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December 2002, Vol 92, No. 12 | American Journal of Public Health 1885
© 2002 American Public Health Association

LETTER

OSTEOPOROSIS RECOGNITION: CORRECTING GEHLBACH ET AL.

Janice C. Probst, PhD, Charity G. Moore, PhD, Elizabeth G. Baxley, MD and Judith A. Shinogle, PhD

Janice C. Probst and Charity G. Moore are with the Norman J. Arnold School of Public Health and Judith A. Shinogle is with the College of Pharmacy, University of South Carolina, Columbia. Elizabeth G. Baxley is with the Department of Continuing Medical Education, University of South Carolina School of Medicine, Columbia.

Correspondence: Requests for reprints should be sent to Janice C. Probst, PhD, Norman J. Arnold School of Public Health, 800 Sumter St, Columbia, SC 29208 (e-mail: jprobst@sph.sc.edu).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

Gehlbach et al.1 analyzed 1993–1997 data from the National Ambulatory Medical Care Survey (NAMCS) to determine the degree to which primary care physicians recognized osteoporosis. The authors’ analysis suggested that primary care physicians were underdiagnosing and, in consequence, undertreating this condition. Specifically, Gehlbach et al. reported that fewer than 2% of elderly White women were correctly diagnosed, while the estimated prevalence in this age group was 29%. (The report cited for this prevalence estimate2 excluded women who had ever received hormone therapy, and thus does not provide a population-based estimate.)

Gehlbach et al. based their conclusions on the diagnoses associated . . . [Full Text]






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