Osteoporosis & bone health

Evaluating the impact of COVID-19 on DXA waiting lists and osteoporosis prescription trends in England 2019–2023

Osteoporos IntPublished Retrospective analysis of national datasets

Authors' conclusion

COVID-19 has significantly increased DXA scan waiting lists with ongoing recovery challenges. There is a noticeable disparity in DXA service access across England. Osteoporosis care, indicated by medication prescriptions, also declined during the pandemic.

Study context

Population
NHS England, seven regions: DXA diagnostics waiting times (DM01) and osteoporosis medication prescriptions (English Prescribing Dataset (EPD)), March 2019 to June 2023
Exposure
Before vs during/after COVID-19
Outcome
Yearly mean DXA waiting list length
Methodological detailsregression analysis of expected activity without COVID-19
  • Regression analysis of expected activity without COVID-19

Main finding

As reported in the abstract

2019

31,851

mean

2023

65,757

mean

Observational data: associations, not effects.

Further findings

Outcome20192020
Patients waiting >6 weeks for DXA0.9%40%
Patients waiting >13 weeks for DXA0.1%16.7%

Osteoporosis prescription trends

Increases in denosumab, ibandronic acid and risedronate sodium; decreases in alendronic acid, raloxifene hydrochloride and teriparatide
Notable overall prescription decrease in the second quarter of 2020

Original publication

Evaluating the impact of COVID-19 on DXA waiting lists and osteoporosis prescription trends in England 2019–2023. Osteoporos Int. Published 25 May 2024. doi:10.1007/s00198-024-07120-6

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