Effect of bone density information on decisions about hormone replacement therapy: A randomized trial

被引:64
作者
Silverman, SL
Greenwald, M
Klein, RA
Drinkwater, BL
机构
[1] PACIFIC MED CTR, SEATTLE, WA 98144 USA
[2] UNIV CALIF LOS ANGELES, W LOS ANGELES VET AFFAIRS MED CTR, LOS ANGELES, CA USA
[3] OSTEOPOROSIS MED CTR, BEVERLY HILLS, CA USA
[4] OSTEOPOROSIS MED CTR, PALM SPRINGS, CA USA
[5] WYETH AYERST LABS, PHILADELPHIA, PA USA
关键词
D O I
10.1016/S0029-7844(97)85857-7
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To determine the effect of bone density information on a woman's de Methods: One hundred forty women were assigned randomly to receive either educational information about osteoporosis and a voucher for a bone mineral density test 12 months later or the same educational information plus an immediate dual-energy x-ray absorptiometry test for bone mineral density. Women in both groups were offered prescriptions for HRT. Results: Of the 93 women who received a bone mineral density test, 63.4% elected HRT and filled their prescription, compared with only 20.0% of the 43 women who did not have a bone mineral density test (P<.01). Women who were classified as osteopenic (between -1 and -2.5 standard deviations [SDs] of the young normal bone mineral density) or osteoporotic (more than 2.5 SDs below young normals) were more likely to choose HRT (69.4%) than were women whose bone mineral density was in the normal range (51.6%) (above -1 SD of the young normal bone mineral density value). Conclusions: A bone mineral density test, regardless of the result, had a significant effect on women's decisions to accept HRT. Within the group having the test, women with lower bone mineral density were more likely to choose HRT. Copyright (C) 1997 by The American College of Obstetricians and Gynecologists.
引用
收藏
页码:321 / 325
页数:5
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