{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:18:21Z","timestamp":1791235101742,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with rheumatoid arthritis (RA) are at increased risk of osteoporosis. The Australian Rheumatology Association RA Clinical Care Standard recommends fracture risk assessment at RA diagnosis and as clinically indicated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the use of dual\u2010energy X\u2010ray absorptiometry (DEXA) for osteoporosis screening among\u00a0Australian patients with early RA enrolled in the Australian Rheumatology Association Database (ARAD). We also aimed to assess the dispensing patterns of anti\u2010osteoporotic medications in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      ARAD participants aged \u226518\u2009years with a RA diagnosis from 2011 onwards and linked 2011\u20132023 Medicare Benefits Schedule and Pharmaceutical Benefits Scheme data were included (\n                      <jats:italic>n<\/jats:italic>\n                      =\u2009306). Time to first DEXA and anti\u2010osteoporotic medication dispensing was assessed using Kaplan\u2013Meier failure functions and multivariable Cox regression. Covariates included age, sex, BMI, alcohol use, smoking and glucocorticoid use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median time to first DEXA was 3\u2009years (IQR 0, 10) following RA diagnosis. Predictors for DEXA included female sex (HR 1.6, 95% CI 1.1, 2.4), age \u226550 (HR 2.6, 95% CI 1.8, 3.9) and glucocorticoid use (HR 1.7, 95% CI 1.3, 2.4). DEXA was less likely with BMI \u226525 (HR 0.68, 95% CI 0.48, 0.96). By 8\u2009years after RA diagnosis, 25% of participants received anti\u2010osteoporotic medication, predicted by age \u226550 (HR 6.7, 95% CI 2.1, 21.4) and glucocorticoid use (HR 2.8, 95% CI 1.5, 5.0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings reveal delays and variability in osteoporosis screening for individuals with RA, despite higher fracture risk. Screening practices were influenced by age, glucocorticoid use and BMI, with significant gaps, particularly after diagnosis. These gaps highlight the need for standardised screening protocols to ensure timely DEXA scans and treatment, ultimately improving osteoporosis management and reducing fracture burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/imj.70065","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T22:04:16Z","timestamp":1744754656000},"page":"1127-1135","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Dual\u2010energy X\u2010ray absorptiometry and anti\u2010osteoporotic medication use in Australian patients with early rheumatoid arthritis using data from the Australian Rheumatology Association Database"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8029-4949","authenticated-orcid":false,"given":"Andrea","family":"Lyon","sequence":"first","affiliation":[{"name":"Rheumatology Unit The Queen Elizabeth Hospital  Adelaide South Australia 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