PT  - JOURNAL ARTICLE
AU  - Grover, Michael
AU  - Anderson, Matthew
AU  - Gupta, Rita
AU  - Haden, Matthew
AU  - Hartmark-Hill, Jennifer
AU  - Morski, Lynn Marie
AU  - Sarmiento, Paul
AU  - Dueck, Amylou
TI  - Increased Osteoporosis Screening Rates Associated with the Provision of a Preventive Health Examination
AID  - 10.3122/jabfm.2009.06.090040
DP  - 2009 Nov 01
TA  - The Journal of the American Board of Family Medicine
PG  - 655--662
VI  - 22
IP  - 6
4099  - http://www.jabfm.org/content/22/6/655.short
4100  - http://www.jabfm.org/content/22/6/655.full
SO  - J Am Board Fam Med2009 Nov 01; 22
AB  - 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.