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 the Fracture Risk Assessment on Patient and Physician Behavior in Osteoporosis Prevention
Objective : To evaluate the impact of a pharmacist-directed osteoporosis screening program utilizing the  fracture risk assessment ( FRAX ) tool on patient and physician behavior . Methods : Postmenopausal women 45 to 65 years with Achilles T score < −1.0 not receiving bisphosphonate therapy were r and omly assigned to a control or intervention group . All participants received a heel ultrasound and pharmacist education on risks of low bone mass . The intervention group received the FRAX and shared their results with their physician . Three months after screening , a telephonic question naire was administered to all participants . Results : A total of 749 patients were screened , with 87 meeting the enrollment criteria ( 43 control and 44 intervention )  . Physician behavior was not different between the groups with respect to ordering vitamin D levels , prescription medication , or dual-energy x-ray absorptiometry scan . A significant difference in vitamin D supplementation occurred between the 2 groups ( P = .024 ) . At follow-up , 72.2 % of responding participants increased daily calcium intake and 76.4 % started or increased physical activity . Conclusion : Physician behavior was not influenced by FRAX results in the intervention group ; however , positive patient behavior changes occurred in both groups . Primary prevention efforts conducted through heel ultrasound screening and pharmacist consultation led women to follow-up ; however , awareness still needs to be raised of the value of FRAX in osteoporosis prevention
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 .