HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Rapid Responses: Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Google Scholar Articles by Grover, M. Articles by Dueck, A. PubMed PubMed Citation Articles by Grover, M. Articles by Dueck, A. Social Bookmarking                      What's this?

Increased Osteoporosis Screening Rates Associated with the Provision of a Preventive Health Examination

Department of Family Medicine (MG), Mayo Clinic, Phoenix
Division of Epidemiology and Biostatistics (AD), Mayo Clinic, Phoenix
Family Medicine, private practice, Glendale (MA), Arizona
Scottsdale (RG), Arizona
Thompson Peak Family Care, Scottsdale (PS), Arizona
NextCare Urgent Care, Phoenix (MH), Arizona
Scottsdale Sports Medicine, Scottsdale (LMM), Arizona
Student Health Service, Arizona State University, Tempe (JH-H), Arizona

Correspondence: Corresponding author: Michael Grover, DO, Vice Chair, Research, Assistant Professor, Department of Family Medicine, Mayo Clinic Arizona, 13737 N 92nd Street, Scottsdale, AZ 85260 (E-mail: Grover.michael{at}mayo.edu)

Objectives: We determined the frequencies of (1) female patients aged 65 years and older having bone density measurement performed and (2) prescription therapy use among osteoporotic women.

Methods: We completed a retrospective chart audit to assess our adherence to Physician Quality Reporting Initiative guidelines. Women aged 65 to 75 with an office visit between June 1 to November 30, 2007, were divided into 3 subgroups: those who had a recent preventive general medical examination (GME), those who received one in the last 10 years, and those who had not. We determined osteoporosis screening rates for all 3 groups. The first group then underwent electronic medical record review to obtain patient demographics, determine bone mineral density results, and review if those with osteoporosis were receiving prescription treatment.

Results: Ninety-six percent of 305 female patients seen for a GME during the study period had completed bone mineral density testing. This was a screening rate significantly greater than that for patients with an earlier GME and those who never had one in our offices (70% and 50%, respectively). Seventy-seven percent of recent GME patients had abnormal T scores. Low weight and body mass index were significantly associated with osteoporotic T scores. Seventy-four percent of patients whose latest T scores were less than –2.5 were receiving prescription therapy.

Conclusions: Female patients who completed a recent GME had extraordinarily high rates of screening for osteoporosis. We believe this demonstrates the importance of a dedicated preventive health examination as well as the increased significance that physicians and patients currently place on this behavior.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati

This article has been cited by other articles:

				M. A. Bowman and A. V. Neale A Typical Day in the Family Medicine Office J Am Board Fam Med, November 1, 2009; 22(6): 597 - 599. [Full Text] [PDF]

				Z. T. Bechtol Guest Family Physician Commentaries J Am Board Fam Med, November 1, 2009; 22(6): 602 - 603. [Full Text] [PDF]