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Article: Awareness of osteoporosis among physicians in China

TitleAwareness of osteoporosis among physicians in China
Authors
KeywordsAsia
Awareness
Management
Osteoporosis
Issue Date2004
PublisherSpringer U K. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/198
Citation
Osteoporosis International, 2004, v. 15 n. 4, p. 329-334 How to Cite?
AbstractEpidemiological studies have projected a vast increase in osteoporotic fractures in Asia, with the majority occurring in China. Awareness of osteoporosis among medical professionals and the pattern of management in Asia have not been explored. A total of 504 doctors in Hong Kong, China with their self-reported practice likely to receive clients with or at risk of osteoporosis were invited to complete a postal questionnaire on the diagnosis and management of their osteoporotic patients. In all, 204 questionnaires were returned, with a response rate of 41%. Only 76% of the respondents reported treating osteoporosis patients in their practice. Ninety-one percent believed that osteoporosis was under-diagnosed. The asymptomatic nature of the disease (66%), inaccessibility (45%) and high cost (54%) of the diagnostic tools were considered major reasons for under-diagnosis. DXA was employed for diagnosis by only 53% of the doctors. Peripheral machines such as ultrasound and quantitative computed tomography were used by 35% of the responders as the only diagnostic tool, especially among clinic-based doctors (clinic-based physicians 47%, hospital-based physicians 17%; P < 0.001). Thirty-three percent of the surveyed doctors were unaware of published guidelines for bone mineral density (BMD) measurements. Concerning treatment goals, 82% considered prevention of future fractures and 66% believed improvement in the quality of life of patients as critical or highly important, whereas only about half of the doctors thought that increase in BMD was important. On the other hand, 60% of the doctors considered the cost of therapy a critical or highly important element in the management of osteoporosis. This study showed that physicians in Hong Kong were aware of osteoporosis, though the disease was still under-diagnosed due to inaccessibility and high cost of the diagnostic tools and therapeutic agents. These findings stress the importance of expanding efforts to increase knowledge and awareness among health care providers and also provide future directions for developing strategies for managing osteoporosis in developing Asian regions.
Persistent Identifierhttp://hdl.handle.net/10722/77049
ISSN
2015 Impact Factor: 3.445
2015 SCImago Journal Rankings: 1.460
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorIp, TPen_HK
dc.contributor.authorLam, CLKen_HK
dc.contributor.authorKung, AWCen_HK
dc.date.accessioned2010-09-06T07:27:43Z-
dc.date.available2010-09-06T07:27:43Z-
dc.date.issued2004en_HK
dc.identifier.citationOsteoporosis International, 2004, v. 15 n. 4, p. 329-334en_HK
dc.identifier.issn0937-941Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/77049-
dc.description.abstractEpidemiological studies have projected a vast increase in osteoporotic fractures in Asia, with the majority occurring in China. Awareness of osteoporosis among medical professionals and the pattern of management in Asia have not been explored. A total of 504 doctors in Hong Kong, China with their self-reported practice likely to receive clients with or at risk of osteoporosis were invited to complete a postal questionnaire on the diagnosis and management of their osteoporotic patients. In all, 204 questionnaires were returned, with a response rate of 41%. Only 76% of the respondents reported treating osteoporosis patients in their practice. Ninety-one percent believed that osteoporosis was under-diagnosed. The asymptomatic nature of the disease (66%), inaccessibility (45%) and high cost (54%) of the diagnostic tools were considered major reasons for under-diagnosis. DXA was employed for diagnosis by only 53% of the doctors. Peripheral machines such as ultrasound and quantitative computed tomography were used by 35% of the responders as the only diagnostic tool, especially among clinic-based doctors (clinic-based physicians 47%, hospital-based physicians 17%; P < 0.001). Thirty-three percent of the surveyed doctors were unaware of published guidelines for bone mineral density (BMD) measurements. Concerning treatment goals, 82% considered prevention of future fractures and 66% believed improvement in the quality of life of patients as critical or highly important, whereas only about half of the doctors thought that increase in BMD was important. On the other hand, 60% of the doctors considered the cost of therapy a critical or highly important element in the management of osteoporosis. This study showed that physicians in Hong Kong were aware of osteoporosis, though the disease was still under-diagnosed due to inaccessibility and high cost of the diagnostic tools and therapeutic agents. These findings stress the importance of expanding efforts to increase knowledge and awareness among health care providers and also provide future directions for developing strategies for managing osteoporosis in developing Asian regions.en_HK
dc.languageengen_HK
dc.publisherSpringer U K. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/198en_HK
dc.relation.ispartofOsteoporosis Internationalen_HK
dc.subjectAsia-
dc.subjectAwareness-
dc.subjectManagement-
dc.subjectOsteoporosis-
dc.subject.meshAbsorptiometry, Photonen_HK
dc.subject.meshAwarenessen_HK
dc.subject.meshBone Density - physiologyen_HK
dc.subject.meshEducation, Medicalen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFractures, Bone - prevention & controlen_HK
dc.subject.meshHealth Care Costsen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshOsteoporosis - diagnosis - drug therapy - psychologyen_HK
dc.subject.meshPhysicians - psychologyen_HK
dc.subject.meshPractice Guidelines as Topicen_HK
dc.subject.meshQuality of Lifeen_HK
dc.titleAwareness of osteoporosis among physicians in Chinaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1365-3326&volume=15&spage=329&epage=334&date=2004&atitle=Awareness+of+osteoporosis+among+physicians+in+Chinaen_HK
dc.identifier.emailLam, CLK:clklam@hku.hken_HK
dc.identifier.emailKung, AWC:awckung@hku.hken_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.identifier.authorityKung, AWC=rp00368en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00198-003-1523-zen_HK
dc.identifier.pmid14727009-
dc.identifier.scopuseid_2-s2.0-2142815832en_HK
dc.identifier.hkuros86238en_HK
dc.identifier.hkuros87821-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-2142815832&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue4en_HK
dc.identifier.spage329en_HK
dc.identifier.epage334en_HK
dc.identifier.isiWOS:000220560500011-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridIp, TP=7003866522en_HK
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK
dc.identifier.scopusauthoridKung, AWC=7102322339en_HK

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