Paskins Z, Potter T, Erb N, Obrenovic K, Rowe I F
Department of Rheumatology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry.
Clin Med (Lond). 2006 Mar-Apr;6(2):183-7. doi: 10.7861/clinmedicine.6-2-183.
The management of corticosteroid-induced osteoporosis in rheumatology outpatients in the West Midlands was audited in relation to the 2002 Royal College of Physicians (RCP) Guidelines and re-audited in relation to the 1998 National Osteoporosis Society (NOS) Guidance. Practice was assessed from prospective data on all follow-up patients over a 2-week period in 13 rheumatology units. Data were analysed on 2,609 patients. Of the 626 patients fulfilling criteria for assessment against the RCP Guidelines, 351 (56.1%) were treated appropriately. The results do not allow for availability of, or wait for, DEXA scanning. Of 197 patients fulfilling the criteria for assessment against the NOS Guidance, 137 (69.5%) were treated appropriately, compared to 63% in a similar audit undertaken in 2000. Regional audit may facilitate clinical governance. These audits will inform discussion on both improving local practice and strengthening cases for improved osteoporosis services.
针对西米德兰兹郡风湿病门诊患者中皮质类固醇诱导的骨质疏松症的管理，依据2002年皇家内科医师学院（RCP）指南进行了审核，并依据1998年国家骨质疏松协会（NOS）指南进行了重新审核。通过13个风湿病科室在2周内对所有随访患者的前瞻性数据来评估实际诊疗情况。对2609名患者的数据进行了分析。在符合依据RCP指南进行评估标准的626名患者中，351名（56.1%）得到了恰当治疗。结果未考虑双能X线吸收法（DEXA）扫描的可及性或等待情况。在符合依据NOS指南进行评估标准的197名患者中，137名（69.5%）得到了恰当治疗，而在2000年进行的类似审核中这一比例为63%。区域审核可能有助于临床管理。这些审核将为关于改进当地诊疗实践以及加强改善骨质疏松症服务的理由的讨论提供依据。
