Physician's awareness of the prevention of corticosteroid induced osteoporosis.
Article
in English
| IMSEAR
| ID: sea-42786
ABSTRACT
BACKGROUND AND OBJECTIVE:
Corticosteroid induced osteoporosis (CIO) is a preventable condition that is often not realized by physicians who prescribe corticosteroids. The present study was carried out to study the awareness of CIO prevention in a teaching hospital. MATERIAL ANDMETHOD:
The medical records of patients who received corticosteroids equivalent to prednisolone of > or = 5 mg/day for a minimum of 3 months between 1 May 2004 and 30 June 2004 were reviewed.RESULTS:
Four hundred and forty nine patients of 1,540 who received corticosteroids (29.1%) were included in the present study. Rheumatologists, nephrologists, and dermatologists were the top three specialists to prescribe corticosteroids in 189 (42.1%), 103 (23.0%), and 46 (10.2%) cases, respectively. Only 146 patients (32.5%) received calcium supplement. Rheumatologists and neurologists were the top two specialists to prescribe calcium supplementation in 100 of 189 (52.9%) and 13 of 36 (36.1%) cases, respectively. Bone mineral density measurement was determined in only 26 of the 449 patients (5.8%).CONCLUSION:
Prevention of CIO is still neglected by internal medicine specialists, even in a teaching hospital. An educational campaign for physicians is warranted to improve the practice for the prevention of this treatable complication.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Osteoporosis
/
Aged, 80 and over
/
Aged
/
Humans
/
Prednisolone
/
Calcium
/
Adolescent
/
Clinical Competence
/
Adult
/
Glucocorticoids
Limits:
Aged80
Language:
English
Year:
2007
Type:
Article
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