AlAnazi Siham M, AlKhamali Amani A, AlAteeq Mohammed A
Family Medicine, King Abdulaziz Medical City, Riyadh, SAU.
Family Medicine, Ministry of National Guard - Health Affairs, Riyadh, SAU.
Cureus. 2022 Feb 19;14(2):e22387. doi: 10.7759/cureus.22387. eCollection 2022 Feb.
Background Osteoporosis is one of the major worldwide health concerns and carries medical, social, and financial impacts due to its significant morbidity and mortality. The aim of this study was to explore the practice of family physicians in osteoporosis management in older female patients. Method This study was performed in a cross-sectional manner. Data, including patient and disease characteristics and management practices, were obtained from the electronic patient chart for female patients aged 60 years and older who were followed in family medicine clinics at King Abdulaziz Medical City, Riyadh, Saudi Arabia, during the period from January 1, 2018, to December 31, 2020. Management was checked and evaluated against osteoporosis management guidelines. Results In 42 patients out of 250, an osteoporosis diagnosis was missed. Among the 208 charts that were reviewed, the mean patient age was 72.06 years, and the mean duration of the disease according to the initial dual-energy X-ray absorptiometry (DXA) scan was 3.68 years. Laboratory tests were performed for only about half of the patients. Vitamin D was given only to 54.3% while calcium supplements were given only to 53.4%. Almost one-third of the patients have not been prescribed any antiosteoporosis medications. Conclusion The current study documented that older females with osteoporosis were not well-managed in the investigated family medicine settings. Continuous professional development activities and periodic practice reviews are suggested to improve this situation.
骨质疏松症是全球主要的健康问题之一,因其高发病率和死亡率而带来医疗、社会和经济影响。本研究的目的是探讨家庭医生对老年女性患者骨质疏松症的管理实践。方法:本研究采用横断面研究方法。从沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城家庭医学诊所2018年1月1日至2020年12月31日期间随访的60岁及以上女性患者的电子病历中获取数据,包括患者和疾病特征以及管理实践。对照骨质疏松症管理指南对管理情况进行检查和评估。结果:250例患者中有42例漏诊骨质疏松症。在审查的208份病历中,患者平均年龄为72.06岁,根据初次双能X线吸收法(DXA)扫描计算,疾病平均持续时间为3.68年。仅约一半的患者进行了实验室检查。仅54.3%的患者补充了维生素D,仅53.4%的患者补充了钙剂。近三分之一的患者未开具任何抗骨质疏松药物。结论:本研究表明,在调查的家庭医学环境中,老年骨质疏松症女性患者管理不善。建议开展持续专业发展活动和定期实践审查以改善这种情况。