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 .
Impact of a centralized osteoporosis coordinator on post-fracture osteoporosis management: a cluster randomized trial
Summary We conducted a cluster r and omized trial evaluating the effect of a central ized coordinator who identifies and follows up with fracture patients and their primary care physicians about osteoporosis . Compared with controls , intervention patients were five times more likely to receive BMD testing and two times more likely to receive appropriate management . Introduction To determine if a central ized coordinator who follows up with fracture patients and their primary care physicians by telephone and mail ( intervention ) will increase the proportion of patients who receive appropriate post-fracture osteoporosis management , compared to simple fall prevention advice ( attention control ) . Methods A cluster r and omized controlled trial was conducted in small community hospitals in the province of Ontario , Canada . Hospitals that treated between 60 and 340 fracture patients per year were eligible . Patients 40 years and older presenting with a low trauma fracture were identified from Emergency Department records and enrolled in the trial . The primary outcome was ‘ appropriate ’ management , defined as a normal bone mineral density ( BMD ) test or taking osteoporosis medications . Results Thirty-six hospitals were r and omized to either intervention or control and 130 intervention and 137 control subjects completed the study . The mean age of participants was 65 ± 12 years and 69 % were female . The intervention increased the proportion of patients who received appropriate management within 6 months of fracture ; 45 % in the intervention group compared with 26 % in the control group ( absolute difference of 19 % ; adjusted OR , 2.3 ; 95 % CI , 1.3–4.1 ) . The proportion who had a BMD test scheduled or performed was much higher with 57 % of intervention patients compared with 21 % of controls ( absolute difference of 36 % ; adjusted OR , 4.8 ; 95 % CI , 3.0–7.0 ) . Conclusions A central ized osteoporosis coordinator is effective in improving the quality of osteoporosis care in smaller communities that do not have on-site coordinators or direct access to osteoporosis specialists
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 .