初级保健医生对骨质疏松症的识别。
Recognition of osteoporosis by primary care physicians.
作者信息
Gehlbach Stephen H, Fournier Maureen, Bigelow Carol
机构信息
School of Public Health & Health Sciences, University of Massachusetts, Amherst, 01003, USA.
出版信息
Am J Public Health. 2002 Feb;92(2):271-3. doi: 10.2105/ajph.92.2.271.
Abstract
OBJECTIVES
This study explored the recognition and treatment of osteoporosis and vertebral fracture among older women by primary care physicians.
METHODS
Data from the National Ambulatory Medical Care Survey from 1993 to 1997 were examined for evidence of diagnosis and treatment of osteoporosis or vertebral fracture during visits by White women 60 years and older to primary care physicians.
RESULTS
Fewer than 2% of the women received diagnoses of osteoporosis or vertebral fracture, although expected prevalence is 20% to 30%. Appropriate drug treatment, including antiresorptive agents and calcium and vitamin D, was offered to only 36% of the diagnosed patients.
CONCLUSIONS
Few cases of osteoporosis or vertebral fracture in older women are being diagnosed and treated by primary care physicians.
摘要
目的
本研究探讨了初级保健医生对老年女性骨质疏松症和椎体骨折的认知与治疗情况。
方法
对1993年至1997年全国门诊医疗护理调查的数据进行了检查，以寻找60岁及以上白人女性在就诊于初级保健医生时被诊断和治疗骨质疏松症或椎体骨折的证据。
结果
尽管预期患病率为20%至30%，但接受骨质疏松症或椎体骨折诊断的女性不到2%。只有36%的确诊患者接受了包括抗吸收剂、钙和维生素D在内的适当药物治疗。
结论
初级保健医生对老年女性骨质疏松症或椎体骨折的诊断和治疗案例很少。
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