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Survey of Bisphosphonate Regimen Preferences in an Urban Community Health Center

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Objective: To determine patient preference for bisphosphonate therapy based on dosage form and dosing schedule.

Design: Prospective telephone survey.

Setting: Urban community health center.

Patients, Participants: All patients who were seen in the osteoporosis clinic during the 22-month time period were contacted. Patients were excluded if they could not complete the survey in English, had difficulty hearing, had cognitive impairment, or were unable to be reached by telephone.

Interventions: Patients were asked which route and frequency of bisphosphonate therapy was preferred, convenient, and easiest to remember.

Main Outcome Measure(s): Patient-reported preference for route and frequency of bisphosphonate administration.

Results: Ninety patients were included in the final analysis. Preference for bisphosphonate therapy illustrated that equal numbers of respondents preferred either once-monthly or once-yearly regimens (24.4% for each, n = 22). One-third of respondents (n = 30) indicated that a once-yearly infusion was the most convenient method of administration. The survey revealed no strong association of which regimen was easiest to remember.

Conclusion: The majority of patients preferred once-monthly or less frequent dosing schedules. Clinicians may consider discussing patient preferences during initiation and throughout therapy.
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Keywords: Bisphosphonates; Osteoporosis

Document Type: Research Article

Publication date: 2010-10-01

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  • The Consultant Pharmacist® is the official peer-reviewed journal of the American Society of Consultant Pharmacists. It is dedicated exclusively to the medication needs of the elderly in all settings, including adult day care, ambulatory care, assisted living, community, hospice, and nursing facilities. This award-winning journal is a member benefit of ASCP. Individuals who are not members and wish to receive The Consultant Pharmacist® will want to consider joining ASCP.
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