Clinical Edge

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This Group Is Not Adhering to Screening Guidelines

Am J Med; 2017 Mar; Gillespie, Morin

There are significant deficiencies in utilization of osteoporosis screening among women between 65 and 79 years of age, according to a retrospective analysis involving more than 1.6 million women. Meanwhile, positive changes were seen in women 50 to 64 years of age, as well as those 80+, in line with national guidelines.

Participants were aged ≥50 years with no prior history of osteoporosis diagnosis, osteoporosis drug use, or hip fracture. Investigators looked at osteoporosis screening during the most recent 2-year period. Among the results:

  • Overall screening rate was 21% in the younger age group; it was 27% in those 65 to 79 years of age and 13% in the oldest group.
  • Utilization in the younger group declined 31% between 2008 and 2014; it was unchanged in the middle group, and increased 38% in the older group.
  • After adjusting for certain variables, black women were least likely and Asian and Hispanic women were most likely to be screened.

Citation:

Gillespie C, Morin P. Trends and disparities in osteoporosis screening among women in the United States, 2008-2014. Am J Med. 2017;130(3):306-316. doi:10.1016/j.amjmed.2016.10.018.

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