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 randomized trial of a mailed intervention and self-scheduling to improve osteoporosis screening in postmenopausal women.
Guidelines recommend bone density screening with dual-energy X-ray absorptiometry ( DXA ) in women 65 years or older , but < 30 % of eligible women undergo DXA testing . There is a need to identify a systematic , effective , and generalizable way to improve osteoporosis screening . A group r and omized , controlled trial of women ≥65 years old with no DXA in the past 4 years , r and omized to receive intervention material s ( patient osteoporosis brochure and a letter explaining how to self-schedule a DXA scan ) versus usual care ( control ) was undertaken . Outcome of interest was DXA completion .  Of 2997 women meeting inclusion criteria , 977 were r and omized to the intervention group . A total of 17.3 % of women in the intervention group completed a DXA , compared to 5.2 % in the control group ( 12.1 % difference , p < 0.0001 ) . When including only those medically appropriate , we found a difference of 19 % between the two groups ( p < 0.0001 ) . DXA receipt was greater in main clinic patients compared to satellite clinic patients ( 20.9 % main clinic versus 10.1 % satellite clinic ) . The cost to print and mail the intervention was $ 0.79 per patient , per mailing . The number of women to whom intervention needed to be mailed to yield one extra DXA performed was 9 , at a cost of $ 7.11 . DXA scan completion was significantly improved through use of a mailed osteoporosis brochure and the availability for patients to self-schedule . This simple approach may be an effective component of a multifaceted quality improvement program to increase rates of 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 .