Archives of Osteoporosis

, 8:120

Does insufficient access to dual-energy X-ray absorptiometry (DXA) stifle the provision of quality osteoporosis care in New Zealand?

  • Stella Milsom
  • William Leung
  • Victoria Twigden
  • Paul Mitchell
  • Mike Nowitz
  • Jillian Cornish
Original Article

DOI: 10.1007/s11657-013-0120-9

Cite this article as:
Milsom, S., Leung, W., Twigden, V. et al. Arch Osteoporos (2013) 8: 120. doi:10.1007/s11657-013-0120-9

Abstract

Summary

Access to dual-energy X-ray absorptiometry (DXA) scanning varies significantly throughout New Zealand with the majority of scans funded privately or through the health industry. Barriers to access need to be addressed if osteoporosis guidelines are to be implemented across the country equitably, to reduce the incidence and cost of fragility fractures in New Zealand.

Purpose

This study aims (1) to estimate the number of dual-energy X-ray absorptiometry scans performed in New Zealand, (2) to determine funding sources of DXA scans and (3) to determine the level of regional variation in access.

Methods

DXA scan providers in New Zealand were accessed through a nationwide database and asked to provide data on DXA scans performed in 2007. The numbers of DXA scans performed in each District Health Board (DHB) region were calculated by using a funding source and compared with DHB population estimates provided by Statistics New Zealand for 2007.

Results

In New Zealand in 2007, 33,104 DXA scans were performed, with a population rate of 78.1 DXA scans per annum per 10,000 general population, significantly less than international guidelines. There were important regional differences in access to DXA scanning. Funding for scans was predominately by private and pharmaceutical industry funders. DHBs funded only 31 % of DXA scans during this time period.

Conclusions

Access to DXA scan technology varies significantly throughout New Zealand, with the majority of DXA scans funded by the private sector or health industry. Barriers to access need to be addressed if osteoporosis guidelines are to be implemented across the country in an equitable fashion and so reduce the incidence and cost of fragility fractures to New Zealand.

Keywords

Bone densitometryFragility fracturesHealthcare costs

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2013

Authors and Affiliations

  • Stella Milsom
    • 1
    • 2
  • William Leung
    • 3
  • Victoria Twigden
    • 3
  • Paul Mitchell
    • 2
  • Mike Nowitz
    • 4
  • Jillian Cornish
    • 2
    • 3
  1. 1.Department of Obstetrics and GynaecologyUniversity of AucklandAucklandNew Zealand
  2. 2.Osteoporosis New ZealandWellingtonNew Zealand
  3. 3.Department of MedicineUniversity of AucklandAucklandNew Zealand
  4. 4.Wellington School of Medicine and Health SciencesWellingtonNew Zealand