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  1. Home
  3. Osteoporosis Screening Practice At The National Guard Affiliated Primary Care Centers, Riyadh, Saudi Arabia.
  1. Home
  3. Osteoporosis Screening Practice At The National Guard Affiliated Primary Care Centers, Riyadh, Saudi Arabia.

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Osteoporosis screening practice at the National Guard affiliated primary care centers, Riyadh, Saudi Arabia.

Moath Abdulmohsen Alkathiri1, Duaa Abdullah Alammari1

  • 1From the Department of Family Medicine (Alkathiri), Ministry of the National Guard Health - Affairs; from the College of Public Health (Alkathiri, Alammari), King Saud bin Abdulaziz University for Health Sciences; and from the King Abdullah International Medical Research Center (Alkathiri, Alammari), Riyadh, Kingdom of Saudi Arabia.

Saudi Medical Journal
|June 14, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Osteoporosis screening via bone mineral density (BMD) tests is underutilized in primary care, with low completion rates despite significant prevalence of osteopenia and osteoporosis in women. Factors influencing test ordering and completion were identified.

Keywords:
Osteoporosisfamily medicineprimary carepublic healthscreening

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Area of Science:

  • Public Health
  • Osteoporosis Research
  • Primary Care Medicine

Background:

  • Osteoporosis poses a significant public health risk, contributing to morbidity and mortality.
  • Effective screening in primary care is crucial for early detection and management of osteoporosis.
  • Current screening practices in primary healthcare settings require evaluation.

Purpose of the Study:

  • To evaluate the utilization of osteoporosis screening tests (bone mineral density - BMD) in average-risk individuals.
  • To assess BMD test ordering and completion rates in primary healthcare centers.
  • To identify factors associated with BMD test utilization and patient adherence.

Main Methods:

  • Retrospective analysis of data from 5,965 women in primary care centers (2016-2023).
  • Descriptive statistics (frequencies, means, standard deviation) and inferential statistics (chi-square, t-test, ANOVA, binary logistic regression) were employed.
  • Statistical significance was set at p≤0.05.

Main Results:

  • Only 15% of 5,965 women completed BMD tests, with 25% of ordered tests being completed.
  • Prevalence of osteoporosis was 26.9% and osteopenia was 53.1% among completed tests.
  • Patient age, facility type, visit frequency, ordering staff, and year influenced BMD test utilization and completion.

Conclusions:

  • A notable gap exists in osteoporosis screening practices within primary care settings.
  • Understanding factors influencing BMD test ordering and completion is key to improving screening rates.
  • Further research and interventions are needed to enhance osteoporosis screening adherence.