2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
Autor(a) principal: | |
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Data de Publicação: | 2021 |
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/10400.1/15321 |
Resumo: | Objective To establish European League Against Rheumatism (EULAR) points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older. Methods Points to consider were developed in accordance with EULAR standard operating procedures for EULAR-endorsed recommendations, led by an international multidisciplinary task force, including patient research partners and different health professionals from 10 European countries. Level of evidence and strength of recommendation were determined for each point to consider, and the mean level of agreement among the task force members was calculated. Results Two overarching principles and seven points to consider were formulated based on scientific evidence and the expert opinion of the task force. The two overarching principles focus on shared decisions between patients and non-physician health professionals and involvement of different non-physician health professionals in prevention and management of fragility fractures. Four points to consider relate to prevention: identification of patients at risk of fracture, fall risk evaluation, multicomponent interventions to prevent primary fracture and discouragement of smoking and overuse of alcohol. The remaining three focus on management of fragility fractures: exercise and nutritional interventions, the organisation and coordination of multidisciplinary services for post-fracture models of care and adherence to anti-osteoporosis medicines. The mean level of agreement among the task force for the overarching principles and the points to consider ranged between 8.4 and 9.6. Conclusion These first EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older serve to guide healthcare practice and education. |
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2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or olderAccidental fallsAdvisory ocmmitteesAgedAged, 80 and overBone density conservation agentsEuropeHumansMedication adherenceMiddle AgedNursesNutritionistsOccupational therapistsOsteoporosisOsteoporotic fracturesPharmacistsPhysical therapistsPrimary preventionRheumatologyRisk assessmentSmoking cessationDietary supplementsExerciseHealth personnelSelf-help devicesObjective To establish European League Against Rheumatism (EULAR) points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older. Methods Points to consider were developed in accordance with EULAR standard operating procedures for EULAR-endorsed recommendations, led by an international multidisciplinary task force, including patient research partners and different health professionals from 10 European countries. Level of evidence and strength of recommendation were determined for each point to consider, and the mean level of agreement among the task force members was calculated. Results Two overarching principles and seven points to consider were formulated based on scientific evidence and the expert opinion of the task force. The two overarching principles focus on shared decisions between patients and non-physician health professionals and involvement of different non-physician health professionals in prevention and management of fragility fractures. Four points to consider relate to prevention: identification of patients at risk of fracture, fall risk evaluation, multicomponent interventions to prevent primary fracture and discouragement of smoking and overuse of alcohol. The remaining three focus on management of fragility fractures: exercise and nutritional interventions, the organisation and coordination of multidisciplinary services for post-fracture models of care and adherence to anti-osteoporosis medicines. The mean level of agreement among the task force for the overarching principles and the points to consider ranged between 8.4 and 9.6. Conclusion These first EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older serve to guide healthcare practice and education.HPR 032BMJ JournalsSapientiaAdams, JoWilson, NickyHurkmans, EmalieBakkers, MargotBalážová, PetraBaxter, MarkBlavnsfeldt, Anne-BirgitteBriot, KarineChiari, CatharinaCooper, CyrusDragoi, Razvan GabrielGäbler, GabrieleLems, WillemMosor, ErikaPais, SandraSimon, CorneliaStudenic, PaulTilley, Simonde la Torre-Aboki, JennyStamm, Tanja A2021-04-01T11:15:35Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.1/15321eng0003-496710.1136/annrheumdis-2020-216931info: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:RCAAP2023-07-24T10:27:45Zoai:sapientia.ualg.pt:10400.1/15321Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:06:11.331239Repositório 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 |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older |
title |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older |
spellingShingle |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older Adams, Jo Accidental falls Advisory ocmmittees Aged Aged, 80 and over Bone density conservation agents Europe Humans Medication adherence Middle Aged Nurses Nutritionists Occupational therapists Osteoporosis Osteoporotic fractures Pharmacists Physical therapists Primary prevention Rheumatology Risk assessment Smoking cessation Dietary supplements Exercise Health personnel Self-help devices |
title_short |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older |
title_full |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older |
title_fullStr |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older |
title_full_unstemmed |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older |
title_sort |
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older |
author |
Adams, Jo |
author_facet |
Adams, Jo Wilson, Nicky Hurkmans, Emalie Bakkers, Margot Balážová, Petra Baxter, Mark Blavnsfeldt, Anne-Birgitte Briot, Karine Chiari, Catharina Cooper, Cyrus Dragoi, Razvan Gabriel Gäbler, Gabriele Lems, Willem Mosor, Erika Pais, Sandra Simon, Cornelia Studenic, Paul Tilley, Simon de la Torre-Aboki, Jenny Stamm, Tanja A |
author_role |
author |
author2 |
Wilson, Nicky Hurkmans, Emalie Bakkers, Margot Balážová, Petra Baxter, Mark Blavnsfeldt, Anne-Birgitte Briot, Karine Chiari, Catharina Cooper, Cyrus Dragoi, Razvan Gabriel Gäbler, Gabriele Lems, Willem Mosor, Erika Pais, Sandra Simon, Cornelia Studenic, Paul Tilley, Simon de la Torre-Aboki, 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 |
Adams, Jo Wilson, Nicky Hurkmans, Emalie Bakkers, Margot Balážová, Petra Baxter, Mark Blavnsfeldt, Anne-Birgitte Briot, Karine Chiari, Catharina Cooper, Cyrus Dragoi, Razvan Gabriel Gäbler, Gabriele Lems, Willem Mosor, Erika Pais, Sandra Simon, Cornelia Studenic, Paul Tilley, Simon de la Torre-Aboki, Jenny Stamm, Tanja A |
dc.subject.por.fl_str_mv |
Accidental falls Advisory ocmmittees Aged Aged, 80 and over Bone density conservation agents Europe Humans Medication adherence Middle Aged Nurses Nutritionists Occupational therapists Osteoporosis Osteoporotic fractures Pharmacists Physical therapists Primary prevention Rheumatology Risk assessment Smoking cessation Dietary supplements Exercise Health personnel Self-help devices |
topic |
Accidental falls Advisory ocmmittees Aged Aged, 80 and over Bone density conservation agents Europe Humans Medication adherence Middle Aged Nurses Nutritionists Occupational therapists Osteoporosis Osteoporotic fractures Pharmacists Physical therapists Primary prevention Rheumatology Risk assessment Smoking cessation Dietary supplements Exercise Health personnel Self-help devices |
description |
Objective To establish European League Against Rheumatism (EULAR) points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older. Methods Points to consider were developed in accordance with EULAR standard operating procedures for EULAR-endorsed recommendations, led by an international multidisciplinary task force, including patient research partners and different health professionals from 10 European countries. Level of evidence and strength of recommendation were determined for each point to consider, and the mean level of agreement among the task force members was calculated. Results Two overarching principles and seven points to consider were formulated based on scientific evidence and the expert opinion of the task force. The two overarching principles focus on shared decisions between patients and non-physician health professionals and involvement of different non-physician health professionals in prevention and management of fragility fractures. Four points to consider relate to prevention: identification of patients at risk of fracture, fall risk evaluation, multicomponent interventions to prevent primary fracture and discouragement of smoking and overuse of alcohol. The remaining three focus on management of fragility fractures: exercise and nutritional interventions, the organisation and coordination of multidisciplinary services for post-fracture models of care and adherence to anti-osteoporosis medicines. The mean level of agreement among the task force for the overarching principles and the points to consider ranged between 8.4 and 9.6. Conclusion These first EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older serve to guide healthcare practice and education. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-04-01T11:15:35Z 2021 2021-01-01T00:00:00Z |
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/10400.1/15321 |
url |
http://hdl.handle.net/10400.1/15321 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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0003-4967 10.1136/annrheumdis-2020-216931 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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BMJ Journals |
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BMJ Journals |
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