Effect of a case finding strategy for osteoporosis on bisphosphonate prescrbing in primary care

L S Morrison, J H Tobias

Research output: Contribution to journalArticle (Academic Journal)peer-review

9 Citations (Scopus)

Abstract

Case-selection strategies have been advocated for identifying patients who would benefit from primary care to prevent osteoporosis. However, the effectiveness of this approach is unclear. To address this question, we performed a randomized control trial to determine whether a case-selection strategy to identify patients with clinical risk factors for osteoporosis, combined with open access to dual X-ray absorptometry (DXA) scans, influences bisphosphonate prescribing in ten GP practices in Avon. Practices were randomized to two groups: the first identified women aged 45-75 years at high risk of osteoporosis and provided open access to DXA scans for 12 months; the second had no case-finding strategy and no DXA scan access. Bisphosphonate prescribing was ascertained by searching computerized patient records every 3 months during the intervention and a subsequent 6-month follow-up period. Overall, the number of subjects in each practice who were prescribed bisphosphonates increased by 50% (p
Translated title of the contributionEffect of a case finding strategy for osteoporosis on bisphosphonate prescrbing in primary care
Original languageEnglish
Pages (from-to)71 - 77
Number of pages7
JournalOsteoporosis International
Volume16
Issue number1
DOIs
Publication statusPublished - Jan 2005

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