Using electronic medical records to assess the rate of treatment for osteoporosis in Australia
Using electronic medical records to assess the rate of treatment for osteoporosis in Australia.
Australian Family Physician, 46 (7), 508-512.
Background and objectives: Despite available Medicare Benefits Schedule subsidies, it has been suggested that screening and treatment for osteoporosis are under-accessed in Australia, particularly in patients ≥70 years. This study describes the rate of osteoporosis treatment in those aged ≥70 years in regional New South Wales as identified in the electronic medical records (EMR) of 11 general practices.
Methods: EMR data were extracted using a Canning Tool adaptation. The prevalence of osteoporosis, fracture and bone-active medication prescriptions were described, and associations examined.
Results: Osteoporosis was identified in 728 patients (20.9%) – 28.6% females and 9.4% males – with 70.6% of these patients prescribed active medication. Diagnosis increased with fracture history (odds ratio [OR]: 6.65; 95% confidence interval [CI]: 5.22, 8.47), female gender (OR: 3.38; 95% CI: 2.73, 4.16) and each year older (OR: 1.04; 95% CI: 1.02, 1.05). Treatment was negatively associated with patients aged ≥90 years versus patients aged 70–79 years (OR: 0.5; 95% CI: 0.3, 0.9).
Discussion: This study suggests that treatment for osteoporosis is suboptimal. The use of EMR data could be used for audit or monitoring of interventions in general practice.
© The Royal Australian College of General Practitioners 2017. Abstract reproduced in Research Online with permission.
osteoporosis, screening, treatment, monitoring treatment, Australia, New South Wales