骨质疏松症筛查实践在国民警卫队附属初级保健中心,利雅得,沙特阿拉伯。

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Moath Abdulmohsen Alkathiri, Duaa Abdullah Alammari
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引用次数: 0

摘要

目的:评估2016年至2023年沙特阿拉伯利雅得国民警卫队卫生事务部附属初级卫生保健中心中平均风险个体骨质疏松筛查试验的使用情况。方法:数据以频率n(%)、平均值和标准差表示。使用卡方检验、t检验和方差分析检验进行双变量比较,以评估测试完成情况和骨质减少和骨质疏松症的患病率。使用二元逻辑回归模型来确定骨密度(BMD)测试顺序和完成的高几率相关的因素。对于所有分析,p≤0.05被认为具有统计学意义。结果:我们检索并分析了5965名女性的数据。分析显示BMD订单请求为4075个;894名女性仅完成了1017份订单(25%),仅占本次研究中所有女性的15%。骨质疏松274例(26.9%),骨质减少540例(53.1%)。评估了患者年龄、设施、门诊次数、订购人员头衔和订购年份等因素,以预测BMD测试的高利用率和完成度。结论:本研究表明,尽管骨质疏松症是一个严重的公共卫生问题,导致显著的发病率和死亡率,但在初级保健机构中,骨质疏松症筛查实践仍然存在差距。此外,它还揭示了一些可能预测医生对骨密度测试的高利用率和患者完成率的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Osteoporosis screening practice at the National Guard affiliated primary care centers, Riyadh, Saudi Arabia.

Osteoporosis screening practice at the National Guard affiliated primary care centers, Riyadh, Saudi Arabia.

Objectives: To assess the use of osteoporosis screening tests in average-risk individuals at primary healthcare centers affiliated with the Ministry of National Guard Health Affairs in Riyadh, Saudi Arabia, between 2016 and 2023.

Methods: Data were presented using frequencies n (%), mean, and standard deviation. Chi-square, t-test, and ANOVA tests were used for bivariate comparisons to evaluate test completion and prevalence estimates of osteopenia and osteoporosis. Binary logistic regression models were used to identify the factors associated with high odds of bone mineral density (BMD) test ordering and completion. For all analyses, a p≤0.05 was considered statistically significant.

Results: We retrieved and analyzed data from 5,965 unique women. Analysis showed 4,075 BMD order requests; only 1,017 (25%) orders were completed by 894 women, representing only 15% of all women included in this study. Osteoporosis was found in 274 (26.9%) tests and osteopenia in 540 tests (53.1%). Factors like patient's age, facility, number of outpatient visits, ordering staff title, and year of order were assessed to predict high utilization and completion of BMD test.

Conclusion: This research showed that although osteoporosis is a serious public health concern causing significant morbidity and mortality, there is still a gap in osteoporosis screening practices within primary care settings. Also, it sheds light on some factors that may predict physicians' high utilization of BMD tests and patients' completion rates.

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来源期刊
Saudi Medical Journal
Saudi Medical Journal 医学-医学:内科
CiteScore
2.30
自引率
6.20%
发文量
203
审稿时长
12 months
期刊介绍: The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license. The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.
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