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Related Experiment Video

Updated: Feb 9, 2026

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Implementing Osteoporosis Screening in a Clinical Setting: A Quality Improvement Study.

Jean Genzale1, Aaron Stigers2, O Danny Lee3

  • 1Assistant Professor, Southeastern Louisiana University, School of Nursing, Hammond, LA.

Geriatric Nursing (New York, N.Y.)
|February 7, 2026
PubMed
Summary

Osteoporosis screening is declining, but using the FRAX tool in primary care significantly improved DEXA scan orders, osteoporosis diagnosis, and vitamin supplementation. This quality improvement study highlights FRAX as a key tool for better osteoporosis management.

Keywords:
DEXA secondary preventionfracture riskosteoporosis

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Area of Science:

  • Gerontology
  • Public Health
  • Internal Medicine

Background:

  • Osteoporosis screening rates have decreased in the US, leading to undertreatment.
  • Primary care settings require enhanced strategies for effective osteoporosis management.
  • Fracture risk assessment is crucial for timely osteoporosis diagnosis and intervention.

Purpose of the Study:

  • To evaluate the impact of implementing the FRAX tool on osteoporosis screening and treatment in primary care.
  • To assess changes in DEXA scan ordering, osteoporosis diagnosis rates, and vitamin supplementation.
  • To address the decline in osteoporosis screening and improve patient outcomes.

Main Methods:

  • A quality improvement study was conducted involving 39 volunteers.
  • Data on fractures and osteoporosis were collected and analyzed.
  • Chi-square and t-tests were used to compare outcomes against a control group.

Main Results:

  • Statistically significant improvements (p<0.001) were observed in provider ordering of DEXA scans.
  • Significant increases were noted in the diagnosis of osteoporosis.
  • Vitamin supplementation rates also showed significant improvement compared to the control group.

Conclusions:

  • Implementing the FRAX tool as a standard screening practice can significantly enhance osteoporosis treatment in primary care.
  • The study demonstrates the effectiveness of FRAX in improving key indicators of osteoporosis care.
  • Quality improvement initiatives using risk assessment tools are vital for combating osteoporosis undertreatment.