Bone health in a tertiary-care gastroenterology and hepatology population.

Digestive Diseases and Sciences
Millie D LongLisa M Gangarosa

Abstract

Glucocorticoid use is a major risk factor for osteoporosis. Overall rates of glucocorticoid use and bone health preventive measures in gastroenterology and hepatology populations are unknown. We aimed to determine the rates of glucocorticoid use and bone health preventive measures, to evaluate an education-based quality improvement initiative on bone health and to assess improvement in health-care practices of providers in regard to bone health recommendations. A cross-sectional survey was offered to all patients visiting a tertiary care gastroenterology and hepatology clinic. A bone health education intervention was performed, followed by a repeat cross-sectional survey. Pearson's Chi-square test statistic was used to evaluate interval improvement in bone health recommendations with the intervention. Predictive multiple logistic regression modeling was used to determine factors that influenced bone health recommendations by providers. A total of 552 patients and 725 patients completed the pre and post-intervention questionnaires, respectively. The prevalence of glucocorticoid use was 12.9%. Bone health recommendations to patients on glucocorticoids did not improve with the intervention (63.0% vs. 55.4%, p = 0.42). The stronges...Continue Reading

References

Sep 2, 2003·Gastroenterology·UNKNOWN American Gastroenterological Association
Feb 14, 2004·Annals of the Rheumatic Diseases·P P GeusensJ W J Bijlsma
May 13, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·R N J de NijsJ W J Bijlsma
Apr 22, 2005·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Randy P McDonoughDonald G Klepser
Jul 30, 2005·Arthritis and Rheumatism·Jeffrey R CurtisKenneth G Saag
Oct 12, 2005·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Jean-Pierre DevogelaerYves Boutsen
Feb 4, 2006·Bone·Jean-Yves Reginster, Nansa Burlet
Jul 5, 2006·The American Journal of Gastroenterology·Sunanda Kane, Deepa Reddy
Dec 30, 2006·Arthritis and Rheumatism·Frank De VriesTjeerd P Van Staa
Feb 27, 2007·Current Osteoporosis Reports·Jeffrey R Curtis, Kenneth G Saag
Aug 9, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vered AbitbolStanislas Chaussade

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Citations

Aug 31, 2002·Biomolecular Engineering·Afif FouzriMohamed Oumezzine
Sep 6, 2015·Journal of Hepatology·UNKNOWN European Association for the Study of the Liver
Sep 13, 2013·American Journal of Men's Health·Chi Peng WongSai Meng Pang
Dec 22, 2019·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Cara L MackAlbert J Czaja
Dec 10, 2020·Clinical and Molecular Hepatology·Atsumasa Komori

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