TY - JOUR T1 - Increased Osteoporosis Screening Rates Associated with the Provision of a Preventive Health Examination JF - The Journal of the American Board of Family Medicine JO - J Am Board Fam Med SP - 655 LP - 662 DO - 10.3122/jabfm.2009.06.090040 VL - 22 IS - 6 AU - Michael Grover AU - Matthew Anderson AU - Rita Gupta AU - Matthew Haden AU - Jennifer Hartmark-Hill AU - Lynn Marie Morski AU - Paul Sarmiento AU - Amylou Dueck Y1 - 2009/11/01 UR - http://www.jabfm.org/content/22/6/655.abstract N2 - 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. ER -