Endocrine Abstracts

Background and Aims: Awareness and knowledge about any disease is the first step to prevent and treat it. Osteoporosis is a worldwide health problem. Osteoporosis is characterized by decreased normal bone density. More than 8.9 million fractures worldwide annually are caused by osteoporosis; these fractures are a significant cause of morbidity and mortality. Evidence suggests that the modification of several lifestyle habits, diagnostics, prevention and treatment could assist in lowering the incidence of osteoporosis. The aim of our study was to explore the quality of osteoporosis care experienced by women in Russia in Fomin Clinic in 17 cities in Russia and how it could be improved with the help of Electronic Health Record with decision support.

Methods: 244 Electronic Health Records of women aged 56.4 before and after the start of the decision support (52 и 54 respectively) were analyzed and rated on a 100-point scale(diagnostics using FRAX and dual-energy x-ray absorptiometry (DXA) (lumbar spine and hip), nutrition, physical activity, drugs recommendations were evaluated by both experts and artificial intelligence). The decision support system based on Guidelines of Russian Association of Osteoporosis, National Osteoporosis Foundation and Endocrine Society.

Results: The average score before using decision support was 43, and after doctors started to use it the average score after 6 months of using became 81.

Conclusions: Electronic Health Record with decision support is great tool wich improves quality of care for postmenopausal women and refines the diagnosis and treatment of osteoporosis in different cities in Russia.