eCite Digital Repository

A pilot study of doctors beliefs and knowledge on corticosteroid-induced osteoporosis prevention: identifying barriers to improve practice

Citation

Duyvendak, M and Naunton, Mark and Peterson, GM and Brouwers, JRBJ, A pilot study of doctors beliefs and knowledge on corticosteroid-induced osteoporosis prevention: identifying barriers to improve practice, European Journal of Hospital Pharmacy Science, 11, (5) pp. 114-120. ISSN 1781-7595 (2005) [Refereed Article]


Preview
PDF
Restricted - Request a copy
448Kb
  

Copyright Statement

Copyright 2005 The European Association of Hospital Pharmacists

Official URL: http://www.eahp.eu/content/download/15757/94848/fi...

Abstract

ABSTRACT Introduction: Despite the availability of effective treatments for the management of corticosteroid-induced osteoporosis (CIOP), the condition is under-treated. The aim of this pilot study was to identify key barriers to the use of preventive therapy in patients using long-term corticosteroids. Methods: A postal survey was sent to the 117 doctors in Heerenveen, northern Netherlands, to identify perceived barriers to the use of preventive therapy in patients taking corticosteroids and to assess knowledge and likely prescribing practices. Results: A response rate of 41% was achieved.Two key barriers identified were (i) a reluctance to prescribe preventive therapy in those patients already prescribed multiple medications and (ii) discontinuation of anti-resorptive medication. Only 76% of responding general practitioners (GPs) and 60% of specialists correctly answered that corticosteroids increase the risk of fracture independently of bone mineral density. In addition, only 33% of GPs and 50% of specialists correctly answered that a diagnosis of CIOP can only be made if the bone mineral density T-score is -2.5. Conclusions: Doctors did not identify many barriers to the prescribing of anti-resorptive therapies; however, there appears to be scope for improvement in their knowledge.

Item Details

Item Type:Refereed Article
Keywords:survey, bisphosphonate, osteoporosis, corticosteroid, adverse effects
Research Division:Medical and Health Sciences
Research Group:Pharmacology and Pharmaceutical Sciences
Research Field:Clinical Pharmacy and Pharmacy Practice
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Skeletal System and Disorders (incl. Arthritis)
Author:Naunton, Mark (Dr Mark Naunton)
Author:Peterson, GM (Professor Gregory Peterson)
ID Code:72211
Year Published:2005
Deposited By:Pharmacy
Deposited On:2011-08-24
Last Modified:2011-11-03
Downloads:0

Repository Staff Only: item control page