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 .
The osteoporosis care gap in men with fragility fractures: the Canadian Multicentre Osteoporosis Study
Summary We examined osteoporosis diagnosis/treatment in 2,187 community dwelling men age 50 + . After five years in the study , 90 % of men with fragility fractures remained undiagnosed and untreated for osteoporosis . The need to treat fragility fractures is well established in guidelines , and these numbers represent an important care gap . Introduction Whether physicians in the community are recognizing and appropriately treating osteoporosis and fragility fractures in men remains unknown . We examined the rate of diagnosis and treatment in community dwelling men participating in the Canadian Multicentre Osteoporosis Study ( CaMos ) . Methods Between February 1996 and September 2002 , 2,187 participants were recruited from nine sites across Canada and prospect ively followed . Information on osteoporosis diagnosis , fractures , medications were collected annually by a detailed question naire . DXA examination of lumbar spine ( L1 - 4 ) and hip were conducted at baseline and year five . Results Diagnosis and treatment in men with clinical fragility fractures was low : at baseline and year five only 2.3 % and 10.3 % of men with a clinical fracture reported an osteoporosis diagnosis , respectively . At year five , 90 % of men with a clinical fragility fracture were untreated . Hip fractures were the most commonly treated ( 37.5 % by year five ) . A diagnosis of osteoporosis result ed in greater treatment : 67 % of participants with diagnosed osteoporosis were treated with a bisphosphonate and 87 % were taking calcium and /or vitamin D ( year five ) . Conclusions In this population -based study , both a diagnostic and therapeutic gap existed between knowledge and practice related to fragility fractures and osteoporosis in men aged ≥50 years
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 .