Recognition of osteoporosis by primary care physicians
- PMID: 11818304
- PMCID: PMC1447055
- DOI: 10.2105/ajph.92.2.271
Recognition of osteoporosis by primary care physicians
Abstract
Objectives: This study explored the recognition and treatment of osteoporosis and vertebral fracture among older women by primary care physicians.
Methods: Data from the National Ambulatory Medical Care Survey from 1993 to 1997 were examined for evidence of diagnosis and treatment of osteoporosis or vertebral fracture during visits by White women 60 years and older to primary care physicians.
Results: Fewer than 2% of the women received diagnoses of osteoporosis or vertebral fracture, although expected prevalence is 20% to 30%. Appropriate drug treatment, including antiresorptive agents and calcium and vitamin D, was offered to only 36% of the diagnosed patients.
Conclusions: Few cases of osteoporosis or vertebral fracture in older women are being diagnosed and treated by primary care physicians.
Comment in
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Recognition of osteoporosis since 1997.Am J Public Health. 2002 Nov;92(11):1707. doi: 10.2105/ajph.92.11.1707. Am J Public Health. 2002. PMID: 12406786 Free PMC article. No abstract available.
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Osteoporosis recognition: correcting Gehlbach et al.Am J Public Health. 2002 Dec;92(12):1885. doi: 10.2105/ajph.92.12.1885. Am J Public Health. 2002. PMID: 12453798 Free PMC article. No abstract available.
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References
-
- Centers for Disease Control and Prevention. Osteoporosis among estrogen-deficient women—United States, 1988–1994. MMWR Morb Mortal Wkly Rep. 1998;47:969–973. - PubMed
-
- Melton LJ III, Lane AW, Cooper C, Eastell R, O'Fallon WM, Riggs BL. Prevalence and incidence of vertebral deformities. Osteoporos Int. 1993;3:113–119. - PubMed
-
- Davies KM, Stegman MR, Heaney RP, Recker RR. Prevalence and severity of vertebral fracture: the Saunders County Bone Quality Study. Osteoporos Int. 1996;6:160–165. - PubMed
-
- Kado DM, Browner WS, Palermo L, Nevitt MC, Genant HK, Cummings SR. Vertebral fractures and mortality in older women: study of Osteoporotic Fractures Research Group. Arch Intern Med. 1999;159:1215–1220. - PubMed
-
- Ross PD, Davis JW, Epstein RS, Wasnich RD. Pre-existing fractures and bone mass predict vertebral fracture incidence in women. Ann Intern Med. 1991;114:919–923. - PubMed
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