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 .
Increase in prophylaxis of glucocorticoid-induced osteoporosis by pharmacist feedback: a randomised controlled trial
Summary The aim of this study was to determine whether feedback by pharmacists to prescribers of patients eligible for glucocorticoid-induced osteoporosis prophylaxis would stimulate the prescribing of osteoporosis prophylaxis . The intervention did not significantly increase the prescribing of bisphosphonates  in the total study population , but a significant increase was seen in men and in the elderly . However , the proportion of bisphosphonate-treated patients remained low . Introduction The aim of this study was to determine whether feedback by pharmacists to prescribers of patients eligible for glucocorticoid-induced osteoporosis prophylaxis ( GIOP ) would stimulate the implementation of the Dutch GIOP guideline . Methods This r and omised controlled trial included 695 patients who were dispensed ≥675 mg prednisone equivalents without a concomitant bisphosphonate prescription within 6 months before baseline . Pharmacists were asked to contact the physicians of GIOP-eligible patients in the intervention group to suggest osteoporosis prophylaxis . The primary endpoint was a bisphosphonate prescription . Secondary endpoints were a prescription of calcium supplements , vitamin D or any prophylactic osteoporosis drug ( bisphosphonate , calcium supplements , vitamin D ) . Results The group assigned to the intervention was slightly younger than the control group ( 68.7 ± 15.4 vs. 65.9 ± 16.9 years , p = 0.02 ) and used  hydrocortisone  more often ( 7.0 % vs. 3.1 % , p = 0.02 ) . Within 6 months , the intervention did not significantly increase the prescribing of bisphosphonates  ( 11.4 % after intervention vs. 8.0 % for controls ; hazard ratio [ HR ] 1.47 , 95 % confidence interval [ CI ] 0.91–2.39 ) . However , subgroup analyses showed a significant increase for the primary endpoint in men ( 12.8 % vs. 5.1 % , HR 2.53 , 95 % CI 1.11–5.74 ) and patients ≥70 years ( 13.4 % vs. 4.9 % , HR 2.88 , 95 % CI 1.33–6.23 ) . The prescribing of calcium and vitamin D was not significantly altered . Conclusion This study showed that active identification of patients eligible for GIOP by pharmacists did not significantly increase the prescribing of bisphosphonates  in the total study population , but there was an increase in men and the elderly . However , the proportion of GIOP-treated patients remained low
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 .