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 .
Evaluation of Three Population-Based Strategies for Fracture Prevention: Results of the Osteoporosis Population-Based Risk Assessment (OPRA) Trial
Background : The integration of bone density testing into well- design ed fracture prevention programs that can be applied in population s has not been studied . Objectives : We sought to compare the outcomes of 3 strategies for allocating bone density testing within an HMO-based fracture prevention program . Research Design : Women were r and omly sample d and allocated to one of 3 groups : ( 1 ) a universal group , in which all were offered bone mineral density ( BMD ) testing ( 1986 contacted ; 415 participated ) ; 2 ) the SCORE group , in which women scoring ≥ 7 on the SCORE question naire were invited for BMD testing ( 1940 contacted ; 576 participated ) ; and ( 3 ) the Study of Osteoporotic Fracture (SOF)-based group , in which women with ≥ 5 hip fracture risk factors were invited for BMD testing ( 5342 contacted ; 2176 participated ) . Subjects : Women aged 60–80 not taking hormone therapy or osteoporosis medication were included . Measures : Outcomes ascertained during 33 months of follow-up in all women contacted included initiation of osteoporosis treatment and hip and total fracture rates . Outcomes evaluated among all participants included changes in fracture risk factors , osteoporosis knowledge , and satisfaction with the program . Results : Osteoporosis treatment rates did not differ among all women contacted but were slightly higher among trial participants in the universal and SCORE groups ( 21.1 % and 20.2 % , respectively ; versus 16.7 % in the SOF-based group ( P value versus universal = 0.04 ) . Among all women contacted , fracture rates were lowest in the universal group ( 74.11/1000 ) and differed significantly compared with the SCORE ( 99.44/1000 ; P = 0.009 ) and SOF-based groups ( 91.77/1000;P = 0.02 ) . Knowledge about osteoporosis risk factors was highest in the universal group and lowest in the SOF-based group ( P < 0.01 ) . Conclusions : The degree to which BMD testing was offered to women in a fracture prevention program significantly affected total fracture rates , change in some fracture risk factors , and knowledge about risk factors
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 .