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Related Experiment Videos

Patterns of bone mineral density testing: current guidelines, testing rates, and interventions.

Charles A Morris1, Danielle Cabral, Hailu Cheng

  • 1Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02120, USA. camorris@partners.org

Journal of General Internal Medicine
|June 24, 2004
PubMed
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Suboptimal osteoporosis screening is linked to inconsistent guidelines and low testing rates. Few interventions to improve bone mineral density (BMD) testing have been rigorously evaluated.

Area of Science:

  • Osteoporosis research
  • Clinical practice guidelines
  • Health services research

Background:

  • Bone mineral density (BMD) testing is crucial for osteoporosis screening.
  • Current screening guidelines and testing patterns require examination to identify barriers.

Purpose of the Study:

  • To identify obstacles hindering bone mineral density (BMD) testing.
  • To review osteoporosis screening guidelines, testing patterns, and interventions.

Main Methods:

  • A structured review of literature from 1992-2002 was conducted.
  • Searches included Medline and HealthSTAR using relevant keywords.
  • 51 articles were selected for review, encompassing guidelines, pattern studies, and interventions.

Main Results:

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  • Many practice guidelines lacked formal development descriptions and showed varied screening recommendations.
  • Bone mineral density (BMD) testing rates among at-risk patients were low (1%-47%).
  • Interventions to increase BMD testing lacked rigorous evaluation, with few assessing statistical significance.

Conclusions:

  • Inconsistent development and content of osteoporosis screening guidelines contribute to suboptimal testing.
  • Limited assessment of factors associated with BMD testing and a lack of rigorously evaluated interventions hinder progress.
  • Further research is needed to understand and address barriers to effective osteoporosis screening.