Central DXA utilization shifts from office-based to hospital-based settings among medicare beneficiaries in the wake of reimbursement changes

Journal of Bone and Mineral Research

Volumn 27, Issue 4, 2012, Pages 858-864

  Zhang, Jie ^a   Delzell, Elizabeth ^a   Zhao, Hong ^a   Laster, Andrew J ^b   Saag, Kenneth G ^c   Kilgore, Meredith L ^a   Morrisey, Michael A ^a   Wright, Nicole C ^a   Yun, Huifeng ^a   Curtis, Jeffrey R ^a,c  

^a UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^b Arthritis and Osteoporosis Consultants of the Carolinas   (United States)

^c University of Alabama at Birmingham   (United States)

Author keywords

Dual energy X ray absorptiometry (DXA); medicare; osteoporosis; reimbursement; utilization

Indexed keywords

AGED; ARTICLE; DUAL ENERGY X RAY ABSORPTIOMETRY; FEMALE; HEALTH CARE UTILIZATION; HEALTH SERVICE; HIP; HUMAN; MALE; MEDICARE; MONITORING; OSTEOPOROSIS; PHYSICIAN; REIMBURSEMENT; SCREENING; SPINE;

ABSORPTIOMETRY, PHOTON; AGED; AGED, 80 AND OVER; FEMALE; HOSPITALS; HUMANS; INSURANCE, HEALTH, REIMBURSEMENT; MALE; MASS SCREENING; MEDICARE; PHYSICIANS' OFFICES; TIME FACTORS; UNITED STATES;

EID: 84863347003     PISSN: 08840431     EISSN: 15234681     Source Type: Journal    
DOI: 10.1002/jbmr.1534     Document Type: Article

References (16)

1. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A,. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 2007 Mar; 22 (3): 465-75. (Pubitemid 46797130)
2. Johnell O, Kanis JA, Oden A, Sernbo I, Redlund-Johnell I, Petterson C, De Laet C, Jonsson B,. Mortality after osteoporotic fractures. Osteoporos Int. 2004 Jan; 15 (1): 38-42. (Pubitemid 38252438)
3. Looker AC, Orwoll ES, Johnston CC Jr, Lindsay RL, Wahner HW, Dunn WL, Calvo MS, Harris TB, Heyse SP,. Prevalence of low femoral bone density in older U.S. adults from NHANES III. J Bone Miner Res. 1997 Nov; 12 (11): 1761-8. (Pubitemid 27500187)
4. Medicare Enrollment-Aged Beneficiaries: as of July 2006. Centers for Medicare & Medicaid Services. 2006.
5. Lewiecki EM, Baim S, Siris ES,. Osteoporosis care at risk in the United States. Osteoporos Int. 2008; Nov; 19 (11): 1505-9.
6. Hayes BL, Curtis JR, Laster A, Saag K, Tanner SB, Liu C, Womack C, Johnson KC, Khaliq F, Carbone LD,. Osteoporosis care in the United States after declines in reimbursements for DXA. J Clin Densitom. 2010 Oct-Dec; 13 (4): 352-60.
7. O'Malley CD, Johnston SS, Lenhart G, Cherkowski G, Palmer L, Morgan SL,. Trends in dual-energy X-ray absorptiometry in the United States. 2000-9. J Clin Densitom. 2011 Apr-Jun; 14 (2): 100-7.
8. Rural-Urban Commuting Area Codes (RUCAs). Available from:.
9. Bone Health and Osteoporosis: a report of the Surgeon General. 2004.
10. Curtis JR, Carbone L, Cheng H, Hayes B, Laster A, Matthews R, Saag KG, Sepanski R, Tanner SB, Delzell E,. Longitudinal trends in use of bone mass measurement among older americans, 1999-2005. J Bone Miner Res. 2008 Jul; 23 (7): 1061-7. (Pubitemid 351915728)
11. Feldstein A, Elmer PJ, Orwoll E, Herson M, Hillier T,. Bone mineral density measurement and treatment for osteoporosis in older individuals with fractures: a gap in evidence-based practice guideline implementation. Arch Intern Med. 2003 Oct 13; 163 (18): 2165-72. (Pubitemid 37248781)
12. Pressman A, Forsyth B, Ettinger B, Tosteson AN,. Initiation of osteoporosis treatment after bone mineral density testing. Osteoporos Int. 2001; 12 (5): 337-42. (Pubitemid 32606455)
13. Fitt NS, Mitchell SL, Cranney A, Gulenchyn K, Huang M, Tugwell P,. Influence of bone densitometry results on the treatment of osteoporosis. CMAJ. 2001 Mar 20; 164 (6): 777-81. (Pubitemid 32511037)
14. McLeod KM, McCann SE, Horvath PJ, Wactawski-Wende J,. Predictors of change in calcium intake in postmenopausal women after osteoporosis screening. J Nutr. 2007 Aug; 137 (8): 1968-73. (Pubitemid 47292747)
15. Curtis JR, Laster A, Becker DJ, Carbone L, Gary LC, Kilgore ML, Matthews RS, Morrisey MA, Saag KG, Tanner SB, Delzell E,. The geographic availability and associated utilization of dual-energy X-ray absorptiometry (DXA) testing among older persons in the United States. Osteoporos Int. 2009 Sep; 20 (9): 1553-61.
16. Gourlay ML, Fine JP, Preisser JS, May RC, Li C, Lui LY, Ransohoff DF, Cauley JA, Ensrud KE;, Study of Osteoporotic Fractures Research Group. Bone-density testing interval and transition to osteoporosis in older women. N Engl J Med. 2012 Jan 19; 366 (3): 225-33.