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Related Experiment Videos

What do physicians in practice do to prevent osteoporosis?

J A Grisso1, C R Baum, B J Turner

  • 1Division of General Medicine, University of Pennsylvania School of Medicine, Philadelphia 19104.

Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research
|March 1, 1990
PubMed
Summary
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Few physicians prescribe estrogen replacement therapy (ERT) for osteoporosis prevention, despite recommendations. Gynecologists are more likely to prescribe ERT than other specialists, but overall adoption remains low.

Area of Science:

  • Medical Science
  • Public Health
  • Gerontology

Background:

  • Osteoporosis-associated fractures represent a significant public health concern.
  • Clinical recommendations for osteoporosis prevention exist, but physician adoption rates are not well-documented.

Purpose of the Study:

  • To evaluate physician adoption of osteoporosis prevention strategies.
  • To assess how physician specialty and practice setting influence osteoporosis prevention performance.

Main Methods:

  • A survey of nearly 300 physicians was conducted in a large metropolitan area.
  • Physicians surveyed included gynecologists, general internists, and cardiopulmonary specialists.
  • Practice settings included fee-for-service private practice, academic medicine, and health maintenance organizations.

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Main Results:

  • Most physicians advocate for exercise and calcium supplementation, irrespective of specialty or practice setting.
  • Prescription rates for estrogen replacement therapy (ERT) for postmenopausal patients were low across all groups.
  • Gynecologists (37%) were significantly more likely to prescribe ERT for osteoporosis prevention compared to general internists (7%) and cardiopulmonary specialists (5%).

Conclusions:

  • While exercise and calcium are widely recommended, ERT adoption for osteoporosis prevention is notably low among physicians.
  • Gynecologists demonstrate higher rates of ERT prescription for osteoporosis prevention than other specialties.
  • Physician specialty significantly impacts the use of ERT in postmenopausal osteoporosis prevention, with overall low utilization.