Screening for Osteoporosis in General Practice. Identifying Patients With Osteoporosis in General Practice by Using the Program Data Capture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 367
- 试验地点
- 1
- 主要终点
- Number of patients with osteoporosis
研究概览
简要总结
All Danish general practices have a data capture system that collects selected data from the electronic patient record. These data are used for various quality assurance purposes. The aim of the study is to evaluate the quality assurance system/program that identifies patients having an increased risk of osteoporosis.
详细描述
Background/Method
General practitioners (GPs) have the Sentinel data capture program as an integrated part of their medical record system. The program identifies if a patient has one or more of the following risk factors registered with an ICPC code (International Classification of Primary Care - 2, Wonca International Classification Committee (WICC)):
Alcohol abuse (P15), chronic obstructive pulmonary disease (COPD) (R95), hyperthyroidism (T85), rheumatoid arthritis (L88), fracture (L72, L73, L74, L75 and L76 (age > 50))*, anorexia (P86), glomerulonephritis/ nephropathy (U88), early menopause (ages 40 to 45 and X05), smoker (current/former P17), corticosteroid treatment (at least two prescriptions), body mass index (BMI) (between 10-19).
*L72: radius/ulna fracture, L73: tibia/fibula fracture, L74: hand/foot fracture, L75: femur fracture, L76: NEC (not elsewhere classified) fracture.
The GP can generate a list of his own patients that have an increased risk of osteoporosis with name, personal identification number, age, address, eGFR (estimated glomerular filtration rate), BMI, an indication of which of the above mentioned diagnoses the patient has, and whether the patient had been instructed in calcium and vitamin D intake. In order to generate a list, the GP must have been using ICPC coding for at least 6 months with a minimum of 70% of patient contacts.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 25 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient identified as being at an increased risk of osteoporosis by the data capture system
排除标准
- •Known osteoporosis.
- •Patients treated with alendronate.
- •Patients below 25 years of age.
- •Bone metastasis.
- •Terminal disease.
- •Severe dementia or other disease or condition that is incompatible with participation.
- •Bone mineral density scan within the past 3 years.
- •Errors in their ICPC coding that leads to the patient being misclassified as having an increased risk of osteoporosis.
- •Patients not wanting to participate.
结局指标
主要结局
Number of patients with osteoporosis
时间窗: 6 weeks after visit at the GP clinic
Participating patients are referred to a bone mineral density measurement (DXA scan). The exact time depends on the waiting time for bone mineral density Measurements.
次要结局
- Number of patients with osteopenia(6 weeks after visit at the GP clinic)
- Cost of identifying a patient with osteoporosis(2 weeks after bone mineral density measurment)
研究者
Martin Bach Jensen
GP, Ph.D, Professor at Department of Clinical Medicin, Aalborg University and head of the Research Unit of General Practice in Aalborg
Aalborg University