Assessment of risk and use of prophylaxis for glucocorticoidinduced-osteoporosis among dermatologists in the Pacific Northwest: a survey study
| Autor: | Michi M. Shinohara, Eliza Notaro, Nicole Fett |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Washington
Health Knowledge Attitudes Practice medicine.medical_specialty FRAX Osteoporosis Population Alternative medicine MEDLINE Dermatology Risk Assessment 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Practice Patterns Physicians' education Glucocorticoids education.field_of_study Bone Density Conservation Agents Diphosphonates business.industry glucocorticoid-induced osteoporosis survey risk assessment quality improvement guidelines General Medicine medicine.disease Surgery 030220 oncology & carcinogenesis Family medicine Respondent Knowledge deficit Risk assessment business |
| Zdroj: | Notaro, Eliza; Fett, Nicole; & Shinohara, Michi M. (2017). Assessment of risk and use of prophylaxis for glucocorticoidinduced-osteoporosis among dermatologists in the Pacific Northwest: a survey study. Dermatology Online Journal, 23(9). Retrieved from: http://www.escholarship.org/uc/item/7p5986sm |
| Popis: | Objective: Exposure to even physiologic doses of glucocorticoids can reduce one's bone mass and increase risk for osteoporotic fracture. There currently exists a wide variation in clinician approach to the assessment and management of glucocorticoid-induced osteoporosis (GIO). Our objectives were to characterize Pacific Northwest dermatology providers' general practices, assessment of risk for GIO, and preferred GIO prophylaxis measures by way of survey. To identify whether knowledge deficits exist with respect to preventing and managing GIO in dermatology patients. Design: A self-administered, 22-question survey was sent electronically to respondent population. Surveyed population composed of 392 dermatology providers of the Washington State Dermatology Association and Oregon Dermatology Society registries. Survey responses were collected anonymously via Catalyst WebQ. Results: Respondents over-estimated fracture risk and reported they would prescribe antiresorptive medications at a less-than-adequate rate. When given clinical scenarios and asked to assess risk of major osteoporotic fracture, respondents frequently overestimated risk compared to that estimated by the FRAX tool (67%-71%). When asked directly if one would prescribe bisphosphonates as GIO prophylaxis for a high-risk patient, only 49% responded always/almost always. Conclusions: This study suggests that a knowledge deficit exists within dermatology with respect to prevention and screening of GIO. The resultant practice gap is likely contributing to morbidity and mortality for dermatology patients requiring chronic glucocorticoid use for dermatologic disorders. Provider variability in practices suggests that dermatology could benefit from additional education in assessment and treatment of GIO, as well as a clear set of guidelines for GIO management. |
| Databáze: | OpenAIRE |
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