Schrager S, Kausch T, Bobula J A
Department of Family Medicine, University of Wisconsin-Madison, USA.
WMJ. 1999 Dec;98(8):34-6.
To assess the frequency of osteoporosis risk assessment of postmenopausal women by family practice faculty and residents.
Review of 263 charts of women over 50 from 3 residency clinics. Charts were evaluated for evidence of osteoporosis risk assessments or discussion of prevention strategies during the past 2 years.
Overall, 35% of the charts contained documentation of some discussion of osteoporosis. Female physicians discussed osteoporosis more than their male colleagues (p < 0.05). Documentation of osteoporosis discussions decreased as women aged (p < 0.05). There was no difference in rates among clinics or between residents and faculty.
The documentation of osteoporosis discussions with high risk women was low in this sample. Strategies to improve osteoporosis screening are necessary.
评估家庭医疗科教员和住院医师对绝经后女性进行骨质疏松症风险评估的频率。
回顾来自3个住院医师诊所的263份50岁以上女性的病历。对病历进行评估,以查找过去2年内骨质疏松症风险评估或预防策略讨论的证据。
总体而言,35%的病历包含了有关骨质疏松症的一些讨论记录。女医生比男同事更多地讨论骨质疏松症(p < 0.05)。随着女性年龄增长,骨质疏松症讨论的记录减少(p < 0.05)。各诊所之间以及住院医师和教员之间的比率没有差异。
在这个样本中,与高危女性进行骨质疏松症讨论的记录率较低。有必要采取策略来改善骨质疏松症筛查。