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National Survey of the Bone Densitometry Evaluation Process Within an Integrated Healthcare System.
Steffen, Melissa J A; McCoy, Kimberly D; Mengeling, Michelle A; Miller, Karla L; Davila, Heather; Wardyn, Shylo E; Shibli-Rahhal, Amal; Farukhi, Irfan; Solimeo, Samantha L.
Afiliación
  • Steffen MJA; VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Department of Veterans Affairs, Iowa City VA Healthcare System, Iowa City, IA, 52246, United States; Center for Access & Delivery Research and Evaluation (CADRE), Department of Veterans Affairs, Iowa City VA H
  • McCoy KD; VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Department of Veterans Affairs, Iowa City VA Healthcare System, Iowa City, IA, 52246, United States; Center for Access & Delivery Research and Evaluation (CADRE), Department of Veterans Affairs, Iowa City VA H
  • Mengeling MA; VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Department of Veterans Affairs, Iowa City VA Healthcare System, Iowa City, IA, 52246, United States; Center for Access & Delivery Research and Evaluation (CADRE), Department of Veterans Affairs, Iowa City VA H
  • Miller KL; VA Office of Rural Health, Veterans Rural Health Resource Center-Salt Lake City (VRHRC-SLC); VA Salt Lake City Healthcare System, Salt Lake City, UT, United States; Department of Internal Medicine, Rheumatology Section, VA Salt Lake City Healthcare System, Salt Lake City, UT, United States; Division
  • Davila H; VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Department of Veterans Affairs, Iowa City VA Healthcare System, Iowa City, IA, 52246, United States; Center for Access & Delivery Research and Evaluation (CADRE), Department of Veterans Affairs, Iowa City VA H
  • Wardyn SE; VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Department of Veterans Affairs, Iowa City VA Healthcare System, Iowa City, IA, 52246, United States; Center for Access & Delivery Research and Evaluation (CADRE), Department of Veterans Affairs, Iowa City VA H
  • Shibli-Rahhal A; Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, United States.
  • Farukhi I; Nuclear Medicine Service, VA Texas Health Care System, Dallas VA Medical Center, Dallas, TX, United States.
  • Solimeo SL; VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Department of Veterans Affairs, Iowa City VA Healthcare System, Iowa City, IA, 52246, United States; Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Med
J Clin Densitom ; 27(1): 101459, 2024.
Article en En | MEDLINE | ID: mdl-38118352
ABSTRACT

BACKGROUND:

To assess the current state of bone mineral density evaluation services via dual energy x-ray absorptiometry (DXA) provided to Veterans with fracture risk through the development and administration of a nationwide survey of facilities in the Veterans Health Administration.

METHODOLOGY:

The Bone Densitometry Survey was developed by convening a Work Group of individuals with expertise in bone densitometry and engaging the Work Group in an iterative drafting and revision process. Once completed, the survey was beta tested, administered through REDCap, and sent via e-mail to points of contact at 178 VHA facilities.

RESULTS:

Facility response rate was 31 % (56/178). Most DXA centers reported positively to markers of readiness for their bone densitometers less than 10 years old (n=35; 63 %); in "excellent" or "good" condition (n=44; 78 %, 32 % and 46 %, respectively); and perform phantom calibration (n=43; 77 %). Forty-one DXA centers (73 %) use intake processes that have been shown to reduce errors. Thirty-seven DXA centers (66 %) reported their technologists receive specialized training in DXA, while 14 (25 %) indicated they receive accredited training. Seventeen DXA centers (30 %) reported performing routine precision assessment.

CONCLUSIONS:

Many DXA centers reported using practices that meet minimal standards for DXA reporting and preparation; however, the lack of standardization, even within an integrated healthcare system, indicates an opportunity for quality improvement to ensure consistent high quality bone mineral density evaluation of Veterans.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prestación Integrada de Atención de Salud / Fracturas Óseas Límite: Child / Humans Idioma: En Revista: J Clin Densitom Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prestación Integrada de Atención de Salud / Fracturas Óseas Límite: Child / Humans Idioma: En Revista: J Clin Densitom Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos