Pharmacist-provided quantitative heel ultrasound screening for rural women at risk of osteoporosis
Naunton, M and Peterson, GM and Jones, G (2006) Pharmacist-provided quantitative heel ultrasound screening for rural women at risk of osteoporosis. The Annals of Pharamcotherapy, 40 (1). pp. 38-44. ISSN 1060-0280
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Official URL: http://dx.doi.org/10.1345/aph.1G208
BACKGROUND: Osteoporosis is underdiagnosed, and rural communities often have limited technical resources for the assessment of
OBJECTIVE: To evaluate the impact of a pharmacist, trained in the use of a portable heel ultrasound device, in screening elderly rural
women for risk of osteoporosis and determine whether those found to be at risk seek further help and treatment from their general
practitioner (GP) following screening.
METHODS: Following promotion of the service, 345 women were recruited from 6 rural community pharmacies in Tasmania,
Australia, and underwent quantitative heel ultrasound screening. Women were comprehensively educated on risk factors for
osteoporosis and completed a calcium intake questionnaire. Results were forwarded to each woman’s GP, and the participants
were followed up 3 months later to assess outcomes from the screening procedure.
RESULTS: Approximately 20% of women were shown to be at high risk for osteoporosis; 201 (58%) of these were referred to their
GP for further assessment. Sixty-eight percent of women who were screened discussed their results with their GP, and 11%
underwent further investigation. Over one-third of women screened began medication (30% calcium, 6% bisphosphonate, 6%
vitamin D) for osteoporosis.
CONCLUSIONS: Pharmacist-provided screening for osteoporosis in rural areas is a potentially useful method to identify women at risk
for fracture and a convenient time point for discussion of preventive therapy.
|Keywords:||community pharmacy, osteoporosis screening|
|Deposited By:||Ms Emma Stubbs|
|Deposited On:||23 Sep 2008 09:07|
|Last Modified:||23 Sep 2008 09:07|
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