ArticleArchives of osteoporosis2022
Screening and management of osteoporosis: a survey of knowledge, attitude and practice among primary care physicians in Malaysia.
Article in Archives of osteoporosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 20 citations in OpenAlex.
- Osteoporosis and post-fracture management in the primary care setting: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Review
- Knowledge, attitude, and practice of osteoporosis and hip fracture in older Chinese adults.Scientific reports · 2026Article
- The interplay between stroke and hip fractures: a narrative review of mechanisms, risk assessment, and prevention.Frontiers in aging · 2026Review
- Knowledge, attitude, and practice towards post-stroke osteoporosis among healthcare workers in Zhangjiakou, Hebei, China: Running title: KAP towards post-stroke osteoporosis.Preventive medicine reports · 2025Article
- Article
- Knowledge, attitude, and practice about osteoporosis in women with osteoporosis in Iran.Archives of osteoporosis · 2025Article
- Osteoporosis care in primary care settings: a national UK e-survey.Archives of osteoporosis · 2025Article
- Osteoporosis screening practice at the National Guard affiliated primary care centers, Riyadh, Saudi Arabia.Saudi medical journal · 2025Article
- Osteoporosis in Primary Care: An Analysis of Family Physicians' Knowledge, Attitudes, and Practices in Bahrain.Cureus · 2025Article
- Osteoporosis management in a rural community hospital in Japan: a cross-sectional retrospective study.BMJ open · 2024Article
- Evaluating compliance with the care standard of proactively assessing bone health in patients with diabetes: a pilot audit of practice across Asia by the Asia Pacific Consortium on Osteoporosis (APCO).Archives of osteoporosis · 2024Article
- Article
- Development of self-administered questionnaire on barriers, prescription practices, and guideline adherence of osteoporosis management among tertiary care clinicians: content validity and reliability analysis.Frontiers in endocrinology · 2024Article
- Views of healthcare professionals regarding barriers and facilitators for a Fracture Liaison Service in Malaysia.PloS one · 2024Article
- Reply on "Identification of people with high risk of osteoporosis in Asia".Osteoporosis and sarcopenia · 2023Article
- Fracture Liaison Service and Its Role in Secondary Fracture Prevention in Malaysia: A Scoping Review.Malaysian orthopaedic journal · 2023Article
- Hormone-Related and Drug-Induced Osteoporosis: A Cellular and Molecular Overview.International journal of molecular sciences · 2023Review
- Three-year outcomes of a fracture liaison service model at a university-based tertiary care hospital in Thailand.Archives of osteoporosis · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We surveyed primary care physicians in Malaysia for their knowledge, attitude and practice in screening and managing osteoporosis. We found a low level of screening and active management of osteoporosis in the primary care setting despite positive attitudes towards them. We advocate for the active management of osteoporosis at the primary care level.
introductionPrevention of osteoporotic fracture is important in primary healthcare for healthy ageing. Little is known about the knowledge, attitude, practice and barriers in the screening and managing osteoporosis among primary care doctors.
methodsA cross-sectional study, using an online pre-tested questionnaire after face and content validation, was conducted for primary care doctors from 1 June to 30 July 2021 across Malaysia. Pearson's chi-square test and logistic regression were employed.
resultsA total of 350 primary care doctors in Malaysia, consisting of 113 (32.3%) family medicine specialists (FMS) and 237 (67.7%) medical officers, participated in this study. The mean ± SD score of osteoporosis knowledge was 50.46 ± 15.09 with minimum and maximum values of 0 and 83.64%, respectively. One hundred and ten (31.4%) respondents achieved a satisfactory overall knowledge score of ≥ 60%, 156 (44.6%) were confident in advising patients for initiation of anti-osteoporotic medication, and 243 (69.4%) perceived that bisphosphonate should be made available in health clinics. Only 97 (27.7%) practised osteoporosis screening. Inaccessibility of bone mineral densitometry (BMD) (90.6%), inadequate knowledge (87.7%) and inaccessibility of pharmacotherapy (87.1%) are perceived modifiable barriers to osteoporosis screening and management. Factors associated with a satisfactory knowledge of osteoporosis are designation as a family medicine specialist (AOR 3.034, p = 0.002), attendance at an osteoporosis management update course (AOR 2.095, p = 0.034) and the practice of osteoporosis screening for the elderly (AOR 2.767, p = 0.001).
conclusionGiven the insufficient knowledge and low level of osteoporosis screening, there is a need for a national structured health programme to address the knowledge gap, increase screening practices and enhance accessibility to BMD and anti-osteoporosis medication in primary care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.