Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.1/13874 |
Resumo: | Objective To perform a systematic literature review (SLR) about the effect of non-pharmacological interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures. Methods Eight clinical questions based on two criteria guided the SLR: (1) adults >= 50 years at high risk of osteoporotic fracture and (2) interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures. Interventions focused on diagnostic procedures to identify risk of falling, therapeutic approaches and implementation strategies. Outcomes included fractures, falls, risk of falling and change in bone mineral density. Systematic reviews and randomised controlled trials were preferentially selected. Data were synthesised using a qualitative descriptive approach. Results Of 15 917 records, 43 articles were included. Studies were clinically and methodologically diverse. We identified sufficient evidence that structured exercise, incorporating progressive resistance training delivered to people who had undergone hip fracture surgery, and multicomponent exercise, delivered to people at risk of primary fracture, reduced risk of falling. The effectiveness of multidisciplinary fracture liaison services in reducing refracture rate was confirmed. There was insufficient evidence found to support the effectiveness of nutrients and falls prevention programmes in this patient population. Conclusion Despite study heterogeneity, our SLR showed beneficial effects of some interventions delivered by non-physician health professionals and the positive impact of multidisciplinary team working and patient educational approaches to prevent and manage osteoporotic fractures. These results informed a EULAR taskforce that developed points to consider for non-physician health professionals to prevent and manage osteoporotic fractures. |
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Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to considerHip fractureInterventionsOccupational therapistFallsNutritional supplementationFunctional mobilityElderly-womenOlder-adultsRisk-factorsExerciseObjective To perform a systematic literature review (SLR) about the effect of non-pharmacological interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures. Methods Eight clinical questions based on two criteria guided the SLR: (1) adults >= 50 years at high risk of osteoporotic fracture and (2) interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures. Interventions focused on diagnostic procedures to identify risk of falling, therapeutic approaches and implementation strategies. Outcomes included fractures, falls, risk of falling and change in bone mineral density. Systematic reviews and randomised controlled trials were preferentially selected. Data were synthesised using a qualitative descriptive approach. Results Of 15 917 records, 43 articles were included. Studies were clinically and methodologically diverse. We identified sufficient evidence that structured exercise, incorporating progressive resistance training delivered to people who had undergone hip fracture surgery, and multicomponent exercise, delivered to people at risk of primary fracture, reduced risk of falling. The effectiveness of multidisciplinary fracture liaison services in reducing refracture rate was confirmed. There was insufficient evidence found to support the effectiveness of nutrients and falls prevention programmes in this patient population. Conclusion Despite study heterogeneity, our SLR showed beneficial effects of some interventions delivered by non-physician health professionals and the positive impact of multidisciplinary team working and patient educational approaches to prevent and manage osteoporotic fractures. These results informed a EULAR taskforce that developed points to consider for non-physician health professionals to prevent and manage osteoporotic fractures.This study was funded by the EULAR. Grant reference HPR 032.BMJ Publishing GroupSapientiaWilson, NickyHurkmans, EmailieAdams, JoBakkers, MargotBalážová, PetraBaxter, MarkBlavnsfeldt, Anne-BirgitteBriot, KarineChiari, CatharinaCooper, CyrusDragoi, RazvanGäbler, GabrieleLems, WillemMosor, ErikaPais, SandraSimon, CorneliaStudenic, PaulTilley, Simonde la Torre, JennyStamm, Tanja A2020-05-12T10:19:15Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.1/13874eng2056-593310.1136/rmdopen-2019-001143info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-24T10:26:05Zoai:sapientia.ualg.pt:10400.1/13874Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:04:59.473577Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider |
title |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider |
spellingShingle |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider Wilson, Nicky Hip fracture Interventions Occupational therapist Falls Nutritional supplementation Functional mobility Elderly-women Older-adults Risk-factors Exercise |
title_short |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider |
title_full |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider |
title_fullStr |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider |
title_full_unstemmed |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider |
title_sort |
Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider |
author |
Wilson, Nicky |
author_facet |
Wilson, Nicky Hurkmans, Emailie Adams, Jo Bakkers, Margot Balážová, Petra Baxter, Mark Blavnsfeldt, Anne-Birgitte Briot, Karine Chiari, Catharina Cooper, Cyrus Dragoi, Razvan Gäbler, Gabriele Lems, Willem Mosor, Erika Pais, Sandra Simon, Cornelia Studenic, Paul Tilley, Simon de la Torre, Jenny Stamm, Tanja A |
author_role |
author |
author2 |
Hurkmans, Emailie Adams, Jo Bakkers, Margot Balážová, Petra Baxter, Mark Blavnsfeldt, Anne-Birgitte Briot, Karine Chiari, Catharina Cooper, Cyrus Dragoi, Razvan Gäbler, Gabriele Lems, Willem Mosor, Erika Pais, Sandra Simon, Cornelia Studenic, Paul Tilley, Simon de la Torre, Jenny Stamm, Tanja A |
author2_role |
author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Sapientia |
dc.contributor.author.fl_str_mv |
Wilson, Nicky Hurkmans, Emailie Adams, Jo Bakkers, Margot Balážová, Petra Baxter, Mark Blavnsfeldt, Anne-Birgitte Briot, Karine Chiari, Catharina Cooper, Cyrus Dragoi, Razvan Gäbler, Gabriele Lems, Willem Mosor, Erika Pais, Sandra Simon, Cornelia Studenic, Paul Tilley, Simon de la Torre, Jenny Stamm, Tanja A |
dc.subject.por.fl_str_mv |
Hip fracture Interventions Occupational therapist Falls Nutritional supplementation Functional mobility Elderly-women Older-adults Risk-factors Exercise |
topic |
Hip fracture Interventions Occupational therapist Falls Nutritional supplementation Functional mobility Elderly-women Older-adults Risk-factors Exercise |
description |
Objective To perform a systematic literature review (SLR) about the effect of non-pharmacological interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures. Methods Eight clinical questions based on two criteria guided the SLR: (1) adults >= 50 years at high risk of osteoporotic fracture and (2) interventions delivered by non-physician health professionals to prevent and manage osteoporotic fractures. Interventions focused on diagnostic procedures to identify risk of falling, therapeutic approaches and implementation strategies. Outcomes included fractures, falls, risk of falling and change in bone mineral density. Systematic reviews and randomised controlled trials were preferentially selected. Data were synthesised using a qualitative descriptive approach. Results Of 15 917 records, 43 articles were included. Studies were clinically and methodologically diverse. We identified sufficient evidence that structured exercise, incorporating progressive resistance training delivered to people who had undergone hip fracture surgery, and multicomponent exercise, delivered to people at risk of primary fracture, reduced risk of falling. The effectiveness of multidisciplinary fracture liaison services in reducing refracture rate was confirmed. There was insufficient evidence found to support the effectiveness of nutrients and falls prevention programmes in this patient population. Conclusion Despite study heterogeneity, our SLR showed beneficial effects of some interventions delivered by non-physician health professionals and the positive impact of multidisciplinary team working and patient educational approaches to prevent and manage osteoporotic fractures. These results informed a EULAR taskforce that developed points to consider for non-physician health professionals to prevent and manage osteoporotic fractures. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-05-12T10:19:15Z 2020 2020-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.1/13874 |
url |
http://hdl.handle.net/10400.1/13874 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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2056-5933 10.1136/rmdopen-2019-001143 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
BMJ Publishing Group |
publisher.none.fl_str_mv |
BMJ Publishing Group |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133287842578432 |