DXA performed | Any 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) | * | * |
Rheumatologist | 3.0 (2.4 to 3.7)* | 2.5 (2.1 to 3.0)* |
Pulmonologist | 1.0 (0.6 to 1.5)NS | 0.9 (0.7 to 1.2)NS |
Gastroenterologist | 1.3 (0.7 to 2.5)NS | 1.7 (1.2 to 2.3)δ |
Internist | 1.4 (0.7 to 2.5)NS | 2.2 (1.5 to 3.3)δ |
Other | 1.2 (0.9 to 1.4)NS | 1.0 (0.9 to 1.1)NS |
Not recorded† | 1.2 (1.1 to 1.5)δ | 1.5 (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)δ | 1.3 (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)NS | 1.1 (0.8 to 1.5)NS |
IBD (vs other diagnoses) | 1.2 (0.7 to 2.0)NS | 2.2 (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.