Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV Disease
People living with HIV are known to have greater risk of low bone mineral density than HIV-negative peers. The reasons for this disparity are multifactorial. To address this increased risk, the Infectious Diseases Society of America (IDSA) released fracture risk screening recommendations in 2015, wh...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2021/6672672 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547809980579840 |
|---|---|
| author | Faryal Mirza Sabina Zawadzka Anne Abbate Michael Thompson Dorothy Wakefield Lisa M. Chirch |
| author_facet | Faryal Mirza Sabina Zawadzka Anne Abbate Michael Thompson Dorothy Wakefield Lisa M. Chirch |
| author_sort | Faryal Mirza |
| collection | DOAJ |
| description | People living with HIV are known to have greater risk of low bone mineral density than HIV-negative peers. The reasons for this disparity are multifactorial. To address this increased risk, the Infectious Diseases Society of America (IDSA) released fracture risk screening recommendations in 2015, which differ significantly from recommendations that apply to the general population. A study was conducted at the University of Connecticut to assess for provider awareness and adherence to these recommendations. Electronic surveys were sent to providers, and patients were also surveyed for risk factors and prevalence of low bone mineral density. The results of the provider survey showed low rates of awareness of the IDSA screening recommendations. A substantial proportion of patients surveyed met criteria for low BMD screening but did not have dual-energy X-ray absorptiometry (DXA) ordered by their provider. As an intervention, providers were sent information via e-mail regarding current screening recommendations, as well as notifications if their patient met criteria for DXA screening. A twelve-month follow-up survey showed increased provider knowledge of screening recommendations and improved screening practices. Additionally, the results of a logistic regression analysis of patient factors showed that increasing age and male sex were positively associated with fragility fracture risk. Increased duration of antiretroviral therapy use was associated with a lower likelihood of fragility fracture. |
| format | Article |
| id | doaj-art-cdda04bcce244b40beddaa948d10b84d |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-cdda04bcce244b40beddaa948d10b84d2025-02-03T06:43:29ZengWileyAIDS Research and Treatment2090-12402090-12592021-01-01202110.1155/2021/66726726672672Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV DiseaseFaryal Mirza0Sabina Zawadzka1Anne Abbate2Michael Thompson3Dorothy Wakefield4Lisa M. Chirch5Division of Endocrinology, Department of Medicine, The University of Connecticut School of Medicine, Farmington, CT, USADivision of Infectious Diseases, Department of Medicine, The University of Connecticut School of Medicine, Farmington, CT, USADivision of Infectious Diseases, Department of Medicine, The University of Connecticut School of Medicine, Farmington, CT, USADivision of Infectious Diseases, Department of Medicine, The University of Connecticut School of Medicine, Farmington, CT, USAUniversity of Connecticut Health Center, Center for Public Health and Policy, Farmington, CT, USADivision of Infectious Diseases, Department of Medicine, The University of Connecticut School of Medicine, Farmington, CT, USAPeople living with HIV are known to have greater risk of low bone mineral density than HIV-negative peers. The reasons for this disparity are multifactorial. To address this increased risk, the Infectious Diseases Society of America (IDSA) released fracture risk screening recommendations in 2015, which differ significantly from recommendations that apply to the general population. A study was conducted at the University of Connecticut to assess for provider awareness and adherence to these recommendations. Electronic surveys were sent to providers, and patients were also surveyed for risk factors and prevalence of low bone mineral density. The results of the provider survey showed low rates of awareness of the IDSA screening recommendations. A substantial proportion of patients surveyed met criteria for low BMD screening but did not have dual-energy X-ray absorptiometry (DXA) ordered by their provider. As an intervention, providers were sent information via e-mail regarding current screening recommendations, as well as notifications if their patient met criteria for DXA screening. A twelve-month follow-up survey showed increased provider knowledge of screening recommendations and improved screening practices. Additionally, the results of a logistic regression analysis of patient factors showed that increasing age and male sex were positively associated with fragility fracture risk. Increased duration of antiretroviral therapy use was associated with a lower likelihood of fragility fracture.http://dx.doi.org/10.1155/2021/6672672 |
| spellingShingle | Faryal Mirza Sabina Zawadzka Anne Abbate Michael Thompson Dorothy Wakefield Lisa M. Chirch Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV Disease AIDS Research and Treatment |
| title | Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV Disease |
| title_full | Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV Disease |
| title_fullStr | Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV Disease |
| title_full_unstemmed | Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV Disease |
| title_short | Evaluation of Provider Screening Practices for Fracture Risk Assessment among Patients with HIV Disease |
| title_sort | evaluation of provider screening practices for fracture risk assessment among patients with hiv disease |
| url | http://dx.doi.org/10.1155/2021/6672672 |
| work_keys_str_mv | AT faryalmirza evaluationofproviderscreeningpracticesforfractureriskassessmentamongpatientswithhivdisease AT sabinazawadzka evaluationofproviderscreeningpracticesforfractureriskassessmentamongpatientswithhivdisease AT anneabbate evaluationofproviderscreeningpracticesforfractureriskassessmentamongpatientswithhivdisease AT michaelthompson evaluationofproviderscreeningpracticesforfractureriskassessmentamongpatientswithhivdisease AT dorothywakefield evaluationofproviderscreeningpracticesforfractureriskassessmentamongpatientswithhivdisease AT lisamchirch evaluationofproviderscreeningpracticesforfractureriskassessmentamongpatientswithhivdisease |