Interventions to improve OP management had a significant positive impact on prescription of BMD measurement but a more limited impact on treatment prescription
Osteoporosis ( OP ) is a major public health concern , but still OP care does not meet guidelines .
Interventions have been developed to improve appropriate OP management .
The objective of the present study was to systematic ally review the current literature to ascertain the efficacy of interventions to improve OP care and characterize interventions taking into account elements related to their potential cost and feasibility .
A randomized trial of a mailed intervention and self-scheduling to improve osteoporosis screening in postmenopausal women.
Guidelines recommend bone density screening with dual-energy X-ray absorptiometry ( DXA ) in women 65 years or older , but < 30 % of eligible women undergo DXA testing . There is a need to identify a systematic , effective , and generalizable way to improve osteoporosis screening . A group r and omized , controlled trial of women ≥65 years old with no DXA in the past 4 years , r and omized to receive intervention material s ( patient osteoporosis brochure and a letter explaining how to self-schedule a DXA scan ) versus usual care ( control ) was undertaken . Outcome of interest was DXA completion .  Of 2997 women meeting inclusion criteria , 977 were r and omized to the intervention group . A total of 17.3 % of women in the intervention group completed a DXA , compared to 5.2 % in the control group ( 12.1 % difference , p < 0.0001 ) . When including only those medically appropriate , we found a difference of 19 % between the two groups ( p < 0.0001 ) . DXA receipt was greater in main clinic patients compared to satellite clinic patients ( 20.9 % main clinic versus 10.1 % satellite clinic ) . The cost to print and mail the intervention was $ 0.79 per patient , per mailing . The number of women to whom intervention needed to be mailed to yield one extra DXA performed was 9 , at a cost of $ 7.11 . DXA scan completion was significantly improved through use of a mailed osteoporosis brochure and the availability for patients to self-schedule . This simple approach may be an effective component of a multifaceted quality improvement program to increase rates of osteoporosis screening
Interventions to improve OP management had a significant positive impact on prescription of BMD measurement but a more limited impact on treatment prescription
Osteoporosis ( OP ) is a major public health concern , but still OP care does not meet guidelines .
Interventions have been developed to improve appropriate OP management .
The objective of the present study was to systematic ally review the current literature to ascertain the efficacy of interventions to improve OP care and characterize interventions taking into account elements related to their potential cost and feasibility .