Evidence map›Paper›PMID 40182354›Full record

ArticleCureus2025

Osteoporosis in Primary Care: An Analysis of Family Physicians' Knowledge, Attitudes, and Practices in Bahrain.

Zahra S Alawi, Ebrahim Matar, Wafa F Hasan, Isa Y Althawadi, Aalaa Fakhrawi, Adla B Hassan, Mohamed H Shehata, Adel Alsayyad, Dalal A Al Hashel, Mahmood Al Saeed

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. 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 · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zahra S AlawiInternal Medicine, Salmaniya Medical Complex, Manama, BHR.
Ebrahim MatarPublic Health, Ministry of Health, Manama, BHR.
Wafa F HasanPublic Health, Ministry of Health, Manama, BHR.
Isa Y AlthawadiInternal Medicine, Middle East Hospital, Manama, BHR.
Aalaa FakhrawiEndocrinology, King Fahad University Hospital, Khobar, SAU.
Adla B HassanInternal Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, BHR.
Mohamed H ShehataFamily and Community Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, BHR.
Adel AlsayyadFamily and Community Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, BHR.
Dalal A Al HashelFamily Medicine, Primary Health Care, Manama, BHR.
Mahmood Al SaeedInternal Medicine, Salmaniya Medical Complex, Manama, BHR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoporosis is a metabolic bone disease characterized by progressive loss of bone density. Osteoporotic fractures account for the significant morbidity and mortality of osteoporosis. Preventing and treating osteoporosis and its complications by proper screening and management will significantly improve prognosis and quality of life. Primary healthcare physicians play an important role in the primary prevention of chronic diseases. To that effect, we sought to assess the knowledge, attitude, and practices on the subject of osteoporosis among family physicians in Bahrain in order to identify the level of awareness in primary care centers. METHODOLOGY: A cross-sectional study was conducted among family physicians working in primary healthcare centers across the Kingdom of Bahrain. Study participants were asked to complete an online revised osteoporosis knowledge test questionnaire. Data were collected and analyzed using IBM SPSS Statistics for Windows, Version 25 (Released 2017; IBM Corp., Armonk, New York).

resultsA total of 210 family physicians participated in this study. More than half of the participants had not received any structured education on osteoporosis or professional development sessions in the past five years (65.7%). Electronic resources were the most utilized type of resource for osteoporosis (73.8%, n=155). The overall mean score for knowledge was 57.2%. Participants strongly agreed that patient education is crucial for disease prevention (72.7%). The three questions that received the highest percentage of neutral responses were related to the ability to screen for osteoporosis in at-risk populations, the ability to correctly diagnose osteoporosis, and effectively manage a patient with osteoporosis in the clinic (34.3%, 36.7%, and 37.1%, respectively). When analyzing the data of practice questions, it was evident that the most used method for diagnosing osteoporosis among primary care physicians was the dual-energy X-ray absorptiometry scan (79%), while the least utilized method was the calculation of an osteoporosis score (14.8%).

conclusionOur research demonstrated average levels of knowledge on osteoporosis among family physicians in Bahrain. There is also a deficiency in receiving formal updated training. The results highlight several specific deficiencies in both osteoporosis-related knowledge and clinical practice. Therefore, we suggest the need for a well-developed national screening and awareness program to increase screening practices and enhance knowledge about osteoporosis in primary healthcare.

Indexed as

clinical knowledgefamily medicinefractureknowledge attitude practices studiesosteoporosis

Identifiers

PMID40182354
PMCPMC11966336

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LicenceCC BY
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Registered trials

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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.