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 .
A Clinical Decision Support System for the Diagnosis, Fracture Risks and Treatment of Osteoporosis
Exp and ing medical knowledge increases the potential risk of medical errors in clinical practice . We present , OPAD , a clinical decision support system in the field of the medical care of osteoporosis . We utilize clinical information from international guidelines and experts in the field of osteoporosis . Physicians are provided with user interface to insert st and ard patient data , from which OPAD provides instant diagnostic comments , 10-year risk of fragility fracture , treatment options for the given case , and when to offer a follow-up DXA-evaluation . Thus , the medical decision making is st and ardized according to the best expert knowledge at any given time . OPAD was evaluated in a set of 308 r and omly selected individuals .  OPAD 's ten-year fracture risk computation is nearly identical to FRAX ( r = 0.988 ) . In 58 % of cases OPAD recommended DXA evaluation  at the present time . Following a DXA measurement in all individuals , 71 % of those that were recommended to have DXA at the present time received recommendation for further investigation or specific treatment by the OPAD . In only 5.9 % of individuals in which DXA was not recommended , the result of the BMD measurement changed the recommendations given by OPAD
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 .