Our findings from 55 RCTs and 18 sub-group meta-analyses showed that complex implementation interventions with multiple components consisting of at least education + feedback + follow-up significantly increased the initiation of osteoporosis medications , and interventions with at least education + follow-up significantly increased the initiation of osteoporosis investigations .
No significant impact was found for any type of intervention to reduce fracture .
Complex interventions that include at least education + follow-up or feedback have the most potential for increasing osteoporosis investigations and treatment .
Patient education appears to be an important component in osteoporosis disease management
Osteoporosis is affecting over 200 million people worldwide .
Despite available guidelines , care for these patients remains sub-optimal .
We developed an osteoporosis tool to address the multiple dimensions of chronic disease management .
Findings from its evaluation showed a significant increase from baseline in osteoporosis investigations and treatment , so we are revising this tool to include multiple chronic conditions including an up date of evidence about osteoporosis .
Our objectives were to conduct a systematic review of osteoporosis interventions in adults at risk for osteoporosis .
Effect of Self-referral on Bone Mineral Density Testing and Osteoporosis Treatment
Background : Despite national guidelines recommending bone mineral density screening with dual-energy x-ray absorptiometry ( DXA ) in women aged 65 years and older , many women do not receive initial screening . Objective : To determine the effectiveness of health system and patient-level interventions design ed to increase appropriate DXA testing and osteoporosis treatment through ( 1 ) an invitation to self-refer for DXA ( self-referral ) ; ( 2 ) self-referral plus patient educational material s ; and ( 3 ) usual care ( UC , physician referral ) . Research Design : Parallel , group-r and omized , controlled trials performed at Kaiser Permanente Northwest ( KPNW ) and Kaiser Permanente Georgia ( KPG ) . Subjects : Women aged 65 years and older without a DXA in past 5 years . Measures : DXA completion rates 90 days after intervention mailing and osteoporosis medication receipt 180 days after initial intervention mailing . Results : From > 12,000 eligible women , those r and omized to self-referral were significantly more likely to receive a DXA than UC ( 13.0%–24.1 % self-referral vs. 4.9%–5.9 % UC , P<0.05 ) . DXA rates did not significantly increase with patient educational material s. Osteoporosis was detected in a greater proportion of self-referral women compared with UC ( P<0.001 ) . The number needed to receive an invitation to result in a DXA in KPNW and KPG regions was approximately 5 and 12 , respectively . New osteoporosis prescription rates were low ( 0.8%–3.4 % ) but significantly greater among self-referral versus UC in KPNW . Conclusions : DXA rates significantly improved with a mailed invitation to schedule a scan without physician referral . Providing women the opportunity to self-refer may be an effective , low-cost strategy to increase access for recommended osteoporosis screening
Our findings from 55 RCTs and 18 sub-group meta-analyses showed that complex implementation interventions with multiple components consisting of at least education + feedback + follow-up significantly increased the initiation of osteoporosis medications , and interventions with at least education + follow-up significantly increased the initiation of osteoporosis investigations .
No significant impact was found for any type of intervention to reduce fracture .
Complex interventions that include at least education + follow-up or feedback have the most potential for increasing osteoporosis investigations and treatment .
Patient education appears to be an important component in osteoporosis disease management
Osteoporosis is affecting over 200 million people worldwide .
Despite available guidelines , care for these patients remains sub-optimal .
We developed an osteoporosis tool to address the multiple dimensions of chronic disease management .
Findings from its evaluation showed a significant increase from baseline in osteoporosis investigations and treatment , so we are revising this tool to include multiple chronic conditions including an up date of evidence about osteoporosis .
Our objectives were to conduct a systematic review of osteoporosis interventions in adults at risk for osteoporosis .