Introduction:-Osteoporosis is a preventable and progressive metabolic bone disease that is commonly encountered in primary care settings. It is characterized by low bone mass and microarchitectural deterioration of bone tissue, leading to enhanced bone fragility and increased fracture risk. Family physicians play a major role in the early detection and treatment of osteoporosis. Aim:-This study aimed to evaluate perception, guideline utilization, and barriers against screening and management of osteoporosis among primary healthcare physicians in the Eastern province of Saudi Arabia (Qatif, Dammam, and Khobar). Subject and Methods:An analytic cross sectional study was conducted among PHCPs in the Eastern province of Saudi Arabia. A self administered questionnaire was distributed. The questionnaire comprised socio-demographic data (e.g., age, gender, qualifications, etc.), 12-items to assess perception about osteoporosis screening and management, 4-items to assess guidelines utilization of osteoporosis screening,and 15-itemsto evaluate the barriers of osteoporosis screening and management
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