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Carolyn Jachna, MD

Assistant Professor of Medicine

Phone314-454-7775

Fax314-996-3087

Emailcmjachna@wustl.edu

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Recognition

National Health Services Corps Scholar, Northwestern University Medical School, 1995
J. William Fulbright Scholarship, Washington University, 1994

Clinical Interests

Osteoporosis
Paget’s Disease of Bone
Metabolic Bone Diseases

Research Interests

Her research interests include evaluation of the patterns of osteoporosis medication use across varying patient populations and identification of barriers to treatment of osteoporosis from the patient and physician perspectives. She has reported significant underutilization of anti-resorptive medications for osteoporosis in nursing facility residents as compared to people living in the community. She has developed a qualitative framework for understanding barriers to treatment of osteoporosis in the elderly in assisted living facilities. Using this information, she is interested in developing clinical protocols to more effectively bridge gaps in treatment of osteoporosis in high risk populations, such as the elderly in facilities and in hospitalized patients with osteoporotic fractures.

Publications

Jachna CM, Whittle J, Lukert B, Graves L, Bhargava T. Effect of Hospitalist Consultation on Treatment of Osteoporosis in Hip Fracture Patients. Osteoporos Int. 2003 Aug;14(8):665-671.
Jachna C, Patel A. Osteoporosis and perioperative medical management of hip fracture. Current Opinion in Orthopaedics. 2004;15:2-7.
Rigler SK, Perera S, Jachna C, Shireman TI, Eng M. Comparison of the association between disease burden and inappropriate medication use across three cohorts of older adults. Am J Geriatr Pharmacother 2004 Dec;2(4):239-247.
Jachna CM, Forbes-Thompson S. Osteoporosis: Health beliefs and barriers to treatment in an assisted living facility. J Gerontol Nurs. 2005 Jan;31(1):24-30.
Rigler SK, Jachna CM, Perera S, Shireman TI, Eng ML. Patterns of potentially inappropriate medication use across three cohorts of older Medicaid recipients. Ann Pharmacother. 2005 Jul;39(7):1175-81.
Shireman TI, Rigler SK, Jachna CM, Griebling TL, Eng ML. The cost effect of newer medication adoption in an older Medicaid cohort. J Am Geriatr Soc. 2005 Aug;53(8):1366-73.
Jachna CM, Whittle J, Shireman TI, Ellerbeck E, Rigler SK. Differing patterns of antiresorptive pharmacotherapy among nursing facility residents and community dwellers. J Am Geriatr Soc 2005; 53(8):1275-1281.

Professional Societies and Organizations

American Society for Bone and Mineral Research