Primary prophylaxis for steroid-induced osteoporosis: Are we doing enough?–An audit from a tertiary care centre

Abstract Objective To examine the adequacy of primary prophylaxis for glucocorticoid-induced osteoporosis (GIOP) in patients taking long-term steroids. Methods We conducted a retrospective audit in our hospital to determine physician's awareness and preventive measure during treatment against GIOP. Hospital records of patients receiving =7.5mg/day of oral steroids for = 3 months were studied and relevant data was collected. Primary preventive measures instituted against GIOP were noted and analysed. Results One hundred and fifty one patients, 87 females and 64 males, fulfilling the inclusion criteria were included in this study. Of the 151 patients, 44 did not receive any prophylaxis, 73 received inadequate prophylaxis and only 34 were given appropriate prophylaxis. Conclusions The practice of instituting primary preventive measures against GIOP is not satisfactory among prescribing doctors. There is an urgent need to increase awareness and knowledge of GIOP management.