Osteoporosis, bone & mineral

Long-term adherence to anti-osteoporosis medication and determinants of adherence in the population-based screening trial ROSE

Osteoporos IntPublished Secondary analysis of the ROSE randomised trial

Primary result · AOM initiationResult — go to the resultHazard ratio 9.50 CI 7.16–12.61

Authors' conclusion

Screened women showed similar treatment adherence levels to non-screened once they started medication.

Study context

Population
Women aged 65–80 in the Region of Southern Denmark with FRAX ≥ 15%, invited to ROSE in 2010/2011women invited
Participants
34,229 women
Comparison
Screened vs controls vs age-matched general population sample, adherence to anti-osteoporotic medication (AOM)
  • Screenedn = 5,864
  • Controlsn = 5,790reference
Primary endpoint
Adherence to AOM (initiation, implementation, persistence) and determinants of low adherence
Follow-up
10-year follow-up
Methodological detailspopulation-based, age-matched general population sample, 10-year follow-up
  • Population-based
  • Age-matched general population sample
  • 10-year follow-up

Primary result

AOM initiation · first year

Hazard ratio

9.50

CI 7.16–12.61

Screenedvs Controls
HR 9.50 (CI 7.16–12.61)

As reported in the abstract

Further findings

OutcomeScreenedControlsGeneral population
5-year persistence51-52%51-52%44%
  • 5-year persistence: similar in screened and controls (51-52%)

Determinants of discontinuation

Immobilization, comorbidities and co-medications were key determinants of discontinuation in short and long term
FRAX risk factors partly influenced AOM initiation in screened, with different patterns in other groups

Original publication

Long-term adherence to anti-osteoporosis medication and determinants of adherence in the population-based screening trial ROSE. Osteoporos Int. Published 24 February 2025. doi:10.1007/s00198-025-07436-x

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