Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic
Background The Agency for Care Effectiveness of Singapore has advised primary care physicians to use osteoporosis screening tools to risk-stratify patients in the primary care setting. Objective This paper aims to report the uptake of a “Predict and Prevent” workflow for osteoporosis using risk scor...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-01-01
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| Series: | Proceedings of Singapore Healthcare |
| Online Access: | https://doi.org/10.1177/20101058241227345 |
| _version_ | 1797356195485319168 |
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| author | Chin Kwang Chong Wei Ting Chua Susie Ling Yii Wong Tat Yean Tham |
| author_facet | Chin Kwang Chong Wei Ting Chua Susie Ling Yii Wong Tat Yean Tham |
| author_sort | Chin Kwang Chong |
| collection | DOAJ |
| description | Background The Agency for Care Effectiveness of Singapore has advised primary care physicians to use osteoporosis screening tools to risk-stratify patients in the primary care setting. Objective This paper aims to report the uptake of a “Predict and Prevent” workflow for osteoporosis using risk scoring and BMD measurement in patients with chronic diseases seen in a network of primary care clinics in Singapore from 2020 to 2021. Methods A “Predict and Prevent” osteoporosis preventive care programme was implemented at a network of 11 primary care clinics. The programme included all adult patients that consulted at the clinic for a chronic condition. OSTA score was computed for each patient. All patients who consented to further fracture risk screening underwent FRAX scoring. Female patients with a high-risk OSTA score and females with diabetes with intermediate-risk OSTA score (per protocol), or those with high-risk FRAX score were recommended to undergo BMD measurement. Results Of the 6,332 adult patients with chronic diseases without baseline osteoporosis seen in the various clinics, 81.1% underwent OSTA scoring; 28.1% were intermediate risk and 7.0% were high risk. Among the per-protocol population ( n = 531), 38 (7.1%) underwent BMD testing. FRAX scoring (without BMD) was done on 939 patients (17.3%); 31.5% had a high hip fracture risk. Only 14 patients had FRAX with BMD; 57.1% had a high hip fracture risk. Conclusion A “Predict and Prevent” workflow could be implemented to screen, detect and potentially treat patients at high risk of osteoporosis. The rate of BMD measurement is low and needs to be improved. |
| first_indexed | 2024-03-08T14:23:04Z |
| format | Article |
| id | doaj.art-45b608b7a05248e2b759b188f7005b6a |
| institution | Directory Open Access Journal |
| issn | 2059-2329 |
| language | English |
| last_indexed | 2024-03-08T14:23:04Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Proceedings of Singapore Healthcare |
| spelling | doaj.art-45b608b7a05248e2b759b188f7005b6a2024-01-13T18:03:23ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292024-01-013310.1177/20101058241227345Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemicChin Kwang ChongWei Ting ChuaSusie Ling Yii WongTat Yean ThamBackground The Agency for Care Effectiveness of Singapore has advised primary care physicians to use osteoporosis screening tools to risk-stratify patients in the primary care setting. Objective This paper aims to report the uptake of a “Predict and Prevent” workflow for osteoporosis using risk scoring and BMD measurement in patients with chronic diseases seen in a network of primary care clinics in Singapore from 2020 to 2021. Methods A “Predict and Prevent” osteoporosis preventive care programme was implemented at a network of 11 primary care clinics. The programme included all adult patients that consulted at the clinic for a chronic condition. OSTA score was computed for each patient. All patients who consented to further fracture risk screening underwent FRAX scoring. Female patients with a high-risk OSTA score and females with diabetes with intermediate-risk OSTA score (per protocol), or those with high-risk FRAX score were recommended to undergo BMD measurement. Results Of the 6,332 adult patients with chronic diseases without baseline osteoporosis seen in the various clinics, 81.1% underwent OSTA scoring; 28.1% were intermediate risk and 7.0% were high risk. Among the per-protocol population ( n = 531), 38 (7.1%) underwent BMD testing. FRAX scoring (without BMD) was done on 939 patients (17.3%); 31.5% had a high hip fracture risk. Only 14 patients had FRAX with BMD; 57.1% had a high hip fracture risk. Conclusion A “Predict and Prevent” workflow could be implemented to screen, detect and potentially treat patients at high risk of osteoporosis. The rate of BMD measurement is low and needs to be improved.https://doi.org/10.1177/20101058241227345 |
| spellingShingle | Chin Kwang Chong Wei Ting Chua Susie Ling Yii Wong Tat Yean Tham Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic Proceedings of Singapore Healthcare |
| title | Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic |
| title_full | Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic |
| title_fullStr | Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic |
| title_full_unstemmed | Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic |
| title_short | Performance of a preventive care programme for osteoporosis in primary care settings in Singapore during the COVID-19 pandemic |
| title_sort | performance of a preventive care programme for osteoporosis in primary care settings in singapore during the covid 19 pandemic |
| url | https://doi.org/10.1177/20101058241227345 |
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