Central European Journal of Medicine

, Volume 9, Issue 5, pp 687–693 | Cite as

Adherence to osteoporosis guideline: survey among Czech general practitioners

  • Magda Vytrisalova
  • Leos FuksaEmail author
  • Vladimir Palicka
  • Svatopluk Byma
  • Sarka Blazkova
  • Jan Stepan
  • Tereza Hendrychova
  • Jiri Vlcek
  • Petr Pavek
Research Article


Rationale and objectives

General practitioners (GPs) play an important role in management of patients at risk of osteoporosis (OP). The objectives were to assess (1) knowledge about OP and use of OP clinical guideline in comparison with other information sources and (2) association between the use of individual information sources and knowledge and self-reported quality of care among GPs.


Survey among random sample of Czech GPs was performed to find out their attitudes and role in OP management. The return rate of the postal questionnaire was 38% (525 respondents). Quality of care was assessed using three indicators: suspicion on OP, referral to the specialist and initial check-up.


Respondents (median age 52 years, 59% women) had a very good knowledge of several risk factors, while others, namely low body mass index, history of hip fracture in mother and smoking were perceived as risk factors by only 40%, 45% and 55% of respondents, respectively. 10% of GPs stated the correct answer regarding daily calcium intake recommended for postmenopausal women. The OP guideline was considered accessible by 83% of respondents and used repeatedly by 54%. Use of the guideline correlated positively with knowledge score (P < 0.001), while use of each individual other source of information did not. Use of the guideline correlated with all three indicators of quality of care. Use of each other information source correlated only with a maximum of two indicators.


We identified areas of insufficient knowledge that should be targeted in educational activities for GPs. It is recommended to further motivate GPs to use their clinical guidelines regularly.


Information sources General practitioners Clinical guideline Knowledge Osteoporosis 


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Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Magda Vytrisalova
    • 1
  • Leos Fuksa
    • 1
    Email author
  • Vladimir Palicka
    • 2
  • Svatopluk Byma
    • 3
  • Sarka Blazkova
    • 1
  • Jan Stepan
    • 4
  • Tereza Hendrychova
    • 1
  • Jiri Vlcek
    • 1
  • Petr Pavek
    • 5
  1. 1.Department of Social and Clinical Pharmacy, Faculty of PharmacyCharles University in PragueHradec KraloveCzech Republic
  2. 2.Osteocentre and Institute of Clinical Biochemistry and DiagnosticsFaculty of Medicine and University Hospital in Hradec Kralove, Charles University in PragueHradec KraloveCzech Republic
  3. 3.Department of Social Medicine, Faculty of Medicine in Hradec KraloveCharles University in PragueHradec KraloveCzech Republic
  4. 4.Institute of Rheumatology, First Faculty of MedicineCharles University in PraguePragueCzech Republic
  5. 5.Department of Pharmacology and Toxicology, Faculty of PharmacyCharles University in PragueHradec KraloveCzech Republic

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