Colpisce più di 100mila persone l'anno

Osteoporosi: una malattia sottovalutata

di oggisalute | 28 giugno 2012 | pubblicato in Prevenzione
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Colpisce più di 100mila persone l’anno e in Europa i costi stimati della malattia, oltre 36 mld di euro l’anno, si prevede possano raggiungere i 76,7 miliardi nel 2050 a causa dell’invecchiamento della popolazione. E’ l’osteoporosi sui cui nuovi trattamenti di cura si è discusso in Senato per affrontare le questioni dell’efficacia e della sicurezza , aderenza alla terapia e impatto socio-economico, nel corso di un incontro promosso dall’Associazione Parlamentare per la Tutela e la Promozione del Diritto alla Prevenzione, con il contributo non condizionato di ‘Amgen Dompe’.

Anche se negli ultimi anni sono stati fatti dalla ricerca notevoli progressi, l’osteoporosi risulta sottovalutata e poco conosciuta ai più : per questo alla patologia è stato dedicato l’ultimo ‘Italian Health Policy Brief’, documento di confronto tra esperti di politica sociale ed economica.

La prevenzione non-farmacologica è promossa per tutti, mentre l’uso dei farmaci è limitato ai pazienti a più alto rischio di frattura. In Italia l’accesso di questi farmaci a carico del SSN è regolato dalla Nota AIFA n. 79, che individua i soggetti a rischio sulla base della presenza di pregresse fratture osteoporotiche, uso di cortisonici o valori particolarmente bassi della densitometria ossea.

”La Sanita’ ha già da tempo comunicato come l’osteoporosi rappresenti uno dei maggiori problemi per la salute non solo italiana ma europea, e per questo è necessario che si continuino a promuovere progetti formativi e di aggiornamento per sensibilizzare sempre di piuùgli stakeholder verso una corretta prevenzione, diagnosi e trattamento di questa grave patologia”, ha precisato il Senatore Antonio Tomassini, Presidente XII Commissione Igiene e Sanità del Senato e Presidente dell’Associazione Parlamentare per la Tutela e la Promozione del Diritto alla Prevenzione.

”La terapia dell’osteoporosi – ha detto Silvano Adami, Direttore Scuola di Specializzazione in Reumatologia, Università di Verona – è finalizzata alla prevenzione delle fratture da fragilità, che si basa in primo luogo sulla correzione dei rischi prevenibili, come ad esempio, l’inadeguato apporto di calcio e vitamina D, fumo, eccesso di alcool, rischio ambientale di cadute. Le fratture più frequenti sono quelle a carico dei corpi vertebrali, del polso o del femore, con importanti implicazioni non solo sanitarie, ma anche socio-economiche: tra i soggetti anziani, le fratture osteoporotiche sono infatti una delle cause principali di mortalità, portando a una riduzione del livello di autosufficienza e richiedendo spesso un ricovero a lungo termine. Ed è per questo che la prevenzione svolge un ruolo fondamentale: nel caso dell’osteoporosi deve cominciare in età precoce, soprattutto nell’adolescenza, quando l’apporto di calcio attraverso gli alimenti viene assorbito dall’organismo e contribuisce effettivamente al consolidarsi della densità ossea, così come è necessario che giovani e bambini partecipino regolarmente ad attività fisiche sin da piccoli”.

”Il mercato italiano dei farmaci anti-osteoporotici rimborsati dal SSN copre una quota pari a quasi il 3% della spesa territoriale in termini di valore, circa 379 milioni di euro (dati AIFA, 2011): di questi, circa due terzi è rappresentato dai bisfosfonati”, ha spiegato Francesco Saverio Mennini, Professore CEIS Sanità, Facolta’ di Economia, Università ‘Tor Vergata di Roma, sottolineando che ”l’aderenza alla terapia, anche per l’osteoporosi, rappresenta un obiettivo primario tanto in termini di miglioramento dello stato di salute quanto in relazione ad una riduzione dei costi”.

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