Evidence map›Paper›PMID 41734417›Full record

Observational studyAtencion primaria2026

[Adequacy of pharmacological prescriptions in women with postmenopausal osteoporosis attended in a Primary Care center].

Ricardo Cruz Serrano, María Del Mar Alañón Pardo, María Mercedes Sánchez-Cruzado Del Olmo

Abstract readObservational StudyEnglish Abstract
In one paragraph

Observational study in Atencion primaria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ricardo Cruz SerranoCentro de Salud Alcázar I, Gerencia de Atención Integrada de Alcázar de San Juan, Alcázar de San Juan (Ciudad Real), España. Electronic address: rcruzs@sescam.jccm.es.
María Del Mar Alañón PardoServicio de Farmacia, Hospital Universitario Mancha Centro, Gerencia de Atención Integrada de Alcázar de San Juan, Alcázar de San Juan (Ciudad Real), España.
María Mercedes Sánchez-Cruzado Del OlmoCentro de Salud Alcázar I, Gerencia de Atención Integrada de Alcázar de San Juan, Alcázar de San Juan (Ciudad Real), España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the adequacy of pharmacological prescriptions for osteoporosis in postmenopausal women attending primary care.

designCross-sectional descriptive observational study.

settingPrimary care health center, Castilla-La Mancha Health Service.

participantsThere were 61 postmenopausal women who were prescribed anti-osteoporotic drugs in 2021. Medical records were reviewed up to December 2024. MAIN MEASUREMENTS: According to the SESCAM Pharmacotherapeutic Optimization Guide (2019), pharmacological prescriptions were considered appropriate (adequate) if at least one of the following criteria was met: a history of prior osteoporotic fractures and/or «high risk» of fracture with bone mineral density in the osteoporosis range (T-score <-2.5). Drugs were considered first-line if alendronate or risedronate was prescribed.

resultsThe therapeutic indication was «adequate» in 47 patients (77.0%), being higher in patients with diagnostic bone mineral density (68.1% vs. 31.9%, P<0.001), «high fracture risk» (93.0% vs. 7.0%, P=0.002), those who had previously received other antiosteoporotic drugs (59.6% vs. 40.4%, P=0.012), and those receiving concomitant calcium and/or vitamin D supplements (89.4% vs. 10.6%, P=0.026). The mean 10-year major osteoporotic fracture risk was higher (P=0.008) in the «adequate» indication group (18.2%) vs. the «non-adequate» group (9.9%). Adequate therapeutic indication was lower when prescriptions were issued by general practitioners compared with other specialists (19.1% vs. 80.9%; P <0.001). The drug was first-line in 34 patients (55.7%).

conclusionsAdequacy of pharmacological prescriptions for osteoporosis was moderate, being higher for the therapeutic indication than for the first-line drug.

Indexed as

Bone Density Conservation AgentsDrug PrescriptionsOsteoporosis, PostmenopausalAgedBone DensityCross-Sectional StudiesFemaleHumansMiddle AgedPrimary Health CareBone Density Conservation AgentsAdecuaciónAdequacyAtención PrimariaOsteoporosisPosmenopausiaPost menopausePrimary careTratamientoTreatment

Identifiers

PMID41734417
PMCPMC13080393

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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.