Evaluating compliance with the care standard of proactively assessing bone health in patients with diabetes: a pilot audit of practice across Asia by the Asia Pacific Consortium on Osteoporosis (APCO)

• DOI: 10.1007/s11657-024-01399-y
• Publication Date: 2024-06-11T16:02:38Z
• Authors: M. Chandran; N. Aftab; A. Amin; T. Amphansap; S. K. Bhadada; M. Chadha; D. C. Chan; F. L. Hew; S. Kaur; A. H. Khan; A. K. Kwee; L. T. Ho-Pham; S. Lekamwasam; D. C. Minh; A. Prasanth; R. Sharma; T. Valleenukul; N. Zehra; A. Mithal
• Keywords: Clinical audit; Medical record

Abstract Summary This pilot audit explored how bone health is assessed patients with diabetes in diverse centres across Asia. Only 343 of 1092 (31%) audited had a assessment, 27% whom were diagnosed osteoporosis. Quality improvement strategies are needed to address gaps patient care this area. Purpose The Asia Pacific Consortium on Osteoporosis (APCO) Framework outlines clinical standards for assessing and managing A evaluated adherence standard 4, which states that should be conditions associated loss and/or increased fracture risk; report summarises the findings diabetes. secondary aim was assess practicality real-world use APCO tool kit. Methods Eight participated audit, selecting as target group. Participants reviewed their practice records at least 20 consecutively treated condition. Questions covered routine investigations, osteoporosis diagnosis, referral pathways. Data summarised descriptively. Results participants represented public hospitals, university medical centres, private clinics from India, Malaysia, Pakistan, Singapore, Taiwan, Vietnam see an estimated total 95,000 per year. Overall, only assessment. subsequently 92 (27%) patients. Conclusion Bone not most results provide insight into current practices Asian demonstrate practical value Participant feedback has been used improve being respective inform quality projects overcome gap care.