Table 2

Factors associated with prescription of DXA, calcium and vitamin D supplements, and osteoporosis medications

DXA performedAny treatment delivered
Adjusted OR (CI)Adjusted OR (CI)
Female (vs male)5.1 (4.3 to 6.0)*2.3 (2.1 to 2.5)*
Age >55 years (vs age ≤55 years)3.9 (3.3 to 4.6)*2.7 (2.5 to 2.9)*
Specialty of initial GC prescriber (vs PCP)**
 Rheumatologist3.0 (2.4 to 3.7)*2.5 (2.1 to 3.0)*
 Pulmonologist1.0 (0.6 to 1.5)NS0.9 (0.7 to 1.2)NS
 Gastroenterologist1.3 (0.7 to 2.5)NS1.7 (1.2 to 2.3)δ
 Internist1.4 (0.7 to 2.5)NS2.2 (1.5 to 3.3)δ
 Other1.2 (0.9 to 1.4)NS1.0 (0.9 to 1.1)NS
 Not recorded†1.2 (1.1 to 1.5)δ1.5 (1.3 to 1.6)*
Mean GC dosage >15 mg/day (vs ≤15 mg/day)1.1 (0.9 to 1.2)*1.8 (1.7 to 2.0)*
RA (vs other diagnoses)2.0 (1.5 to 2.5)*2.6 (2.2 to 3.2)*
Chronic respiratory failure (vs other diagnoses)0.5 (0.3 to 0.9)δ1.3 (1.0 to 1.6)NS
Autoimmune disease‡ (vs other diagnoses)2.4 (1.9 to 3.1)*4.7 (3.6 to 6.1)*
Asthma (vs other diagnoses)1.0 (0.6 to 1.7)NS1.1 (0.8 to 1.5)NS
IBD (vs other diagnoses)1.2 (0.7 to 2.0)NS2.2 (1.7 to 2.8)*
DXA performed (vs not performed)4.6 (4.0 to 5.4)*
  • *p<10−6, δp<0.05.

  • †Specialty of hospital-based physicians was not recorded in the database.

  • ‡Defined in this study as systemic lupus erythematosus, Sjögren's syndrome and polyarteritis nodosa.

  • DXA, dual-energy X-ray absorptiometry; GC, glucocorticoid; IBD, inflammatory bowel disease; NS, non-significant; PCP, primary care physician; RA, rheumatoid arthritis.