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  • 1
    Electronic Resource
    Electronic Resource
    Population screening for low bone mineral density: Do non-attenders have a lower risk of osteoporosis? (1994)
    Springer
    Osteoporosis international 4 (1994), S. 149-153 
    Details
    ISSN: 1433-2965
    Keywords: Body weight ; Non-attendance ; Osteoporosis ; Response bias ; Risk factors ; Screening
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Poor compliance may be detrimental to the effectiveness of a screening programme if those at greatest risk of the disease do not attend. Therefore we undertook a study to test whether non-attenders to a screening programme for low bone density, a risk factor for osteoporosis, were at a differential risk of low bone density compared with attenders. Seven hundred and eighty-nine women aged 45–49 years living within 32 km of Aberdeen were selected at random from the Community Health Index and invited to attend for screening for low bone density as a risk of factor for osteoporosis. Attenders and non-attenders were surveyed regarding their risk factors for osteoporosis. Non-attenders were significantly heavier than attenders. In addition, 6 non-attenders who subsequently chose to attend had significantly higher body weight and bone mineral density, at Ward's triangle, than initial attenders. Non-attenders to a screening service for bone density may be at lower risk of developing osteoporosis. Non-attendance, therefore, would not be detrimental to the cost-effectiveness of a screening service for bone density. However, this study indicates there is a potential for response bias in studies of bone density and osteoporosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01623061
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    The Cost of Treating Osteoporotic Fractures in the United Kingdom Female Population (1998)
    Springer
    Osteoporosis international 8 (1998), S. 611-617 
    Details
    ISSN: 1433-2965
    Keywords: Key words:Cost of illness – Cost of fracture – Cost of osteoporosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: Osteoporotic fractures represent a significant burden to society. The costs of osteoporotic fractures to the UK health care system have not previously been accurately described. In this paper, we quantify the health care and social care costs of fractures occurring in women aged 50 years and over in the UK. We used a variety of data sources. For acute hospital hip fracture costs existing published estimates were used whilst for social care costs a survey of resource use among fracture patients before and after hip fracture was utilized. We undertook a case–control study using the General Practice Research Database to estimate primary care costs. From these data we estimated that the cost of a hip fracture is about £12000, with non-acute hospital costs representing the larger proportion. The other fractures were less expensive, at £468, £479 and £1338 for wrist, vertebral and other fractures, respectively. For all fractures the annual cost to the UK is £727 million. Assuming each male hip fracture costs the same as a female fracture, including these would increase the total costs to £942 million.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001980050107
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Direct Disclosure of Bone Density Results to Patients: Effect on Knowledge of Osteoporosis Risk and Anxiety Level (1998)
    Springer
    Osteoporosis international 8 (1998), S. 584-590 
    Details
    ISSN: 1433-2965
    Keywords: Key words:Anxiety – Bone density – Direct disclosure – Knowledge of risk
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: If bone mineral density (BMD) screening is to achieve the aim of preventing the complications of osteoporosis, women with low BMD measurements must learn that they are at risk, and women at risk must know about and be willing to adopt and persist with measures that can prevent osteoporosis. In this paper we present the results of a randomized controlled trial designed to examine whether disclosing the results of a BMD scan directly to women, as well as through their general practitioners (GPs), improves their knowledge of their bone density results without adverse psychological sequelae. Direct disclosure resulted in 19% (59% vs 40%; 95% CI for difference in proportions: 9.8% to 27.8%) more women being aware of their BMD status at the spine and 22% (58% vs 36%; 95% CI for difference: 12.2% to 29.8%) at the hip. These differences were observed irrespective of risk status. There was no significant difference in anxiety levels between the randomized groups. We conclude, therefore, that direct disclosure of BMD results to women, as well as to their GPs, leads to increased knowledge of BMD status without increasing anxiety, and that BMD measurement services should consider informing women routinely of their results directly as well as through their GPs.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001980050103
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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