Electronic medical record reminder improves osteoporosis management after a fracture

A randomized, controlled trial

Adrianne Feldstein, Patricia J. Elmer, David H. Smith, Michael Herson, Eric Orwoll, Chuhe Chen, Mikel Aickin, Martha C. Swain

Research output: Contribution to journalArticle

135 Citations (Scopus)

Abstract

OBJECTIVES: Osteoporosis treatment rates after a fracture are low. This study evaluated methods to increase guideline-recommended osteoporosis care postfracture. DESIGN: Participants were randomly assigned to usual care or one of two interventions. Analysis of primary outcomes used electronic data and linear regression. SETTING: A Pacific Northwest nonprofit health maintenance organization. PARTICIPANTS: Female patients aged 50 to 89 who suffered a fracture in 1999 and had not received bone mineral density (BMD) measurement or medication for osteoporosis (n=311) and their primary care providers (n=159). INTERVENTION: Patient-specific clinical guideline advice to the primary care provider delivered by electronic medical record (EMR) message or electronic reminder to the provider plus an educational letter mailed to the patient. MEASUREMENTS: BMD measurement and osteoporosis medication. RESULTS: At 6 months, provider reminder resulted in 51.5% of patients receiving BMD measurement or osteoporosis medication, provider reminder plus patient education resulted in 43.1%, and usual care resulted in 5.9% (P

Original languageEnglish (US)
Pages (from-to)450-457
Number of pages8
JournalJournal of the American Geriatrics Society
Volume54
Issue number3
DOIs
StatePublished - Mar 2006

Fingerprint

Electronic Health Records
Osteoporosis
Randomized Controlled Trials
Bone Density
Primary Health Care
Medical Electronics
Northwestern United States
Guidelines
Health Maintenance Organizations
Patient Education
Linear Models

Keywords

  • Bone mineral density measurement
  • Electronic medical record
  • Osteoporosis treatment

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Electronic medical record reminder improves osteoporosis management after a fracture : A randomized, controlled trial. / Feldstein, Adrianne; Elmer, Patricia J.; Smith, David H.; Herson, Michael; Orwoll, Eric; Chen, Chuhe; Aickin, Mikel; Swain, Martha C.

In: Journal of the American Geriatrics Society, Vol. 54, No. 3, 03.2006, p. 450-457.

Research output: Contribution to journalArticle

Feldstein, Adrianne ; Elmer, Patricia J. ; Smith, David H. ; Herson, Michael ; Orwoll, Eric ; Chen, Chuhe ; Aickin, Mikel ; Swain, Martha C. / Electronic medical record reminder improves osteoporosis management after a fracture : A randomized, controlled trial. In: Journal of the American Geriatrics Society. 2006 ; Vol. 54, No. 3. pp. 450-457.
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