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Women who
receive DXA Scans should request a copy of
their bone density results
Newswise — Sending bone density results
directly to patients increases the
likelihood that they will seek treatment and
is a preferred method of physicians for
communicating results, according to research
presented this week at the American College
of Rheumatology Annual Scientific Meeting in
Boston, Mass.
DXA scans, commonly called bone density
tests, are a way of determining if a patient
has low bone mass, and is at increased risk
for fracture. Bone density tests are often
used for diagnosis and following the
progression of osteoporosis, a disease that
weakens the bones and makes them prone to
fracture.
Osteoporosis affects an estimated eight
million women and two million men in the
Untied States.
Studies show that many
patients who are diagnosed with osteoporosis
never receive treatment, and some are not
even notified of their results.
Researchers followed 370 women as a part of
a four-year study. The participants were
divided into two groups. The first group
received a copy of their bone density
results and information about osteoporosis
prevention directly from the testing
facility, while the second group received a
letter asking them to follow up with their
physicians.
In addition to following the participants, a
survey was sent to 308 physicians who
ordered at least four DXA scans to obtain
feedback regarding the delivery of test
results.
At the three to six-month follow-up, of
those women identified by their bone density
studies as having osteoporosis, 13 out of 14
who received their bone scan results
directly from the testing center were taking
prescription medication for osteoporosis.
Only 8 out of 14 of those who received a
letter requesting them to follow up with
their physicians were taking prescription
medication to treat osteoporosis.
Of the physicians who responded to the
survey regarding test results delivery,
ninety-six percent agreed that sending
results directly to patients would increase
the likelihood of patients seeking
treatment. Eighty-five percent said patients
would be more likely to discuss their test
results with their physician if they
received them directly.
“This study indicates that patients who are
sent the results of tests are more likely to
communicate with their providers and start
appropriate therapy, said researchers Edward
S. Leib, MD; professor, University of
Vermont College of Medicine; director, The
Osteoporosis Center, Fletcher Allen Health
Care Ambulatory Care Center 5E and Teresa
Fama, MD, MS; fellow, rheumatology,
University of Vermont College of Medicine.
“Despite concerns that patients who receive
such results might misinterpret the
findings, this study demonstrates that
physicians did not object to findings being
sent directly to patients and, that by
having this done, it would likely encourage
better communication with patients.”
This study may have wider implications than
just for bone density studies and this
method of sending results directly to
patients might be useful and acceptable for
other types of testing results.
The American College of Rheumatology is the
professional organization for
rheumatologists and health professionals who
share a dedication to healing, preventing
disability and curing arthritis and related
rheumatic and musculoskeletal diseases.
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