Impact of a primary care physician workshop on osteoporosis medical practices.

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
M-C LalibertéL Lalonde

Abstract

Attendance at a fragility-fractures-prevention workshop by primary care physicians was associated with higher rates of osteoporosis screening and treatment initiation in elderly female patients and higher rates of treatment initiation in high-risk male and female patients. However, osteoporosis management remained sub-optimal, particularly in men. Rates of osteoporosis-related medical practices of primary care physicians exposed to a fragility-fractures-prevention workshop were compared with those of unexposed physicians. In a cluster cohort study, 26 physicians exposed to a workshop were matched with 260 unexposed physicians by sex and year of graduation. For each physician, rates of bone mineral density (BMD) testing and osteoporosis treatment initiation among his/her elderly patients 1 year following the workshop were computed. Rates were compared using multilevel logistic regression models controlling for potential patient- and physician-level confounders. Twenty-five exposed physicians (1,124 patients) and 209 unexposed physicians (9,663 patients) followed at least one eligible patient. In women, followed by exposed physicians, higher rates of BMD testing [8.5% versus 4.2%, adjusted OR (aOR) = 2.81, 95% CI 1.60-4.94] and t...Continue Reading

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Citations

Feb 12, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·L BessetteJ P Brown
Feb 22, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M-C LalibertéL Lalonde
May 31, 2013·Current Medical Research and Opinion·Nahid RianonRafia Rasu
Sep 1, 2016·Archives of Osteoporosis·Smita Jha, Timothy Bhattacharyya
Jan 18, 2017·Journal of Primary Care & Community Health·Phillip T LawrenceGrant W Cannon
Jun 3, 2011·The Journal of Rheumatology·Elisabetta RomagnoliSalvatore Minisola
Oct 10, 2019·Journal of Orthopaedic Trauma·Brian P CunninghamMarc F Swiontkowski
Jun 23, 2019·BMC Medical Education·Richard E NelsonMichael J Battistone

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