Osteoporosis & bone health

Effect of gender on the evolution of pain and quality of life after treatment of symptomatic vertebral fragility fractures

Osteoporos IntPublished Secondary analysis of a randomised clinical study

Authors' conclusion

Pain and QoL evolution after a symptomatic VF differs according to gender, with a worse evolution in women independently of the treatment received.

Study context

Population
Patients with recent symptomatic vertebral fractures randomised to vertebroplasty vs conservative therapy; all received standardized analgesic and antiosteoporotic treatmentof 125 randomised
Participants
118 patients
Comparison
Males vs females, after vertebroplasty or conservative therapy
  • Malesn = 27
  • Femalesn = 91
Primary endpoint
Evolution of pain (VAS) and QoL (Qualeffo-41) according to gender
Follow-up
Baseline, 2 weeks, 2 and 6 months

Primary result

As reported in the abstract

Pain and QoL evolution
  • Pain and quality of life (QoL) evolution differed according to gender, being better in males; differences significant after two months independently of treatment and incidental vertebral fractures (VF) during follow-up

Further findings

OutcomeMalesFemales
Baseline VAS6.8 ± 2.16.8 ± 2.2
Baseline Qualeffo score52.2 ± 24.459.7 ± 20.6

Baseline VAS

No baseline differences

Baseline Qualeffo score

No baseline differences

Original publication

Effect of gender on the evolution of pain and quality of life after treatment of symptomatic vertebral fragility fractures. Osteoporos Int. Published 30 November 2023. doi:10.1007/s00198-023-06960-y

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