title: [Osteopenia in primary health care patients: ¿do we need to be more rigorous?].
abstract: OBJECTIVE
  To describe the treatment prescribed to osteopenic women seen at an urban primary health care centre and the treatment compliance of those patients with a prescription of calcium and/or vitamin D.
  
  
  METHODS
  Cross-sectional study, osteopenic women diagnosed by bone densitometry between February 2005 and January 2006 (n=121). Clinical history review: demographic information; previous clinical history of bone fracture, type of fracture; parental history of fractures; tobacco use; osteoporosis-related medication or disease; dietary and sun exposure assessment; calcium, vitamin D and raloxiphene/bisphosphonates prescription; mean daily dose of calcium and vitamin D supplements collected at the pharmacy by patients. Analysis of treatment prescription and compliance according to the information collected was performed.
  
  
  RESULTS
  Mean age, 61.9±9.1 years; 90.7% post-menopausic. The dietary assessment was performed in 30.5% of the women included in the study. The drug prescription was as follows: calcium 74.6%, vitamin D 68.6% and raloxiphene/bisphosphonates 16.1%. All drug prescriptions were associated with lower T-score values. The patient's compliance of calcium supplements has been calculated as mean of 423.8±321.7 mg/day, and 343.1±225.9 IU of vitamin D; with no association with any of the studied variables.
  
  
  CONCLUSIONS
  We identified greater drug prescription in those patients with a lower T-score. The clinical history of previous fracture did not show association with drug prescription nor a better compliance. There was a lack of information about relevant issues in the clinical history of the osteopenic women included in the study. The patient's compliance of calcium and vitamin-D supplements is very variable.
authors.affiliation: CAP Les Corts, Barcelona, España; CS Marines-UBS Can Picafort, Mallorca, Illes Balears, España.
authors.forename: Antoni
authors.initials: A
authors.lastname: Serra Torres
authors.forename: Salvador Sitjar
authors.initials: SS
authors.lastname: Martínez de Sas
authors.forename: Josep Miquel
authors.initials: JM
authors.lastname: Sotoca Momblona
authors.forename: Laia
authors.initials: L
authors.lastname: Alemany Vilches
authors.forename: Bibiana
authors.initials: B
authors.lastname: Contreras Raris
authors.forename: Jordi
authors.initials: J
authors.lastname: Hoyo Sánchez