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February 2002, Vol 92, No. 2 | American Journal of Public Health 271-273
© 2002 American Public Health Association

RESEARCH AND PRACTICE

Recognition of Osteoporosis by Primary Care Physicians

Stephen H. Gehlbach, MD, MPH, Maureen Fournier, MS and Carol Bigelow, PhD

The authors are with the School of Public Health & Health Sciences, University of Massachusetts at Amherst.

Correspondence: Requests for reprints should be sent to Stephen H. Gehlbach, MD, MPH, University of Massachusetts at Amherst, School of Public Health & Health Sciences, Amherst, MA 01003 (e-mail: gehlbach{at}schoolph.umass.edu).

Objectives. This study explored the recognition and treatment of osteoporosis and vertebral fracture among older women by primary care physicians.

Methods. Data from the National Ambulatory Medical Care Survey from 1993 to 1997 were examined for evidence of diagnosis and treatment of osteoporosis or vertebral fracture during visits by White women 60 years and older to primary care physicians.

Results. Fewer than 2% of the women received diagnoses of osteoporosis or vertebral fracture, although expected prevalence is 20% to 30%. Appropriate drug treatment, including antiresorptive agents and calcium and vitamin D, was offered to only 36% of the diagnosed patients.

Conclusions. Few cases of osteoporosis or vertebral fracture in older women are being diagnosed and treated by primary care physicians.




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