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Audits of the prevention and treatment of corticosteroid-induced osteoporosis in outpatients with rheumatic diseases in the West Midlands

Z Paskins, T Potter, N Erb, K Obrenovic and IF Rowe
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DOI: https://doi.org/10.7861/clinmedicine.6-2-183
Clin Med March 2006
Z Paskins
Department of Rheumatology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry
Roles: Specialist Registrar in Rheumatology
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T Potter
Highfield Unit, Worcester Centre for Rheumatic Diseases, Worcestershire Acute Hospitals NHS Trust, Worcester
Roles: Specialist in Rheumatology
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N Erb
Dudley Group of Hospitals NHS Trust, Dudley
Roles: Consultant Rheumatologist
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K Obrenovic
Dudley Group of Hospitals NHS Trust, Dudley
Roles: Clinical Audit Officer
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IF Rowe
Highfield Unit, Worcester Centre for Rheumatic Diseases, Worcestershire Acute Hospitals NHS Trust, Worcester
Roles: Consultant Rheumatologist
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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.

Key Words
  • Corticosteroid-Induced Osteoporosis
  • Guidelines
  • Regional Audit
  • © 2006 Royal College of Physicians
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Audits of the prevention and treatment of corticosteroid-induced osteoporosis
Z Paskins, T Potter, N Erb, K Obrenovic, IF Rowe
Clinical Medicine Mar 2006, 6 (2) 183-187; DOI: 10.7861/clinmedicine.6-2-183

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Audits of the prevention and treatment of corticosteroid-induced osteoporosis
Z Paskins, T Potter, N Erb, K Obrenovic, IF Rowe
Clinical Medicine Mar 2006, 6 (2) 183-187; DOI: 10.7861/clinmedicine.6-2-183
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