The diagnosis of osteoporsis: Attitudes and knowledge of Israeli physicians

Background and aims: Osteoporosis is the most common human bone disease. Although proper diagnosis may minimize injury and disability, this depends to a great extent on the knowledge and attitudes of physicians. The aim of the present study was to assess physicians' attitudes, knowledge and practice regarding the diagnosis of osteoporosis. Methods: A questionnaire was mailed to 1900 Israeli physicians addressing their knowledge and attitudes about osteoporosis and its diagnosis, and their perceptions regarding the cost-effectiveness of different diagnostic methods. Results: Answers were received from 19% of the physicians. The majority of the respondents supported screening for osteoporosis, especially in high-risk women. Overall, the participants had good knowledge about the definition of osteoporosis and its risk factors, but poor knowledge about its prevalence. Female physicians had better knowledge and stronger attitudes than male physicians. Similarly, younger and less experienced physicians showed better knowledge. The majority of the participants reported being familiar with, and using all types of clinical methods. They also perceived these methods as highly cost-effective. Conclusions: Findings of the present study stress the need to extend the knowledge of physicians regarding diagnosis of osteoporosis and the research aimed at understanding their attitudes.