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 .
Effects of medication reviews performed by a physician on treatment with fracture-preventing and fall-risk-increasing drugs in older adults with hip fracture-a randomized controlled study.
OBJECTIVES To investigate whether medication review s increase treatment with fracture-preventing drugs and decrease treatment with fall-risk-increasing drugs . DESIGN R and omized controlled trial ( 1:1 ) . SETTING Departments of orthopedics , geriatrics , and medicine at Sahlgrenska University Hospital , Gothenburg , Sweden . PARTICIPANTS One hundred ninety-nine consecutive individuals with hip fracture aged 65 and older . INTERVENTION Medication review s , based on assessment s of risks of falls and fractures , regarding fracture-preventing and fall-risk-increasing drugs , performed by a physician , conveyed orally and in written form to hospital physicians during the hospital stay , and to general practitioners after discharge . MEASUREMENTS Primary outcomes were changes in treatment with fracture-preventing and fall-risk-increasing drugs 12 months after discharge . Secondary outcomes were falls , fractures , deaths , and physicians ' attitudes toward the intervention . RESULTS At admission , 26 % of intervention and 29 % of control participants were taking fracture-preventing drugs , and 12 % and 11 % , respectively , were taking bone-active drugs , predominantly bisphosphonates . After 12 months , 77 % of intervention and 58 % of control participants were taking fracture-preventing drugs ( P = .01 ) , and 29 % and 15 % , respectively , were taking bone-active drugs ( P = .04 ) . Mean number of fall-risk-increasing drugs per participants was 3.1 ( intervention ) and 3.1 ( control ) at admission and 2.9 ( intervention ) and 3.1 ( control ) at 12 months ( P = .62 ) . No significant differences in hard endpoints were found . The responding physicians ( n = 65 ) appreciated the intervention ; on a scale from 1 ( very bad ) to 6 ( very good ) , the median rating was 5 ( interquartile range ( IQR ) 4 - 6 ) for the oral part and 5 ( IQR 4 - 5.5 ) for the text part . CONCLUSION Medication review s performed and conveyed by a physician increased treatment with fracture-preventing drugs but did not significantly decrease treatment with fall-risk-increasing drugs in older adults with hip fracture . Prescribing physicians appreciated this intervention
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 .