Table 4:
Outcome | Physician-Managed | Pharmacist-Managed | p-value |
---|---|---|---|
Primary Outcome | |||
Rate of initiation or continuationa in high-risk patientsb, nc (%) | 85d (35.8) | 206e (66.2) | < 0.001 |
Secondary outcomes | |||
Rate of prescription antifracture therapy recommendationf in high-risk patientsb, nc (%) | 76 (32.1) | 271 (87.1) | < 0.001 |
Calcium and vitamin D recommendationf in all patientsf, nc (%) | 253 (46.1) | 446 (95.7) | < 0.001 |
Calcium and vitamin D recommendationf in low- to moderate-risk patientsh, nc (%) | 142 (45.5) | 151 (97.4) | < 0.001 |
Initiation and continuation rates were determined by reviewing prescription authorization history, as detailed in Methods.
High risk patient groups: physician-managed (n = 237 DXA scans in 174 unique patients) vs. pharmacist-managed (n = 311 DXA scans in 221 unique patients)
Number of DXA scans
Initiation in 27 patients and continuation in 58 patients in physician-managed group
Initiation in 119 patients and continuation in 87 patients in pharmacist-managed group
Recommendations were determined from reviewing all documented chart notes, letters, physician-to-patient emails, telephone calls, office visits, and hospital admissions within the month following DXA scan.
All patient groups: physician-managed (n = 549 DXA scans) vs. pharmacist-managed (n = 466 DXA scans)
Low-to-moderate risk patient groups: physician-managed (n = 312 DXA Scans) vs. pharmacist-managed (n = 155 DXA scans)