ArticleClinical interventions in aging2026
Osteoporosis Screening in Primary Care: Early Implementation Gaps Following the 2023 Saudi Guideline Update.
Article in Clinical interventions in aging, 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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Abstract
Objective: To assess adherence to the 2023 Saudi Osteoporosis Society (SOS) universal screening guideline among adults aged ≥60 years in an academic primary care center and identify factors associated with DEXA ordering. Methods: A retrospective EMR-based study included 2186 patients aged ≥60 years attending a university-affiliated primary care center (May 2023-December 2025). The primary outcome was adherence to SOS 2023 recommendations. Multivariable logistic regression identified predictors of BMD ordering. Results: BMD screening was ordered for 19.7% of eligible patients; only 4.1% completed testing. Screening was independently associated with female sex (aOR 5.26), prior osteoporosis (aOR 139.40), prior fracture (aOR 10.35), and female physician sex (aOR 1.50) (all p<0.05). Conclusion: Adherence to universal screening remains low, with a substantial gap between DXA ordering and completion, highlighting important implementation barriers in primary care practice.
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