TY - JOUR T1 - Management of Osteoporosis in Primary Care Before and After the Result of Densitometry: Treatments in Real Practice Versus the Recommended by Guidelines. CANAL Study JO - Reumatología Clínica (English Edition) T2 - AU - Naranjo,Antonio AU - Rosas,José AU - Ojeda,Soledad AU - Salas,Esteban SN - 21735743 M3 - 10.1016/j.reumae.2013.01.016 DO - 10.1016/j.reumae.2013.01.016 UR - https://www.reumatologiaclinica.org/en-management-osteoporosis-in-primary-care-articulo-S2173574313000919 AB - ObjectivesTo analyze the requirements for osteoporosis (OP) treatment of primary care physicians (PCP), before and after knowing the result of a bone densitometry (DXA). Material and methodsStudy of over 50 women from two Spanish health areas (Canary Islands and Alicante). The FRAX risk factors were collected and we reviewed the requirements for OP treatment before DXA and in the subsequent months (bisphosphonates, strontium, raloxifene/bazedoxifene, estrogens, parathyroid hormone). To evaluate the appropriateness of treatment we used published guidelines. A high risk for hip fracture was considered if FRAX ≥3% or the patient had a history of fragility fracture ResultsWe included 339 women (mean age: 63 years). Before DXA, 14% of Canarias and 58% of Alicante were receiving treatment. 37% of treated patients and 26% of the untreated patients had a high fracture risk before DXA. The average FRAX for a high risk of fracture and hip fracture was 5.6% and 2%, respectively. After DXA, the percentage of patients treated rose from 35% to 39%: increasing from 14% to 28% in the Canary Islands and dropped from 58% to 51% in Alicante. Overall, treatment was received by 64% of cases with OP, 38% of patients with osteopenia and 15% of those with normal DXA. When the OP treatment guidelines were applied, we found that 7% needed treatment according to the more restrictive guideline up to 43% with the most flexible one. ConclusionsThere is great variability in treatment for OP prescribed before and after DXA between GP. A broad consensus guideline between different specialties is required to optimize clinical practice. ER -