Interventions to improve OP management had a significant positive impact on prescription of BMD measurement but a more limited impact on treatment prescription
Osteoporosis ( OP ) is a major public health concern , but still OP care does not meet guidelines .
Interventions have been developed to improve appropriate OP management .
The objective of the present study was to systematic ally review the current literature to ascertain the efficacy of interventions to improve OP care and characterize interventions taking into account elements related to their potential cost and feasibility .
Increase in prophylaxis of glucocorticoid-induced osteoporosis by pharmacist feedback: a randomised controlled trial
Summary The aim of this study was to determine whether feedback by pharmacists to prescribers of patients eligible for glucocorticoid-induced osteoporosis prophylaxis would stimulate the prescribing of osteoporosis prophylaxis . The intervention did not significantly increase the prescribing of bisphosphonates  in the total study population , but a significant increase was seen in men and in the elderly . However , the proportion of bisphosphonate-treated patients remained low . Introduction The aim of this study was to determine whether feedback by pharmacists to prescribers of patients eligible for glucocorticoid-induced osteoporosis prophylaxis ( GIOP ) would stimulate the implementation of the Dutch GIOP guideline . Methods This r and omised controlled trial included 695 patients who were dispensed ≥675 mg prednisone equivalents without a concomitant bisphosphonate prescription within 6 months before baseline . Pharmacists were asked to contact the physicians of GIOP-eligible patients in the intervention group to suggest osteoporosis prophylaxis . The primary endpoint was a bisphosphonate prescription . Secondary endpoints were a prescription of calcium supplements , vitamin D or any prophylactic osteoporosis drug ( bisphosphonate , calcium supplements , vitamin D ) . Results The group assigned to the intervention was slightly younger than the control group ( 68.7 ± 15.4 vs. 65.9 ± 16.9 years , p = 0.02 ) and used  hydrocortisone  more often ( 7.0 % vs. 3.1 % , p = 0.02 ) . Within 6 months , the intervention did not significantly increase the prescribing of bisphosphonates  ( 11.4 % after intervention vs. 8.0 % for controls ; hazard ratio [ HR ] 1.47 , 95 % confidence interval [ CI ] 0.91–2.39 ) . However , subgroup analyses showed a significant increase for the primary endpoint in men ( 12.8 % vs. 5.1 % , HR 2.53 , 95 % CI 1.11–5.74 ) and patients ≥70 years ( 13.4 % vs. 4.9 % , HR 2.88 , 95 % CI 1.33–6.23 ) . The prescribing of calcium and vitamin D was not significantly altered . Conclusion This study showed that active identification of patients eligible for GIOP by pharmacists did not significantly increase the prescribing of bisphosphonates  in the total study population , but there was an increase in men and the elderly . However , the proportion of GIOP-treated patients remained low
Interventions to improve OP management had a significant positive impact on prescription of BMD measurement but a more limited impact on treatment prescription
Osteoporosis ( OP ) is a major public health concern , but still OP care does not meet guidelines .
Interventions have been developed to improve appropriate OP management .
The objective of the present study was to systematic ally review the current literature to ascertain the efficacy of interventions to improve OP care and characterize interventions taking into account elements related to their potential cost and feasibility .