Minimal knowledge exists of patient perceptions and experiences of DXA among those who are fracture naïve: Prior research has focused primarily on secondary fracture prevention contexts. Our metasynthesis reveals patients' significant reliance, given their limited risk appraisal and knowledge, upon primary care providers in decision-making. We urge colleagues to conduct qualitative research on DXA barriers among general primary care population in order to facilitate health care delivery systems better equipped to diagnose and treat patients before their first fracture.
scores in the index and animal foods received lower scores based on a similar scoring system as the previous study. Each cohort was divided into quintiles based on the indices, which were compared based on the primary outcomes, including cardiovascular disease and death from cardiovascular disease. Those in the highest quintile for healthy plant-based diet index had a lower risk of cardiovascular disease mortality compared with the lowest quintile (HR 0.81; 95% CI, 0.68-0.97). Limitations included potential bias resulting from self-reporting of diet.
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