(HealthDay News) — The introduction of pop-up messages relating to a history of dual-energy X-ray absorptiometry (DXA) in an order communication system can increase the rates of DXA prescription, as well as the rates of osteoporosis medication and exercise, according to a study published in the Journal of Evaluation in Clinical Practice.

Joon Yub Kim, MD, PhD, from Myongji Hospital in Goyang-si, South Korea, and colleagues compared the rate of DXA prescription, osteoporosis medication, exercise, mortality, and subsequent refractures for 404 patients treated without and with pop-up messages, implemented in March 2012. Patients were followed for a 2-year period.

The researchers found that the DXA prescription rate increased from 35.1% to 57.1% after introducing the pop-up messages (P<.001). Furthermore, there was an increase in the osteoporosis medication rate from 21.1% to 25.2%, and in the exercise rate from 35.6% to 40.5% (P=.05 and .018, respectively). 

The mortality rates were 4.64% in the group treated before implementation of pop-up messages and 6.67% for those treated after implementation (P=.4). Subsequent refractures occurred in 12.9% and 9.52% of those treated before and after implementation of pop-up messages, respectively (P=.87).

“We recommend using this simple and effective method to improve physicians’ awareness of osteoporosis,” the researchers wrote.


  1. Kim JY, Yoo JH, Kim JW, et al. Pop-up messages in order communication systems can increase awareness of osteoporosis among physicians and improve osteoporosis treatment. J Eval Clin Pract. 2016. doi:10.1111/jep.12553.