Adequacy of treatment for osteoporosis in primary prevention. Quantitative and qualitative study

Cristina Vedia Urgell, Mireia Massot Mesquida, Roser Valles Fernandez, Juan Antonio Garcia Vicente, Alicia Franzi Siso, Laura Muñoz Ortiz, Laia Vilaró Jaques, Maite Bosch Peligero

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    Abstract

    © 2017 Elsevier España, S.L.U. Objective: Quantitative study: To assess the prevalence of inadequacy of treatment for osteoporosis in primary prevention (OPP) in women aged 60-74 years. Qualitative study: To evaluate the diagnostic and treatment criteria of the OPP and it's variability in primary care physicians (PC) and specialists. Material and methods: Quantitative study: observational, cross-sectional and retrospective study. Population: women aged 60-74 years with active treatment for OPP (n = 424) in May 2012. Inadequacy if they had ≤ 2 risk factors with a DXA or DXA T-score ≥ −2.4. Qualitative study: Delphi technique (15 items) and two rounds of consultation. Period: March-April 2014. Population: PC physicians, rheumatologists and orthopaedic surgeons (n = 251). Random sampling. Results: Quantitative study: degree of inadequacy is 63.4%. In 43.2% isn't mention a diagnosis of osteoporosis. In 82.3% there isn't mention of risk factors. Treatment: bisphosphonate 40.3% and calcium + vitamin D 47.9%. Qualitative study: 23% respond to the first round, and of these 67% the second round. Items with higher agreement were the important of the evaluation of risk factors for diagnosis and bisphosphonates for treatment. Items with fewer consensuses were using the FRAX and densitometry and treatment with only calcium + vitamin D. Conclusions: The percentage of inadequacy is high. The degree of registration in medical history is low. The Delphi method is useful for detecting discrepancies between recommendations of clinical practice guidelines and results.
    Original languageEnglish
    Pages (from-to)23-34
    JournalAtencion Primaria
    Volume50
    Issue number1
    DOIs
    Publication statusPublished - 1 Jan 2018

    Keywords

    • Delphi
    • Inadequacy
    • Osteoporosis in primary prevention
    • Primary care health
    • Treatment

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