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 Training on the Compliance and Persistence of Weekly Bisphosphonate Treatment in Postmenopausal Osteoporosis: A Randomized Controlled Study
Long-term patient adherence to osteoporosis treatment is poor despite proven efficacy . In this study , we aim ed to assess the impact of active patient training on treatment compliance and persistence in patients with postmenopausal osteoporosis . In the present national , multicenter , r and omized controlled study , postmenopausal osteoporosis patients ( 45 - 75 years ) who were on weekly bisphosphonate treatment were r and omized to active training ( AT ) and passive training ( PT ) groups and followed-up by 4 visits after the initial visit at 3 months interval during 12 months of the treatment . Both groups received a bisphosphonate usage guide and osteoporosis training booklets . Additionally , AT group received four phone calls ( at 2nd , 5th , 8th , and 11th months ) and participated to four interactive social/training meetings held in groups of 10 patients ( at 3rd , 6th , 9th , and 12th months ) . The primary evaluation criteria were self-reported persistence and compliance to the treatment and the secondary evaluation criteria was quality life of the patients assessed by 41-item Quality of Life European Foundation for Osteoporosis ( QUALEFFO-41 ) question naire .. Of 448 patients ( mean age 62.4±7.7 years ) , 226 were r and omized to AT group and 222 were r and omized to PT group . Among the study visits , the most common reason for not receiving treatment regularly was forgetfulness ( 54.9 % for visit 2 , 44.3 % for visit 3 , 51.6 % for visit 4 , and 43.8 % for visit 5 ) , the majority of the patients always used their drugs regularly on recommended days and dosages ( 63.8 % for visit 2 , 60.9 % for visit 3 , 72.1 % for visit 4 , and 70.8 % for visit 5 ) , and most of the patients were highly satisfied with the treatment ( 63.4 % for visit 2 , 68.9 % for visit 3 , 72.4 % for visit 4 , and 65.2 % for visit 5 ) and wanted to continue to the treatment ( 96.5 % for visit 2 , 96.5 % for visit 3 , 96.9 % for visit 4 , and 94.4 % for visit 5 ) . QUALEFFO scores of the patients in visit 1 significantly improved in visit 5 ( 37.7±25.4 vs. 34.0±14.6 , p<0.001 ) ; however , the difference was not significant between AT and PT groups both in visit 1 and visit 5 . In conclusion , in addition to active training , passive training provided at the 1st visit did not improve the persistence and compliance of the patients for bisphosphonate treatment
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 .