Impact of a change in physician reimbursement on bone mineral density testing in Ontario, Canada: a population-based study

Susan Jaglal; Gillian Hawker; Ruth Croxford; Cathy Cameron; Anne-Marie Schott; Sarah Munce; Sonya Allin

doi:10.9778/cmajo.2013-0052

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Figure 1:
Age-standardized rates of dual-energy x-ray absorptiometry among women and men aged 40 years or more, 2002/03 to 2010/11.
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Figure 2:
Age-standardized rates of dual-energy x-ray absorptiometry among women and men aged 68–70 years not previously tested, 2002/03 to 2010/11.
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Figure 3:
Age-standardized rates of dual-energy x-ray absorptiometry performed within 6 months after a fracture among women and men aged 40 years or more, 2002/03 to 2009/10.
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Figure 4:
Age-standardized rates of dual-energy x-ray absorptiometry performed within 6 months after a fracture among adults aged 40 years or more, by fracture type, 2002/03 to 2009/10.

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Table 1: Number and age-standardized rates of dual-energy x-ray absorptiometry (DXA) among women at low and high risk of osteoporosis-related fracture in Ontario, 2002/03 to 2010/11

Year	Baseline*		Low risk		High risk
Year	No.	Rate per 100	No.	Rate per 100	No.	Rate per 100
2002/03	–	–	178 325	6.3	222 555	7.8
2003/04	–	–	161 028	5.5	230 408	7.8
2004/05	–	–	168 277	5.6	249 521	8.3
2005/06	–	–	167 821	5.5	267 710	8.7
2006/07	–	–	175 988	5.6	269 038	8.5
2007/08	–	–	184 080	5.7	264 427	8.1
2008/09	49 800	1.5	101 147	3.0	247 400	7.4
2009/10	52 349	1.6	95 583	2.8	248 793	7.2
2010/11	56 145	1.6	62 927	1.8	245 802	7.0

*On Apr. 1, 2008, the fee schedule for bone mineral density testing was changed and a new fee code for a baseline test added. Individuals are limited to 1 baseline test in their lifetime.