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Audits of the prevention and treatment of corticosteroid-induced osteoporosis in outpatients with rheumatic diseases in the West Midlands.
Paskins, Z; Potter, T; Erb, N; Obrenovic, K; Rowe, I F.
Afiliação
  • Paskins Z; Department of Rheumatology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry.
Clin Med (Lond) ; 6(2): 183-7, 2006.
Article em En | MEDLINE | ID: mdl-16688979
ABSTRACT
The management of corticosteroid-induced osteoporosis in rheumatology outpatients in the West Midlands was audited in relation to the 2002 Royal College of Physicians (RCP) Guidelines and re-audited in relation to the 1998 National Osteoporosis Society (NOS) Guidance. Practice was assessed from prospective data on all follow-up patients over a 2-week period in 13 rheumatology units. Data were analysed on 2,609 patients. Of the 626 patients fulfilling criteria for assessment against the RCP Guidelines, 351 (56.1%) were treated appropriately. The results do not allow for availability of, or wait for, DEXA scanning. Of 197 patients fulfilling the criteria for assessment against the NOS Guidance, 137 (69.5%) were treated appropriately, compared to 63% in a similar audit undertaken in 2000. Regional audit may facilitate clinical governance. These audits will inform discussion on both improving local practice and strengthening cases for improved osteoporosis services.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Osteoporose / Doenças Reumáticas / Corticosteroides / Fidelidade a Diretrizes / Auditoria Médica Idioma: En Ano de publicação: 2006 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Osteoporose / Doenças Reumáticas / Corticosteroides / Fidelidade a Diretrizes / Auditoria Médica Idioma: En Ano de publicação: 2006 Tipo de documento: Article