Journal of Clinical Densitometry
Volume 10, Issue 4 , Pages 370-375 , October 2007

A Randomized Study of the Effect of 5-Year and Lifetime Hip Fracture Risk Information on Physician Recommendations for Management of Low Bone Density

  • Joan M. Neuner

      Affiliations

    • Department of Medicine, Medical College of Wisconsin
    • Health Policy Institute, Center for Patient Care and Outcomes Research and Division of Biostatistics, Medical College of Wisconsin, Milwaukee, WI, USA
    • Corresponding Author InformationAddress correspondence to: Joan M. Neuner, MD, MPH, Medical College of Wisconsin, Center for Patient Care and Outcomes Research and Division of Biostatistics, 8701 Watertown Plank Rd., HRC Suite 2755, Milwaukee, WI 53226, USA.
    • ,
  • Purushottam W. Laud

      Affiliations

    • Health Policy Institute, Center for Patient Care and Outcomes Research and Division of Biostatistics, Medical College of Wisconsin, Milwaukee, WI, USA
    • ,
  • Marilyn M. Schapira

      Affiliations

    • Department of Medicine, Medical College of Wisconsin
    • Health Policy Institute, Center for Patient Care and Outcomes Research and Division of Biostatistics, Medical College of Wisconsin, Milwaukee, WI, USA

Received 3 April 2007 ,Revised 17 July 2007 ,Accepted 19 July 2007.

References 

  1. Expert Panel on Detection Evaluation and Treatment of High Blood Cholesterol in Adults . Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). [see comment] JAMA. 2001;285(19):2486–2497
  2. Kanis JA, Johnell O, Oden A, Dawson A, De Laet C, Jonsson B. Ten year probabilities of osteoporotic fractures according to BMD and diagnostic thresholds. Osteoporos Int. 2001;12(12):989–995
  3. Kanis JA, Black D, Cooper C, et al. A new approach to the development of assessment guidelines for osteoporosis. Osteoporos Int. 2002;13(7):527–536
  4. Black DM, Steinbuch M, Palermo L, et al. An assessment tool for predicting fracture risk in postmenopausal women. Osteoporos Int. 2001;12(7):519–528
  5. Solomon DH, Brookhart MA, Gandhi TK, et al. Adherence with osteoporosis practice guidelines: a multilevel analysis of patient, physician, and practice setting characteristics. Am J Med. 2004;117(12):919–924
  6. Neuner JM, Binkley N, Sparapani RA, Laud PW, Nattinger AB. Bone density testing in older women and its association with patient age. J Am Geriatr Soc. 2006;54(3):485–489
  7. Gallagher TC, Geling O, Comite F. Missed opportunities for prevention of osteoporotic fracture. Arch Intern Med. 2002;162(4):450–456
  8. Morris CA, Cabral D, Cheng H, et al. Patterns of bone mineral density testing: current guidelines, testing rates, and interventions. J Gen Intern Med. 2004;19(7):783–790
  9. Kamel H, Hussain M, Tariq S, Perry HI, Morley J. Failure to diagnose and treat osteoporosis in elderly patients hospitalized with hip fracture. Am J Med. 2000;109:326–328
  10. Neuner JM, Zimmer JK, Hamel MB. Diagnosis and treatment of osteoporosis in patients with vertebral compression fractures. J Am Geriatr Soc. 2003;51(4):483–491
  11. Stafford RS, Drieling RL, Hersh AL. National trends in osteoporosis visits and osteoporosis treatment, 1988–2003. Arch Intern Med. 2004;164(14):1525–1530
  12. Stock JL, Waud CE, Coderre JA, et al. Clinical reporting to primary care physicians leads to increased use and understanding of bone densitometry and affects the management of osteoporosis. A randomized trial. Ann Intern Med. 1998;128(12 Pt 1):996–999
  13. Halpern SD, Ubel PA, Berlin JA, Asch DA. Randomized trial of $5 versus $10 monetary incentives, envelope size, and candy to increase physician response rates to mailed questionnaires. Med Care. 2002;40(9):834–839
  14. Cummings SR. Risk factors for hip fracture in white women. N Engl J Med. 1995;322:767–773
  15. Cummings SR, Bates D, Black DM. Clinical use of bone densitometry: scientific review. JAMA. 2002;288(15):1889–1897
  16. In:  Cummings SR,  Cosman F,  Jamal SA editor. Osteoporosis: an evidence-based guide to prevention and management. Philadelphia, PA: American College of Physicians; 2002;
  17. Black DM, Cummings SR, Melton LJ. Appendicular bone mineral and a woman's lifetime risk of hip fracture. J Bone Miner Res. 1992;7(6):639–646
  18. Burt VL, Harris T. The third National Health and Nutrition Examination Survey: contributing data on aging and health. Gerontologist. 1994;34(4):486–490
  19. Ettinger B, Hillier TA, Pressman A, Che M, Hanley DA. Simple computer model for calculating and reporting 5-year osteoporotic fracture risk in postmenopausal women. J Womens Health (Larchmt). 2005;14(2):159–171
  20. Physicians' guide to prevention and treatment of osteoporosis. Washington, DC: National Osteoporosis Foundation; 1999;
  21. Hodgson SF, Watts NB, Bilezikian JP, et al. American Association of Clinical Endocrinologists 2001 Medical Guidelines for clinical practice for the prevention and management of postmenopausal osteoporosis. Endocr Pract. 2001;7(4):293–312
  22. Quandt SA, Thompson DE, Schneider DL, Nevitt MC, Black DM, for the Fracture Intervention Trial Research G. Effect of alendronate on vertebral fracture risk in women with bone mineral density T scores of −1.6 to −2.5 at the femoral neck: the fracture intervention trial. 343–349.
  23. Cummings SR, Black DM, Thompson DE, et al. Effect of alendronate on risk of fracture in women with low bone density but without vertebral fractures: results from the Fracture Intervention Trial. JAMA. 1998;280(24):2077–2082
  24. Schousboe JT, Nyman JA, Kane RL, Ensrud KE. Cost-effectiveness of alendronate therapy for osteopenic postmenopausal women. Ann Intern Med. 2005;142(9):734–741
  25. Solomon DH, Morris C, Cheng H, et al. Medication use patterns for osteoporosis: an assessment of guidelines, treatment rates, and quality improvement interventions. Mayo Clin Proc. 2005;80(2):194–202
  26. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA. 1999;282(15):1458–1465
  27. Hodgson S, Johnson C for the osteoporosis task force. AACE clinical practice guidelines for the prevention and treatment of postmenopausal osteoporosis. Endocr Pract. 1996;2:155–171
  28. Peabody JW, Luck J, Glassman P, Dresselhaus TR, Lee M. Comparison of vignettes, standardized patients, and chart abstraction: a prospective validation study of 3 methods for measuring quality. [see comment] JAMA. 2000;283(13):1715–1722

 Presented in part at the 6th International Symposium on Osteoporosis, April 6–10, 2005 and at the 28th Annual Society of General Internal Medicine meeting in New Orleans, LA, May 12–14, 2005.

PII: S1094-6950(07)00198-9

doi: 10.1016/j.jocd.2007.07.005

Journal of Clinical Densitometry
Volume 10, Issue 4 , Pages 370-375 , October 2007

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