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Survey of gastroenterologists' awareness and implementation of AGA guidelines on osteoporosis in inflammatory bowel disease patients: are the guidelines being used and what are the barriers to their use?

Publication ,  Journal Article
Wagnon, JH; Leiman, DA; Ayers, GD; Schwartz, DA
Published in: Inflamm Bowel Dis
July 2009

BACKGROUND: The American Gastroenterology Association (AGA) published guidelines to assist clinicians in the evaluation and management of osteoporosis in inflammatory bowel disease (IBD) patients. Two studies suggest that when clinicians utilized the guidelines, the majority of their IBD patients were appropriately screened and treated for metabolic bone disease. The aim was to study whether physicians who say they use the AGA Guidelines are, in fact, following the recommendations, and to assess the barriers preventing the use of the guidelines in the management of osteoporosis in their IBD patients. METHODS: In all, 1000 physicians were selected from the AGA membership list and mailed a survey inquiring into awareness and implementation of the guidelines on osteoporosis in IBD patients. The barriers to implementation of the guidelines were also assessed. The sum of 21 self-reported clinical practices (absence = 0, presence = 1) was used to evaluate adherence to the guidelines. A value of 0 implied no adherence while a score of 21 meant complete adherence. RESULTS: Of 304 responders, 27 fellows, 8 retirees, and 11 incomplete responses were not included in the analysis; thus, 258 respondents were the subject of this analysis. Slightly less than half of the responders used the guidelines in decision-making (126, 49%) or in the management (110, 42%) of their IBD patients. Using the scoring system described above, clinicians self-reporting use of the guidelines had a significantly higher clinical practice score than those who did not use the guidelines (Wilcoxon rank sum test; P < 0.0001). Only 18% (12 of 68) of clinicians whose practice was comprised of 25%) were also more likely (97/187 = 52%) to assess and treat osteoporosis in their IBD patients. Conversely, only 16% (11/68) of physicians who saw

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Published In

Inflamm Bowel Dis

DOI

EISSN

1536-4844

Publication Date

July 2009

Volume

15

Issue

7

Start / End Page

1082 / 1089

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Osteoporosis
  • Inflammatory Bowel Diseases
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Health Care Surveys
  • Guideline Adherence
  • Gastroenterology & Hepatology
  • Gastroenterology
  • 3202 Clinical sciences
 

Citation

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Wagnon, J. H., Leiman, D. A., Ayers, G. D., & Schwartz, D. A. (2009). Survey of gastroenterologists' awareness and implementation of AGA guidelines on osteoporosis in inflammatory bowel disease patients: are the guidelines being used and what are the barriers to their use? Inflamm Bowel Dis, 15(7), 1082–1089. https://doi.org/10.1002/ibd.20857
Wagnon, Julianne H., David A. Leiman, Gregory D. Ayers, and David A. Schwartz. “Survey of gastroenterologists' awareness and implementation of AGA guidelines on osteoporosis in inflammatory bowel disease patients: are the guidelines being used and what are the barriers to their use?Inflamm Bowel Dis 15, no. 7 (July 2009): 1082–89. https://doi.org/10.1002/ibd.20857.
Journal cover image

Published In

Inflamm Bowel Dis

DOI

EISSN

1536-4844

Publication Date

July 2009

Volume

15

Issue

7

Start / End Page

1082 / 1089

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Osteoporosis
  • Inflammatory Bowel Diseases
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Health Care Surveys
  • Guideline Adherence
  • Gastroenterology & Hepatology
  • Gastroenterology
  • 3202 Clinical sciences