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 .
Appropriate Osteoporosis Treatment by Family Physicians in Response to FRAX vs CAROC Reporting: Results From a Randomized Controlled Trial
Canadian guidelines recommend either the FRAX or the Canadian Association of Radiologists and Osteoporosis Canada ( CAROC ) fracture risk assessment tools to report 10-yr fracture risk as low ( < 10 % ) , moderate ( 10%–20 % ) or high ( > 20 % ) . It is unknown whether one reporting system is more effective in helping family physicians ( FPs ) identify individuals who require treatment . Individuals ≥50 yr old with a distal radius fracture and no previous osteoporosis diagnosis or treatment were recruited . Participants underwent a dual-energy x-ray absorptiometry scan  and answered questions about fracture risk factors . Participants ’ FPs were r and omized to receive either a FRAX report or the st and ard CAROC-derived bone mineral density report currently used by the institution . Only the FRAX report included statements regarding treatment recommendations . Within 3 mo , all participants were asked about follow-up care by their FP , and treatment recommendations were compared with an osteoporosis specialist . Sixty participants were enrolled ( 31 to FRAX and 29 to CAROC ) . Kappa statistics of agreement in treatment recommendation were 0.64 for FRAX and 0.32 for bone mineral density . The FRAX report was preferred by FPs and result ed in better postfracture follow-up and treatment that agreed more closely with a specialist . Either the clear statement of fracture risk or the specific statement of treatment recommendations on the FRAX report may have supported FPs to make better treatment decisions
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 .