Journal of Bone and Mineral Metabolism

, Volume 37, Issue 3, pp 563–572 | Cite as

Assessment of patient-reported outcomes (PROs): treatment satisfaction, medication adherence, and quality of life (QoL) and the associated factors in postmenopausal osteoporosis (PMO) patients in Korea

  • Dong Won Byun
  • Seong-Hwan Moon
  • Tak Kim
  • Hae-Hyeog Lee
  • Hyoung Moo Park
  • Moo-Il Kang
  • Yong-Chan Ha
  • Ho-Yeon Chung
  • Byung-Koo Yoon
  • Tae-Young Kim
  • Soo Uk Chae
  • Chan Soo Shin
  • Kyu-Hyun Yang
  • Jae Hyup Lee
  • Jae Suk Chang
  • Sung Hoon Kim
  • In Joo Kim
  • Jung-Min Koh
  • Jung Hwa Jung
  • Kyong Wook Yi
  • Jeong Joon Yoo
  • Dong Jin Chung
  • Young-Kyun Lee
  • Hyun-Koo Yoon
  • Seongbin Hong
  • Deog-Yoon Kim
  • Ki Hyun Baek
  • Hyun-Joo Kim
  • Young-Joo Kim
  • Seongsik Kang
  • Yong-Ki MinEmail author
Original Article


Patient-reported outcomes (PROs) provide practical guides for treatment; however, studies that have evaluated PROs of women in Korea with postmenopausal osteoporosis (PMO) are lacking. This cross-sectional, multi-center (29 nationwide hospitals) study, performed from March 2013 to July 2014, aimed to assess PROs related to treatment satisfaction, medication adherence, and quality of life (QoL) in Korean PMO women using osteoporosis medication for prevention/treatment. Patient demographics, clinical characteristics, treatment patterns, PROs, and experience using medication were collected. The 14-item Treatment Satisfaction Questionnaire for Medication (TSQM) (score-range, 0–100; domains: effectiveness, side effects, convenience, global satisfaction), Osteoporosis-Specific Morisky Medication Adherence Scale (OS-MMAS) (score-range, 0–8), and EuroQol-5 dimensions questionnaire (index score range, − 0.22 to 1.0; EuroQol visual analog scale score range, 0–100) were used. To investigate factors associated with PROs, linear (treatment satisfaction/QoL) or logistic (medication adherence) regression analyses were conducted. A total of 1804 patients (age, 62 years) were investigated; 60.1% used bisphosphonate, with the majority (67.2%) using weekly medication, 27.8% used daily hormone replacement therapy, and 12.1% used daily selective estrogen receptor modulator. Several patients reported gastrointestinal (GI) events (31.6%) and dental visits due to problems (24.1%) while using medication. Factors associated with the highest OS-MMAS domain scores were convenience and global satisfaction. GI events were associated with non-adherence. TSQM scores for effectiveness, side effects, and GI risk factors were significantly associated with QoL. Our study elaborately assessed the factors associated with PROs of Korean PMO women. Based on our findings, appropriate treatment-related adjustments such as frequency/choice of medications and GI risk management may improve PROs.


Postmenopausal osteoporosis Treatment satisfaction Medication adherence Quality of life Gastrointestinal events 



This research was sponsored by Pfizer.

Compliance with ethical standards

Statement of human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

All authors have no conflicts of interest.

Supplementary material

774_2018_956_MOESM1_ESM.docx (43 kb)
Supplementary material 1 (DOCX 43 kb)


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Copyright information

© The Japanese Society for Bone and Mineral Research and Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  • Dong Won Byun
    • 1
  • Seong-Hwan Moon
    • 2
  • Tak Kim
    • 3
  • Hae-Hyeog Lee
    • 4
  • Hyoung Moo Park
    • 5
  • Moo-Il Kang
    • 6
  • Yong-Chan Ha
    • 7
  • Ho-Yeon Chung
    • 8
  • Byung-Koo Yoon
    • 9
  • Tae-Young Kim
    • 10
  • Soo Uk Chae
    • 11
  • Chan Soo Shin
    • 12
  • Kyu-Hyun Yang
    • 13
  • Jae Hyup Lee
    • 14
  • Jae Suk Chang
    • 15
  • Sung Hoon Kim
    • 16
  • In Joo Kim
    • 17
  • Jung-Min Koh
    • 18
  • Jung Hwa Jung
    • 19
  • Kyong Wook Yi
    • 20
  • Jeong Joon Yoo
    • 21
  • Dong Jin Chung
    • 22
  • Young-Kyun Lee
    • 23
  • Hyun-Koo Yoon
    • 24
  • Seongbin Hong
    • 25
  • Deog-Yoon Kim
    • 26
  • Ki Hyun Baek
    • 27
  • Hyun-Joo Kim
    • 28
  • Young-Joo Kim
    • 28
  • Seongsik Kang
    • 28
  • Yong-Ki Min
    • 29
    Email author
  1. 1.Department of Endocrinology, Internal MedicineSoon Chun Hyang University HospitalSeoulSouth Korea
  2. 2.Department of Orthopedic Surgery, Severance HospitalYonsei University Health SystemSeoulSouth Korea
  3. 3.Department of Obstetrics and Gynecology, Korea University Anam HospitalKorea University College of MedicineSeoulSouth Korea
  4. 4.Department of Obstetrics and GynecologySoonchunhyang University Bucheon HospitalBucheonSouth Korea
  5. 5.Department of Obstetrics and GynecologyChung-Ang University HospitalSeoulSouth Korea
  6. 6.Division of Endocrinology and Metabolism, Department of Internal MedicineSeoul St. Mary’s HospitalSeoulSouth Korea
  7. 7.Department of Orthopedic SurgeryChung-Ang University HospitalSeoulSouth Korea
  8. 8.Department of Endocrinology and MetabolismKyung Hee University, School of MedicineSeoulSouth Korea
  9. 9.Department of Obstetrics and Gynecology, Samsung Medical CenterSungkyunkwan UniversitySeoulSouth Korea
  10. 10.Department of Orthopedic Surgery, Konkuk University Medical CenterKonkuk University School of MedicineSeoulSouth Korea
  11. 11.Department of Orthopedic SurgeryGunsan Medical Center of Wonkwang University HospitalGunsanSouth Korea
  12. 12.Department of Internal MedicineSeoul National University HospitalSeoulSouth Korea
  13. 13.Department of Orthopedic Surgery, Gangnam Severance HospitalYonsei University College of MedicineSeoulSouth Korea
  14. 14.Department of Orthopedic SurgerySeoul National University College of Medicine, SMG-SNU Boramae Medical CenterSeoulSouth Korea
  15. 15.Department of Orthopedic Surgery, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulSouth Korea
  16. 16.Department of Obstetrics and Gynecology, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulSouth Korea
  17. 17.Division of Endocrinology and Metabolism, Department of Internal MedicinePusan National University HospitalBusanSouth Korea
  18. 18.Division of Endocrinology and Metabolism, Asan Medical CenterUniversity of Ulsan College of MedicineSeoulSouth Korea
  19. 19.Department of Internal Medicine, Gyeongsang National University HospitalGyeongsang National University School of MedicineJinjuSouth Korea
  20. 20.Department of Obstetrics and Gynecology, Korea University College of MedicineKorea University Ansan HospitalAnsanSouth Korea
  21. 21.Department of Orthopedic Surgery, Seoul National University College of MedicineSeoul National University HospitalSeoulSouth Korea
  22. 22.Department of Internal MedicineChonnam National University Medical SchoolGwangjuSouth Korea
  23. 23.Department of Orthopedic SurgerySeoul National University Bundang HospitalSeongnamSouth Korea
  24. 24.Division of Endocrinology and Metabolism, Department of Medicine, Cheil General Hospital and Women’s Healthcare CenterDankook UniversitySeoulSouth Korea
  25. 25.Division of Endocrinology and Metabolism, Department of Internal Medicine, Inha University HospitalInha University School of MedicineIncheonSouth Korea
  26. 26.Department of Nuclear MedicineKyung Hee University, School of MedicineSeoulSouth Korea
  27. 27.Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeouido St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaSeoulSouth Korea
  28. 28.Pfizer Pharmaceuticals Korea LimitedSeoulRepublic of Korea
  29. 29.Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulRepublic of Korea

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