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 to assess the impact of direct reporting of DXA scan results to patients on quality of osteoporosis care.
Consecutive patients identified as having osteoporosis on screening dual-energy X-ray absorptiometry ( DXA ) scans were r and omized to : ( 1 ) a patient activation intervention consisting of mailing patients their DXA scan results supplemented by a call from a nurse educator or ( 2 ) usual care . Three months after the DXA scan , patients were contacted to assess : ( 1 ) use of antiresorptive therapy , ( 2 ) osteoporosis specific knowledge , and ( 3 ) satisfaction with their osteoporosis-related care .  A total of 1,035 consecutive patients were screened to identify 422 eligible patients . Of these , 56 patients met inclusion criteria and were subsequently r and omized . At follow-up , use of antiresorptive agents  was numerically more common in the intervention arm ( 62 % ) than the control arm ( 54 % ) , but this difference was not statistically significant ( p=0.58 ) . Patients in the intervention group were more likely to report being notified of their DXA results in a timely fashion ( p=0.03 ) , but osteoporosis-specific knowledge was similar
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 .