditures. DESIGN: Randomized controlled trial. SETTING: University-based memory disorders clinic. PARTICIPANTS: Caregivers of patients with progressive memory disorders. MAIN OUTCOME MEASURES: Service utilization and expenditures. RESULTS: The intervention did not have a statistically significant impact on utilization of either health care or community resources. The intervention group had $903 less expenditures during the study period, a difference that did not achieve statistical significance. The results were consistent when controlling for caregiver characteristics that differed at baseline. CONCLUSIONS: Although the intervention was successful in enhancing compliance with recommendations, more intensive interventions may be required to increase subsequent service utilization. Future investigations may wish to target the appropriateness of services used over a period longer than 6 months.}, Doi = {10.1111/j.1532-5415.1993.tb02050.x}, Key = {fds272909} } @article{fds272871, Author = {Gold, DT and Stegmaier, K and Bales, CW and Lyles, KW and Westlund, RE and Drezner, MK}, Title = {Psychosocial functioning and osteoporosis in late life: Results of a multidisciplinary intervention}, Journal = {Journal of Women'S Health}, Volume = {2}, Number = {2}, Pages = {149-155}, Publisher = {MARY ANN LIEBERT, INC}, Year = {1993}, Month = {January}, url = {http://dx.doi.org/10.1089/jwh.1993.2.149}, Abstract = {Objective: To determine whether older women and men with osteoporosis who participated in a medica. evaluation program showed improvement in psychosocial functioning when compared to a age-, gender-, and disease severity-matched group of osteoporotic patients who did not participate in this program. Design: A prospective clinical investigation of older women and men with osteoporosis. A pretest-posttest design was used with intervention patients compared to patients receiving usual care. Setting: Bone Metabolism Clinic and Duke University Preventive and Therapeutic Program for Osteoporosis (DUPATPO), at Duke University Medica. Center. Participants: One hundred and three community-dwelling older adults (mean age = 67 years; 91 women and 12 men) who had registered for treatment of osteoporosis at the Duke University Bone Metabolism Clinic. All 43 patients who enrolled in DUPATPO between July 1988 and April 1989 were recruited for this study. In addition, 60 comparison patients from the Bone Clinic population who had not been offered DUPATPO participation were also enrolled. Intervention: DUPATPO, a four-day initial program with multidisciplinary team including endocrinologists, geriatricians, physical therapists, nutritionists, and other support personnel. After the initial program of education, exercise, and nutritional counseling, patients were seen at three-month intervals for the next year. Comparison patients received usual care (a consult appointment with an endocrinologist with possible referral to physical therapy). Main Outcome Measures: Short Psychiatric Evaluation Scale (stress symptoms), the Rosenberg Self-Esteem Scale (self-esteem), and the Hopkins Symptom Checklist 90-Revised (psychiatric symptoms). Results: No significant differences on primary outcome measures at baseline were found between intervention and comparison patients. At 60-day follow-up, however, analyses of variance showed significant differences in stress symptoms (P = 0.021) and general psychiatric symptoms (P = 0.002). A multivariate analysis of variance using the SCL-90-R subscales as outcomes (e.g., depression, hostility) showed overall significance (P = 0.04). Significant differences were seen on the somatization (P = 0.026), obsessive-compulsive (P = 0.003), and anxiety (P = 0.002) dimensions. Conclusions: This study demonstrates that psychosocial functioning of older women and men can be improved with multidisciplinary intervention.}, Doi = {10.1089/jwh.1993.2.149}, Key = {fds272871} } @article{fds136792, Title = {Weinberger, M., Gold, D.T., Divine, G.W., Cowper, P.A., Hodgson, L.G., Schreiner, P.J., & George, L.K. (1993). Expenditures in caring for patients with dementia. American Journal of Public Health, 83, 338-341.}, Year = {1993}, Key = {fds136792} } @article{fds136793, Title = {Gold, D.T., & Schmader, K. (1993). An introduction to aging. In R. Michaels (Ed.), Psychiatry Revised edition (pp. 1-18). Philadelphia: J.B. Lippencott Company.}, Year = {1993}, Key = {fds136793} } @article{fds136813, Title = {Gold, D.T., Stegmaier, K., Bales, C.W., Lyles, K.W., Westlund, R.E., & Drezner, M.K. (1993). Psychosocial functioning and osteoporosis in late life: Results of a multidisciplinary intervention. Journal of Women's Health, 2, 149-155.}, Year = {1993}, Key = {fds136813} } @article{fds136815, Title = {Weinberger, M., Gold, D.T., Divine, G.W., Cowper, P.A., Hodgson, L.G., Schreiner, P.J., & George, L.K. (1993). Social service interventions for caregivers of patients with dementia: Impact on health care utilization and expenditures. Journal of the American Geriatrics Society, 41, 153-156.}, Year = {1993}, Key = {fds136815} } @article{fds136816, Title = {Lyles, K.W., Gold, D.T., Shipp, K.M., Pieper, C.F., Martinez, S., & Mulhausen, P.L. (1993). Association of osteoporotic vertebral compression fractures with impaired functional status. American Journal of Medicine, 94, 595-601.}, Year = {1993}, Key = {fds136816} } @article{fds136817, Title = {Gold DT, Stegmaier K, BalesCW, Lyles KW, Westlund RE, Drezner MK: Psychosocial functioning and osteoporosis in late life: Results of a multidisciplinary intervention. Journal of Women's Health 2: 149-155, 1993.}, Year = {1993}, Key = {fds136817} } @article{fds272863, Author = {Weinberger, M and Gold, DT and Divine, GW and Cowper, PA and Hodgson, LG and Schreiner, PJ and George, LK}, Title = {Expenditures in caring for patients with dementia}, Journal = {American Journal of Public Health}, Volume = {83}, Pages = {338-341}, Year = {1993}, Key = {fds272863} } @article{fds272901, Author = {Weinberger, M and Saunders, AF and Bearon, LB and Gold, DT and Brown, JT and Samsa, GP and Loehrer, PJ}, Title = {Physician-related barriers to breast cancer screening in older women.}, Journal = {Journal of Gerontology}, Volume = {47 Spec No}, Pages = {111-117}, Year = {1992}, Month = {November}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1430872}, Keywords = {Aged* • Attitude of Health Personnel* • Breast Neoplasms • Costs and Cost Analysis • Female • Humans • Mammography • Mass Screening* • Patient Compliance • Physicians* • economics • methods • prevention & control*}, Abstract = {Despite evidence that annual mammographic screening in women 50 years and older reduces mortality, surveys of physicians and patients have repeatedly demonstrated that annual screening mammography is not performed. The fundamental question addressed in this chapter is: If the assumption is made that the scientific evidence supports the use of mammography, what, then, are physician-related barriers to mammographic screening of elderly women? Using a model that classifies barriers to implementing prevention protocols into three categories (predisposing, enabling, and reinforcing factors), literature is reviewed to help identify reasons for low mammographic screening rates, especially in elderly women. This article concludes with a discussion of strategies that may help overcome barriers to mammographic screening in elderly women.}, Key = {fds272901} } @article{fds272902, Author = {Gold, DT and Sloane, PD and Mathew, LJ and Bledsoe, MM and Konanc, DA}, Title = {Special care units: a typology of care settings for memory-impaired older adults.}, Journal = {Gerontologist}, Volume = {31}, Number = {4}, Pages = {467-475}, Year = {1991}, Month = {August}, ISSN = {0016-9013}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1909986}, Keywords = {Aged • Alzheimer Disease • Humans • Long-Term Care • Nursing Homes • Quality of Health Care • United States • classification* • organization & administration* • therapy*}, Abstract = {After rating 55 nursing homes in five states, we created a typology of care settings that included eight distinct types of units designed to care for memory-impaired older adults. SCUs appeared to be associated with higher quality care than were traditional units, although quality of SCU care was not uniformly outstanding. This typology provides guidelines that can be used in preresidential analysis of prospective care units for demented older adults.}, Doi = {10.1093/geront/31.4.467}, Key = {fds272902} } @article{fds272891, Author = {Gold, DT and Smith, SD and Bales, CW and Lyles, KW and Westlund, RE and Drezner, MK}, Title = {Osteoporosis in late life: does health locus of control affect psychosocial adaptation?}, Journal = {Journal of the American Geriatrics Society}, Volume = {39}, Number = {7}, Pages = {670-675}, Year = {1991}, Month = {July}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2061532}, Keywords = {Adaptation, Psychological* • Aged • Analysis of Variance • Female • Health Status • Humans • Male • Osteoporosis • Psychosocial Deprivation* • Self Concept • Stress, Psychological • etiology • psychology* • therapy}, Abstract = {Osteoporosis, a metabolic bone disease most prevalent in older adults, is a major public health problem. Although management of osteoporosis through diet, exercise, and medication has improved, little is known about the psychosocial consequences of this disabling disease. In an attempt to identify patient characteristics that would provide physicians with insight into appropriate management styles for older osteoporotics, we assessed 103 patients with osteoporosis for their health locus of control (HLOC) orientation. We examined the relationship between HLOC and patient outcomes after participation in the Duke University Preventive and Therapeutic Program for Osteoporosis (DUPATPO) to determine whether HLOC was associated with functioning after program participation. More specifically, we asked whether internal or external HLOC was associated with decreases in depression, psychiatric symptoms, and stress symptoms, or with increases in self-esteem, exercise, and disease knowledge. We have shown in our earlier work (Gold et al, J Am Geriatr Soc 1989; 37:417) that program participation is associated with improved functioning in older adults. We now asked whether knowledge of a patient's HLOC would help predict these improvements. A comparison group (ie, older osteoporotics who did not participate in DUPATPO) was also assessed for HLOC to examine the possible association between HLOC and health behaviors regardless of the DUPATPO intervention. Our findings indicate that HLOC provided little useful information regarding patient outcomes. Although improvements were seen in the mental health of program participants, no association between these improvements and HLOC could be found.}, Doi = {10.1111/j.1532-5415.1991.tb03620.x}, Key = {fds272891} } @article{fds272876, Author = {Anscher, MS and Gold, DT}, Title = {Literacy and laryngectomy: how should one treat head and neck cancer in patients who cannot read or write?}, Journal = {Southern Medical Journal}, Volume = {84}, Number = {2}, Pages = {209-213}, Year = {1991}, Month = {February}, ISSN = {0038-4348}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1990455}, Keywords = {Attitude of Health Personnel • Data Collection • Educational Status* • Head and Neck Neoplasms • Humans • Laryngectomy* • North Carolina • Patient Care Planning • Quality of Life • Reading • Specialties, Medical • Writing • psychology • therapy*}, Abstract = {The entire population of otolaryngologists and radiation oncologists (N = 192) in active practice in the state of North Carolina were surveyed to assess their level of awareness of illiteracy among adults in the United States and to determine whether these physicians consider illiteracy in the treatment decision process for patients with head and neck cancer. Excluding respondents who did not treat patients with head and neck cancer and physicians practicing outside of the state of North Carolina, the response rate was 115 of 182, or 63%. Only 26% of respondents were able to estimate correctly the prevalence of illiteracy in the US adult population. Forty-one percent of respondents, however, stated that they did consider their patient's ability to read and/or write before making treatment recommendations for head and neck cancer. This survey and accompanying literature review suggest that physicians perceive illiteracy as a problem that may have a significant impact on patients with head and neck cancer, but lack the data needed to enable them to quantify the effect of illiteracy on treatment outcome. The study reported is the first step in examining ways in which illiteracy might negatively affect patient outcomes.}, Key = {fds272876} } @article{fds272865, Author = {Bales, CW and Gold, DT}, Title = {Nutrition education for osteoporosis patients: An innovative approach to care of the chronically ill elderly}, Journal = {Journal of Nutrition Education}, Volume = {23}, Number = {3}, Pages = {120-127}, Publisher = {Elsevier BV}, Year = {1991}, Month = {January}, ISSN = {0022-3182}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:A1991FT16700005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.1016/S0022-3182(12)80488-2}, Key = {fds272865} } @article{fds272911, Author = {Weinberger, M and Saunders, AF and Samsa, GP and Bearon, LB and Gold, DT and Brown, JT and Booher, P and Loehrer, PJ}, Title = {Breast cancer screening in older women: practices and barriers reported by primary care physicians.}, Journal = {Journal of the American Geriatrics Society}, Volume = {39}, Number = {1}, Pages = {22-29}, Year = {1991}, Month = {January}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1987253}, Keywords = {Aged • Breast Neoplasms • Family Practice • Female • Gynecology • Health Knowledge, Attitudes, Practice* • Humans • Indiana • Internal Medicine • Male • Mammography • Mass Screening • Middle Aged • Obstetrics • Physician's Practice Patterns • Primary Health Care • Questionnaires • Risk Factors • adverse effects • epidemiology • prevention & control* • radiography • standards • standards*}, Abstract = {Annual mammography, in combination with clinical breast examinations, can reduce mortality from breast cancer. However, surveys of both patients and physicians suggest that mammography is underutilized. This study examined whether physicians' reported breast cancer screening practices and barriers to mammography varied with patients' age. Data from 576 primary care physicians (internal medicine, family/general practice, and obstetrics/gynecology) who participated in a mailed statewide survey were analyzed. Physicians reported screening elderly women significantly less often than younger women, regardless of family history of breast cancer. With the exception of medical specialty, physicians' demographic and practice characteristics were not associated with reported screening practices. However, physicians' knowledge and beliefs about breast cancer in older women were associated with reported screening practices. When analyzing barriers to ordering mammography, cost to the patient was viewed as a barrier for women of all ages, and pain was viewed as a greater barrier for younger women; otherwise, physicians consistently believed that their elderly patients faced considerably more barriers compared with younger women. Further investigation is required to examine why primary care physicians report age-related differences in both breast screening and barriers to mammography.}, Doi = {10.1111/j.1532-5415.1991.tb05901.x}, Key = {fds272911} } @article{fds272864, Author = {Linzer, M and Pontinen, MA and Gold, DT and Divine, GW and Felder, A and Brooks, WB}, Title = {Impairment of physical and psychosocial health in recurrent syncope: Defining a new chronic disease}, Journal = {Journal of Clinical Epidemiology}, Volume = {44}, Pages = {1037-1043}, Year = {1991}, Key = {fds272864} } @article{fds272866, Author = {George, LK and Gold, DT}, Title = {Life Course Perspectives on Intergenerational and Generational Connections}, Journal = {Marriage and Family Review}, Volume = {16}, Number = {1-2}, Pages = {67-88}, Publisher = {Informa UK Limited}, Year = {1991}, url = {http://dx.doi.org/10.1300/J002v16n01_04}, Doi = {10.1300/J002v16n01_04}, Key = {fds272866} } @article{fds272867, Author = {Anscher, M and Gold, DT}, Title = {Head and neck cancer: Should literacy play a part in treatment decisions?}, Journal = {Southern Medical Journal}, Volume = {84}, Pages = {209-213}, Year = {1991}, Key = {fds272867} } @article{fds272896, Author = {Linzer, M and Pontinen, M and Gold, DT and Divine, GW and Felder, A and Brooks, WB}, Title = {Impairment of physical and psychosocial function in recurrent syncope.}, Journal = {Journal of Clinical Epidemiology}, Volume = {44}, Number = {10}, Pages = {1037-1043}, Year = {1991}, ISSN = {0895-4356}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1940996}, Keywords = {Activities of Daily Living* • Female • Health Status • Humans • Male • Middle Aged • Psychosocial Deprivation* • Questionnaires • Recurrence • Severity of Illness Index • Syncope • etiology • physiopathology • psychology*}, Abstract = {Physical and psychosocial function have rarely been assessed in syncope. We used two valid and reliable measures of health status, the Sickness Impact Profile (SIP) and the Symptom Checklist 90 (SCL-90-R), to assess functional impairment in 62 patients with recurrent syncope seen in a syncope specialty clinic. Mean total SIP scores were markedly elevated at 17 (SD = 14), indicating a level of impairment similar to severe rheumatoid arthritis and chronic low back pain. SIP psychosocial scores were significantly greater than SIP physical scores (20 vs 11, p less than 0.0001). SCL-90-R scores were also high, comparable to those of psychiatric inpatients. Somatization, anxiety and depression dimensions of the SCL-90-R were particularly elevated. SCL-90-R subscale scores were highly correlated with SIP psychosocial scores (all r greater than 0.4, and p less than 0.001). Neither age nor number of comorbid diseases correlated with measures of psychosocial function, suggesting that syncope itself causes psychosocial impairment. Although this was a referral population, these data suggest that function can be seriously impaired by syncope, that the degree of impairment is similar to that reported in other chronic diseases, and that syncope leads to significantly greater psychosocial than physical impairment.}, Doi = {10.1016/0895-4356(91)90005-t}, Key = {fds272896} } @article{fds272916, Author = {Gold, DT}, Title = {Late-life sibling relationships: does race affect typological distribution?}, Journal = {Gerontologist}, Volume = {30}, Number = {6}, Pages = {741-748}, Year = {1990}, Month = {December}, ISSN = {0016-9013}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2286332}, Keywords = {African Americans • Aged • Aged, 80 and over • Chi-Square Distribution • European Continental Ancestry Group • Female • Humans • Logistic Models • Male • Sibling Relations • Social Support • United States • ethnology* • psychology*}, Abstract = {Using a typology of sibling relationships in old age (Gold, 1989a), effects of race on distribution of relationships were studied. Differences between elderly white and black sibling pairs on several dimensions were also examined. Analyses of interview data suggest that race is systematically related to distribution, but that other demographic variables do not significantly affect the distribution of dyads among categories in the typology. Using log linear models, it was shown that the interaction between race, type, and dyadic gender composition was significant. Data also suggest that black dyads are represented more frequently in the positive categories, and white dyads are more likely to be categorized as "apathetic" or "hostile."}, Doi = {10.1093/geront/30.6.741}, Key = {fds272916} } @article{fds272872, Author = {Gold, DT and Woodbury, MA and George, LK}, Title = {Relationship classification using grade of membership analysis: a typology of sibling relationships in later life.}, Journal = {Journal of Gerontology}, Volume = {45}, Number = {2}, Pages = {S43-S51}, Year = {1990}, Month = {March}, ISSN = {0022-1422}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2313052}, Keywords = {Aged • Aging • Attitude • Cohort Studies • Emotions • Female • Hostility • Humans • Jealousy • Male • Marriage • Sibling Relations* • Social Behavior • Social Class • Social Support • psychology*}, Abstract = {The results of a comparison of two typologies of sibling relationships in old age are reported. Both analyses rely on the same data collected in individual interviews with adults over the age of 65. The first typology was constructed using constant comparative analysis; the second relied on the grade of membership (GOM) technique. This is the first time GOM has been used to create a taxonomy of human relationships based on psychosocial variables. The two typologies are compared in terms of number of types generated, the characteristics of each type, factors influencing typological construction, and the utility of empirical results. Implications for additional use of the GOM technique to study late-life sibling relations are discussed.}, Doi = {10.1093/geronj/45.2.s43}, Key = {fds272872} } @article{fds136812, Title = {Gold, D.T., Woodbury, M.A., & George, L.K. (1990). Relationship classification using Grade of Membership (GOM) analysis: A typology of sibling relationships in later life. Journal of Gerontology, 45, S43-S51.}, Year = {1990}, Key = {fds136812} } @article{fds272897, Author = {Gold, DT and Lyles, KW and Bales, CW and Drezner, MK}, Title = {Teaching patients coping behaviors: an essential part of successful management of osteoporosis.}, Journal = {Journal of Bone and Mineral Research}, Volume = {4}, Number = {6}, Pages = {799-801}, Year = {1989}, Month = {December}, ISSN = {0884-0431}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2610017}, Keywords = {Adaptation, Psychological* • Calcium, Dietary • Exercise Therapy • Humans • Osteoporosis • Patient Education* • psychology* • therapeutic use • therapy}, Doi = {10.1002/jbmr.5650040602}, Key = {fds272897} } @article{fds272868, Author = {GOLD, DT}, Title = {Generational Solidarity}, Journal = {American Behavioral Scientist}, Volume = {33}, Number = {1}, Pages = {19-32}, Publisher = {SAGE Publications}, Year = {1989}, Month = {September}, ISSN = {0002-7642}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:A1989AR16200002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.1177/0002764289033001003}, Key = {fds272868} } @article{fds272879, Author = {Gold, DT and Bales, CW and Lyles, KW and Drezner, MK}, Title = {Treatment of osteoporosis. The psychological impact of a medical education program on older patients.}, Journal = {Journal of the American Geriatrics Society}, Volume = {37}, Number = {5}, Pages = {417-422}, Year = {1989}, Month = {May}, ISSN = {0002-8614}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2703639}, Keywords = {Adaptation, Psychological • Aged • Calcium, Dietary • Chronic Disease • Depression • Female • Follow-Up Studies • Humans • Male • Middle Aged • Osteoporosis • Patient Education • Social Support • Stress, Psychological • administration & dosage • etiology • methods* • psychology • psychology* • therapy}, Abstract = {Participants in a therapeutic program for osteoporosis were studied to determine if program participation improved psychological outcomes. The 4-day program included intensive education about the disease and its prognosis, physical therapy education, nutritional counseling, and medical evaluation and treatment. All therapeutic patients enrolled in the program over a one-year period (N = 38) were interviewed individually pre- and post-participation. Knowledge of osteoporosis, level of social support, coping styles, and perceptions of the impact of pain and chronicity were assessed. Patients reported improved future outlook despite continued concern about pain and chronicity. Mention of depression was reduced, and knowledge of osteoporosis increased significantly. In addition, there were meaningful changes in patients' understanding of disease management. These included knowing when to make specific changes and avoid harmful actions. The findings suggest that an educational program can have a positive impact on patients' coping. Educational efforts may be an important component in the management of chronic disease.}, Doi = {10.1111/j.1532-5415.1989.tb02637.x}, Key = {fds272879} } @article{fds315575, Author = {Binstock, RH and Gold, DT}, Title = {Home or Institutional Care: Which is Better?}, Journal = {Gerontologist}, Volume = {29}, Number = {6}, Pages = {840-843}, Publisher = {Oxford University Press (OUP)}, Year = {1989}, Month = {January}, ISSN = {0016-9013}, url = {http://dx.doi.org/10.1093/geront/29.6.840}, Doi = {10.1093/geront/29.6.840}, Key = {fds315575} } @article{fds326039, Author = {Gold, DT and Gwyther, LP}, Title = {The Prevention of Elder Abuse: An Educational Model}, Journal = {Family Relations}, Volume = {38}, Number = {1}, Pages = {8-8}, Publisher = {JSTOR}, Year = {1989}, Month = {January}, url = {http://dx.doi.org/10.2307/583602}, Doi = {10.2307/583602}, Key = {fds326039} } @article{fds272869, Author = {Gold, DT and Gwyther, LP}, Title = {The prevention of elder abuse: An educational curriculum}, Journal = {Family Relations}, Volume = {38}, Pages = {5-14}, Year = {1989}, Key = {fds272869} } @article{fds272880, Author = {Gold, DT}, Title = {Sibling relationships in old age: a typology.}, Journal = {International Journal of Aging & Human Development}, Volume = {28}, Number = {1}, Pages = {37-51}, Year = {1989}, ISSN = {0091-4150}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2707894}, Keywords = {Aged • Emotions • Female • Gender Identity • Humans • Interviews • Male • Personality • Self Concept • Sibling Relations* • psychology*}, Abstract = {Sibling interactions in old age have received limited attention in social science literature. This article examines the different kinds of relationships which exist between siblings in old age and the ways in which each type meets or ignores the social and psychological needs of older people. Five types of sibling relationships emerged from data collected in open-ended, exploratory interviews with thirty men and thirty women over the age of sixty-five who had at least one living sibling. Each type reflects a discrete pattern of instrumental support, emotional support, and contact, as well as a different degree of closeness, envy, resentment, approval, and involvement with the sibling. The distribution of same-sex and cross-sex dyads among the types suggests gender differences in sibling interactions based on the gender composition of the sibling dyad rather than on the gender of the respondent.}, Doi = {10.2190/VGYX-BRHN-J51V-0V39}, Key = {fds272880} } @article{fds272870, Author = {Gold, DT}, Title = {Siblings in Old Age: Something Special}, Journal = {Canadian Journal on Aging Revue Canadienne Du Vieillissement}, Volume = {6}, Number = {3}, Pages = {199-216}, Publisher = {Cambridge University Press (CUP)}, Year = {1987}, Month = {January}, url = {http://dx.doi.org/10.1017/S0714980800008424}, Abstract = {This paper reports the findings of a qualitative examination of sibling relationships in old age. Interviews with sixty people over the age of sixty-five revealed that interactions with sisters and brothers took on new meaning in late life. A shared history of lifetime experiences made the sibling relationship unique in social networks in old age. Those who had positive relationships with siblings found that interactions decreased feelings of loneliness, provided emotional support and validation of earlier life experiences, and built feelings of closeness and sibling solidarity. Even those who had negative sibling relationships indicated a shift in feelings. The intensity of feeling about siblings in old age suggests that further study of the later-life sibling bond might increase understanding of ways in which the social and emotional needs of older people can be met. Interviews provided an effective method for gathering rich data about these complex social and emotional interactions. © 1987, Canadian Association on Gerontology. All rights reserved.}, Doi = {10.1017/S0714980800008424}, Key = {fds272870} } @article{fds319302, Author = {Dawson, MP and Hollingsworth, JW}, Title = {Osteoporosis.}, Journal = {The Journal of the Kentucky Medical Association}, Volume = {71}, Number = {8}, Pages = {503-506}, Year = {1973}, Month = {August}, Key = {fds319302} } %% Books @book{fds39214, Author = {Roberto, K.A. and Gold, D.T.}, Title = {The challenges of chronic pain in later life: A selectively annotated bibliography}, Publisher = {Westport, CT: Greenwood Press}, Year = {2001}, Key = {fds39214} } %% Book Chapters @misc{fds362493, Author = {Gold, DT}, Title = {Condition still critical: Compliance and persistence with osteoporosis medications}, Pages = {1695-1707}, Booktitle = {Marcus and Feldman’s Osteoporosis}, Year = {2020}, Month = {January}, ISBN = {9780128130735}, url = {http://dx.doi.org/10.1016/B978-0-12-813073-5.00072-1}, Abstract = {Despite multiple efforts at changing patient and provider behaviors to improve the use of pharmacologic medication for osteoporosis, the rates of compliance and persistence are still below desirable levels. This is a multifaceted problem that stems from a lack of knowledge, poor patient-provider communication, and powerful fears of the side effects of osteoporosis medications in general. This chapter covers issues of compliance and persistence as well as the ways in which osteoporosis causes or exacerbates psychosocial problems, including depression. Previous attempts to modify patient behavior in compliance and persistence have consistently failed, even though they have been well designed and based on the literature. I suggest here that cognitive reframing of osteoporosis in the minds of both patients and providers is essential to overcoming problems brought about by the media, the Internet, and websites that contain false information, and the poor educational efforts most patients receive.}, Doi = {10.1016/B978-0-12-813073-5.00072-1}, Key = {fds362493} } @misc{fds341557, Author = {Silverman, SL and Gold, DT}, Title = {Adherence to osteoporosis therapies}, Pages = {593-596}, Booktitle = {Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism}, Year = {2018}, Month = {January}, ISBN = {9781119266563}, url = {http://dx.doi.org/10.1002/9781119266594.ch78}, Abstract = {Osteoporosis therapies reduce the risk of osteoporotic related fractures. Patients with poor persistence to osteoporosis medications are nonpersistent with nutritional interventions such as calcium or with medications such as statins for other asymptomatic diseases. Historically, optimizing compliance with all osteoporosis therapies has been challenging, especially with the oral bisphosphonates which require shorter dosing intervals and more complex regimens. When injectable osteoporosis medications administered by a health care provider became available many thought that persistence would improve because medication administration would be managed by the health care professional. Researchers have sought for over a decade to explain nonpersistence with osteoporosis medications. Patient perception of risk/benefit is influenced by both perceived and actual side effects. Many side effects such as gastrointestinal adverse events lower the likelihood of persistence. Many patients believe that osteoporotic fractures are a natural consequence of aging rather than the manifestation of a chronic and treatable disease.}, Doi = {10.1002/9781119266594.ch78}, Key = {fds341557} } @misc{fds347045, Author = {Gold, DT}, Title = {Patients who do not take their osteoporosis medications: Can we help them become compliant?}, Pages = {239-253}, Booktitle = {The Duration and Safety of Osteoporosis Treatment: Anabolic and Antiresorptive Therapy}, Year = {2015}, Month = {January}, ISBN = {9783319236384}, url = {http://dx.doi.org/10.1007/978-3-319-23639-1_17}, Abstract = {Patients with chronic diseases frequently do not take their medications correctly. People with osteoporosis are no exception. Epidemiologic data show that noncompliance and nonpersistence should be serious concerns for healthcare professionals who treat this disease. Challenges to having patients improve their medication behaviors include complex dosing regimens, perceived and real side effects, cost and uncertainty about the severity of this disease, and the need for medication. We have developed a substantial literature about noncompliance, and many different interventions have been tested, but behavioral changes are minor and usually fleeting. Understanding why patients with osteoporosis refuse to comply with their medication regimens can help healthcare professionals create and test interventions to improve medication behaviors and reduce fractures that can result from noncompliance and nonpersistence with osteoporosis medicines.}, Doi = {10.1007/978-3-319-23639-1_17}, Key = {fds347045} } @misc{fds326329, Author = {Gold, DT}, Title = {Compliance and Persistence with Osteoporosis Medications}, Pages = {448-454}, Booktitle = {Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism: Eighth Edition}, Publisher = {JOHN WILEY & SONS INC}, Year = {2013}, Month = {July}, ISBN = {9781118453889}, url = {http://dx.doi.org/10.1002/9781118453926.ch54}, Abstract = {This chapter reviews five key controversies about research into compliance and persistence with osteoporosis treatments, and provides supporting evidence about those controversies. All researchers who study compliance and persistence with osteoporosis medications agree on one issue: compliance and persistence with osteoporosis medications are dismal. Currently, medication possession ratio (MPR) is the most commonly used measure of compliance. Significant empirical evidence illustrates the problems we face in helping patients remain compliant and persistent with osteoporosis medications regardless of delivery system or dose duration.}, Doi = {10.1002/9781118453926.ch54}, Key = {fds326329} } @misc{fds365804, Author = {Gold, DT and Silverman, SL}, Title = {Adverse Health Outcomes in Men with Osteoporosis}, Pages = {395-401}, Booktitle = {Osteoporosis in Men: The Effects of Gender on Skeletal Health}, Year = {2009}, Month = {November}, ISBN = {9780123746023}, url = {http://dx.doi.org/10.1016/B978-0-12-374602-3.00032-8}, Abstract = {The evidence about men and osteoporosis has changed over the last 30 years. Recent data suggest that at least 20% of people with osteoporosis are men. That means that 2 million men or more already have osteoporosis and another 12 million are at risk of the disease. As life expectancy in the USA continues to rise, osteoporosis prevalence in men will increase. In light of these changing demographics, a better understanding of the incidence and gender-specific consequences of osteoporosis in men is needed. This chapter reviews research findings from the last decade that specifically illuminate the adverse outcomes of osteoporosis and consequent fractures in men. These outcomes include, but are not limited to, physical morbidity, psychosocial outcomes (including health-related quality of life) and mortality. Although the empirical evidence about men and their osteoporosis outcomes is somewhat limited, some recent studies have begun to help researchers understand what happens when men with osteoporosis experience fractures. © 2010 Copyright}, Doi = {10.1016/B978-0-12-374602-3.00032-8}, Key = {fds365804} } %% Chapters in Books @misc{fds39236, Author = {Gold, D.T. and Silverman, S.L.}, Title = {The Downward Spiral of Vertebral Osteoporosis: Consequences}, Publisher = {Los Angeles, CA: Cedars-Sinai Medical Center}, Year = {2003}, Key = {fds39236} } @misc{fds39233, Author = {Gold, D.T. and Lee, L.S. and Tresolini, C.P.}, Title = {Working With Patients to Prevent, Treat, and Manage Osteoporosis: A Curriculum Guide for the Health Professions}, Series = {3rd edition}, Publisher = {Durham, NC: Center for the Study of Aging and Human Development, Duke University Medical Center}, Year = {2001}, Key = {fds39233} } @misc{fds39234, Author = {Gold, D.T.}, Title = {The impact of osteoporosis on quality of life}, Journal = {Osteoporosis Management Today}, Volume = {3}, Pages = {3-8}, Year = {2001}, Key = {fds39234} } @misc{fds39232, Author = {Tresolini, C.P. and Gold, D.T. and Lee, L.S.}, Title = {Working With Patients to Prevent, Treat, and Manage Osteoporosis: A Curriculum Guide for the Health Professions}, Series = {2nd edition}, Publisher = {San Francisco, CA: National Fund for Medical Education}, Year = {1998}, Key = {fds39232} } @misc{fds39231, Author = {Tresolini, C.P. and Gold, D.T. and Lee, L.S.}, Title = {Working With Patients to Prevent, Treat, and Manage Osteoporosis: A Curriculum Guide for the Health Professions}, Publisher = {San Francisco, CA: National Fund for Medical Education}, Year = {1996}, Key = {fds39231} } @misc{fds39230, Author = {Roberto, K.A. and Gold, D.T.}, Title = {Osteoporotic Women: Coping with Chronic Pain}, Publisher = {Durham: Center for the Study of Aging and Human Development, Duke University Medical Center}, Year = {1995}, Key = {fds39230} } @misc{fds39229, Author = {Roberto, K.A. and Gold, D.T.}, Title = {Meeting the Challenge: Coping with Osteoporosis and Chronic Pain}, Publisher = {Greeley, CO: University of Northern Colorado Gerontology Program}, Year = {1994}, Key = {fds39229} } @misc{fds39239, Author = {Hays, J.C. and Blazer, D.G. and Gold, D.T.}, Title = {CES-D: Cutpoint or change score?}, Journal = {Journal of the American Geriatrics Society}, Volume = {41}, Pages = {345-346}, Year = {1993}, Key = {fds39239} } @misc{fds39228, Author = {George, L.K. and Gold, D.T.}, Title = {Easing Caregiver Burden: An Intervention to Overcome Barriers to Service Utilization}, Publisher = {Durham, NC: Center for the Study of Aging and Human Development}, Year = {1990}, Key = {fds39228} } @misc{fds39226, Author = {D.T. Gold}, Title = {Siblings in old age: Their roles and responsibilities}, Booktitle = {Issues in Aging Monograph No. 1}, Publisher = {Chicago, IL: Center for Applied Gerontology}, Year = {1987}, Key = {fds39226} } @misc{fds39225, Author = {Gold, D.T.}, Title = {Sibling relationships in retrospect: A study of reminiscence in old age}, Journal = {Dissertation Abstracts International}, Volume = {47}, Pages = {2274A}, Year = {1986}, Key = {fds39225} } %% Book Reviews @article{fds39224, Author = {Gold, D.T.}, Title = {Review of "Preventing and Managing Osteoporosis" (Gueldner, Burke, & Smiciklas-Wright, Eds.)}, Journal = {Journal of Women and Aging}, Volume = {13}, Pages = {85-87}, Year = {2001}, Key = {fds39224} } @article{fds39222, Author = {Gold, D.T. and Lyles, K.W.}, Title = {Review of "Treating People with Chronic Disease: A Psychological Guide" (Goodheart & Lansing)}, Journal = {Contemporary Gerontology}, Volume = {4}, Pages = {92-93}, Year = {1998}, Key = {fds39222} } @article{fds39223, Author = {Gold, D.T.}, Title = {Review of "The Meanings of Age: Selected Writings of Bernice L. Neugarten" (Neugarten, Ed.)}, Journal = {Contemporary Gerontology}, Volume = {4}, Pages = {136-137}, Year = {1998}, Key = {fds39223} } @article{fds39221, Author = {Gold, D.T.}, Title = {Review of "Sibling Relationships Across the Life Span" (Cicirelli)}, Journal = {Contemporary Gerontology}, Volume = {3}, Pages = {20-21}, Year = {1996}, Key = {fds39221} } @article{fds39220, Author = {Gold, D.T.}, Title = {Review of "The Changing Contract Across Generations" (Bengtson & Achenbaum)}, Journal = {Contemporary Gerontology}, Volume = {1}, Pages = {47-49}, Year = {1994}, Key = {fds39220} } @article{fds39219, Author = {Gold, D.T.}, Title = {Review of "Health Care for Older Women" (George & Ebrahim)}, Journal = {Journal of Women and Aging}, Volume = {5}, Pages = {115-117}, Year = {1993}, Key = {fds39219} } @article{fds39217, Author = {Gold, D.T.}, Title = {Review of "The Social Psychology of Health" (Spacapan & Oskamp)}, Journal = {Contemporary Sociology}, Volume = {19}, Pages = {120-121}, Year = {1990}, Key = {fds39217} } @article{fds39218, Author = {Gold, D.T.}, Title = {Review of "Uneasy Endings" (Shield) and "Unending Work and Care" (Corbin & Strauss) in A Home or institutional care: Which is better?@ (Book review essay)}, Journal = {Gerontologist}, Volume = {29}, Pages = {840-843}, Year = {1989}, Key = {fds39218} } | |
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