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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pmedpharm</journal-id><journal-title-group><journal-title xml:lang="ru">Фармация и фармакология</journal-title><trans-title-group xml:lang="en"><trans-title>Pharmacy &amp; Pharmacology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2307-9266</issn><issn pub-type="epub">2413-2241</issn><publisher><publisher-name>Pyatigorsk Medical and Pharmaceutical Institute - branch of Volgograd State Medical Univer</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.19163/2307-9266-2024-12-5-350-361</article-id><article-id custom-type="elpub" pub-id-type="custom">pmedpharm-1662</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Современное состояние проблемы приверженности лечению пациентов с остеопорозом</article-title><trans-title-group xml:lang="en"><trans-title>The current state of the problem of treatment adherence in patients with osteoporosis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8059-7075</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бейтуллаев</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Beitullaev</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант 2 года обучения, ассистент кафедры базисной и клинической фармакологии Ордена Трудового Красного Знамени Медицинского института им. С.И. Георгиевского ФГАОУ ВО «КФУ им. В.И. Вернадского».</p><p>Россия, 295021, Республика Крым, г. Симферополь, б-р Ленина, д. 5/7.</p></bio><bio xml:lang="en"><p>2–year postgraduate student, assistant at the Department of Basic and Clinical Pharmacology of the Order of the Red Banner of Labour Medical Institute named after S.I. Georgievsky of Crimean Federal University named after V.I. Vernadsky. </p><p>5/7 Lenin Blvd., Simferopol, Republic of Crimea, Russia, 295021.</p></bio><email xlink:type="simple">asan25.2001@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4012-2523</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Егорова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Egorova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат фармацевтических наук, доцент кафедры базисной и клинической фармакологии Ордена Трудового Красного Знамени Медицинского института им. С.И. Георгиевского ФГАОУ ВО «КФУ им. В.И. Вернадского».</p><p>Россия, 295021, Республика Крым, г. Симферополь, б-р Ленина, д. 5/7.</p></bio><bio xml:lang="en"><p>Candidate of Sciences (Pharmacy), Associate Professor of the Department of Basic and Clinical Pharmacology of the Order of the Red Banner of Labour Medical Institute named after S.I. Georgievsky of Crimean Federal University named after V.I. Vernadsky. </p><p>5/7 Lenin Blvd., Simferopol, Republic of Crimea, Russia, 295021.</p></bio><email xlink:type="simple">egorovapharm@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6398-2545</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петров</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор кафедры внутренней медицины № 2 Ордена Трудового Красного Знамени Медицинского института им. С.И. Георгиевского ФГАОУ ВО «КФУ им. В.И. Вернадского». </p><p>Россия, 295021, Республика Крым, г. Симферополь, б-р Ленина, д. 5/7.</p></bio><bio xml:lang="en"><p>Doctor of Sciences (Medicine), Professor of the Department of Internal Medicine No. 2 of the Order of the Red Banner of Labour Medical Institute named after S.I. Georgievsky of Crimean Federal University named after V.I. Vernadsky.</p><p>5/7 Lenin Blvd., Simferopol, Republic of Crimea, Russia, 295021.</p></bio><email xlink:type="simple">petroff14@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8960-602X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бублей</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bubley</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ординатор 2 года обучения, ассистент кафедры внутренней медицины № 2 Ордена Трудового Красного Знамени Медицинского института им. С.И. Георгиевского ФГАОУ ВО «КФУ им. В.И. Вернадского».</p><p>Россия, 295021, Республика Крым, г. Симферополь, б-р Ленина, д. 5/7.</p></bio><bio xml:lang="en"><p>2-year resident, Assistant at the Department of Internal Medicine No. 2 of the Order of the Red Banner of Labour Medical Institute named after S.I. Georgievsky of Crimean Federal University named after V.I. Vernadsky.</p><p>5/7 Lenin Blvd., Simferopol, Republic of Crimea, Russia, 295021.</p></bio><email xlink:type="simple">bubley.99@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6636-3950</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Матвеев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Matveev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, доцент кафедры клинической фармакологии и терапии, руководитель Учебно-образовательного центра фундаментальной и трансляционной медицины ФГБОУ ДПО РМАНПО Минздрава России. </p><p>Россия, 125993, г. Москва, ул. Баррикадная, д. 2/1, стр. 1.</p></bio><bio xml:lang="en"><p>Candidate of Sciences (Medicine), Associate Professor of the Department of Clinical Pharmacology and Therapy, Head of the Educational Center for Fundamental and Translational Medicine of the Russian Medical Academy of Continuing Professional Education. </p><p>2/1 Barrikadnaya Str., Moscow, Russia, 125993.</p></bio><email xlink:type="simple">avmcsmu@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-8419-0766</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бикбаев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bikbaev</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>студент 6 курса лечебного факультета ПМФИ – филиала ФГБОУ ВО ВолгГМУ Минздрава России.</p><p>Россия, 357532, г. Пятигорск, пр-кт Калинина, д. 11</p></bio><bio xml:lang="en"><p>6th year student at the Faculty of Pyatigorsk Medical and Pharmaceutical Institute – branch of Volgograd State Medical University. </p><p>11 Kalinin Ave., Pyatigorsk, Russia, 357532.</p></bio><email xlink:type="simple">al.bikbaev@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-2729-1872</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Геворкян</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gevorkyan</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>студент 5 курса стоматологического факультета ПМФИ – филиала ФГБОУ ВО ВолгГМУ Минздрава России. </p><p>Россия, 357532, г. Пятигорск, пр-кт Калинина, д. 11.</p></bio><bio xml:lang="en"><p>5th year student at the Faculty of Dentistry of the Pyatigorsk Medical and Pharmaceutical Institute – branch of Volgograd State Medical University.</p><p>11 Kalinin Ave., Pyatigorsk, Russia, 357532.</p></bio><email xlink:type="simple">Artem1110690@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-6540-4272</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мальцев</surname><given-names>Т. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Maltsev</surname><given-names>T. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>тудент 5 курса стоматологического факультета ПМФИ – филиала ФГБОУ ВО ВолгГМУ Минздрава России.</p><p>Россия, 357532, г. Пятигорск, пр-кт Калинина, д. 11.</p></bio><bio xml:lang="en"><p>5th–year student at the Faculty of Dentistry of the Pyatigorsk Medical and Pharmaceutical Institute – branch of Volgograd State Medical University.</p><p>11 Kalinin Ave., Pyatigorsk, Russia, 357532.</p></bio><email xlink:type="simple">tom.maltsev.01@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-0929-2376</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Усамова</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Usamova</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-стоматолог Имплант Студио (ООО «Позитив»).</p><p>Россия, 357500, г. Пятигорск, пр. Калинина, д. 2А</p></bio><bio xml:lang="en"><p>dentist at Implant Studio (Positiv LLC).</p><p>2A Kalinin Ave., Pyatigorsk, Russia, 357500.</p></bio><email xlink:type="simple">m.usamova@mail.ru</email><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ордена Трудового Красного Знамени Медицинский институт им. С.И. Георгиевского федерального государственного автономного образовательного учреждения высшего образования «Крымский федеральный университет им. В.И. Вернадского».</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Order of the Red Banner of Labour Medical Institute named after S.I. Georgievsky of Crimean Federal University named after V.I. Vernadsky</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Ордена Трудового Красного Знамени Медицинский институт им. С.И. Георгиевского федерального государственного автономного образовательного учреждения высшего образования «Крымский федеральный университет им. В.И. Вернадского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Order of the Red Banner of Labour Medical Institute named after S.I. Georgievsky of Crimean Federal University named after V.I. Vernadsky.</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Пятигорский медико-фармацевтический институт – филиал федерального государственного &#13;
бюджетного образовательного учреждения высшего образования «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pyatigorsk Medical and Pharmaceutical Institute – branch of Volgograd State Medical University.</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Имплант Студио, Общество с ограниченной ответственностью «Позитив»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Implant Studio, Limited Liability Company “Positive”.</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>29</day><month>06</month><year>2025</year></pub-date><volume>12</volume><issue>5</issue><fpage>350</fpage><lpage>361</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Бейтуллаев А.М., Егорова Е.А., Петров А.В., Бублей К.В., Матвеев А.В., Бикбаев А.А., Геворкян А.Г., Мальцев Т.К., Усамова М.Н., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Бейтуллаев А.М., Егорова Е.А., Петров А.В., Бублей К.В., Матвеев А.В., Бикбаев А.А., Геворкян А.Г., Мальцев Т.К., Усамова М.Н.</copyright-holder><copyright-holder xml:lang="en">Beitullaev A.M., Egorova E.A., Petrov A.V., Bubley K.V., Matveev A.V., Bikbaev A.A., Gevorkyan A.G., Maltsev T.K., Usamova M.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pharmpharm.ru/jour/article/view/1662">https://www.pharmpharm.ru/jour/article/view/1662</self-uri><abstract><p>Соблюдение рекомендаций медицинского работника пациентами при хронических заболеваниях наблюдается лишь в 50% случаев, в связи с чем, проблема комплаентности является очень актуальной. Широкая распространённость остеопороза (ОП) в России и мире, а также существующая проблема снижения комплаентности пациентов требует проведения анализа существующих данных об уровне приверженности лечению у пациентов с ОП.</p><sec><title>Цель</title><p>Цель. Провести анализ текущего состояния уровня приверженности терапии у пациентов с ОП.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. В работе осуществлен обзор доступных публикаций по упомянутой тематике. Для поиска исследований российских и зарубежных авторов использовали различные базы данных и поисковые системы: elibrary.ru, КиберЛенинка, Российская национальная библиотека (РНБ), PubMed, Scientific&amp;Scholarly Research Database (Scilit), Академия Google. Поиск информации проводился по ключевым словам и фразам: «остеопороз», «osteoporosis», «приверженность терапии/лечению», «adherence to treatment», «комплаентность», «compliance», а также соответствующим MeSH терминам.</p></sec><sec><title>Результаты</title><p>Результаты. Изучено современное состояние проблемы ОП, рассмотрена фармакотерапия, применяющаяся в данное время при упомянутой патологии. Проанализированы данные о комплаентности пациентов с ОП, факторы, негативно влияющие на приверженность больных, а также методы, способствующие росту данного показателя, а также продемонстрирована целесообразность их применения.</p></sec><sec><title>Заключение</title><p>Заключение. Проблема приверженности лечению пациентов с ОП является важным вопросом современного здравоохранения. Одним из наиболее эффективных способов улучшения комплаентности является повышение осведомлённости пациентов о заболевании, его течении, методах и целесообразности проводимой фармакотерапии. Существует острая необходимость в разработке доступных и поиске новых методов повышения приверженности лечению пациентов с ОП.</p></sec></abstract><trans-abstract xml:lang="en"><p>Compliance with the recommendations of a health professional by patients with chronic diseases is observed only in 50% of cases, and therefore, the problem of compliance is very relevant. The widespread occurrence of osteoporosis (OP) in Russia and the world, as well as the existing problem of reducing patient compliance, requires an analysis of existing data on the level of treatment adherence in patients with OP.</p><sec><title>The aim</title><p>The aim. To analyze the current state of adherence to therapy in patients with OP.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The article provides an overview of the available publications on the mentioned objective. Various databases and search engines were used to search for research by Russian and foreign authors: elibrary.ru, CyberLeninka, Russian National Library (RNB), PubMed, Scientific&amp;Scholarly Research Database (Scilit), Google Academy. The information was searched by keywords and phrases: “osteoporosis”, “osteoporosis”, “adherence to therapy/treatment”, “adherence to treatment”, “compliance”, “compliance”, as well as the corresponding MeSH terms.</p></sec><sec><title>Results</title><p>Results. The current state of the OP problem has been studied, and the pharmacotherapy currently used in this pathology has been considered. The data on the compliance of patients with OP, the factors that negatively affect the adherence of patients, as well as the methods that contribute to the growth of this indicator, are analyzed, and the expediency of their use is demonstrated.</p></sec><sec><title>Conclusion</title><p>Conclusion. The problem of adherence to treatment of patients with OP is an important issue of modern healthcare. One of the most effective ways to improve compliance is to increase patients’ awareness of the disease, its course, methods and expediency of pharmacotherapy. There is an urgent need to develop accessible and search for new methods to increase treatment adherence in patients with OP.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>остеопороз</kwd><kwd>приверженность лечению</kwd><kwd>комплаентность</kwd><kwd>осведомлённость пациентов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>osteoporosis</kwd><kwd>treatment commitment</kwd><kwd>compliance</kwd><kwd>patient awareness</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Данный обзор не имел финансовой поддержки от сторонних организаций.</funding-statement><funding-statement xml:lang="en">This study did not have financial support from third-party organizations.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Балабанова Р.М., Дубинина Т.В., Демина А.Б., Кричевская О.А. 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