Remote Bone Health Service for Osteoporosis Screening in High-Risk Men

Does a centralized, remote bone health service (BHS) improve osteoporosis screening, treatment, adherence, and bone density among older men with fracture risk factors?This cluster randomized clinical trial of 39 primary care clinicians and 3112 patients found that a remote BHS significantly improved screening, treatment, and adherence compared with usual care, with a higher average femoral neck bone density at 2 years. The approach of using fracture risk factors to select men for screening yields a comparable proportion of men diagnosed with osteopenia or osteoporosis with screening of women 65 years or older.This cluster randomized clinical trial supported selecting men for osteoporosis screening based on fracture risk factors and found that a centralized screening model is associated with improved screening, treatment, and medication adherence rates.

Corresponding Author: Cathleen Colón-Emeric, MD, MHS, 508 Fulton St, GRECC 182, Durham, NC 27705 (cathleen.colonemeric@duke.edu).

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