Prevention and management of osteoporotic fractures by non-physician health professionals: a systematic literature review to inform EULAR points to consider.

RMD Open
Nicky WilsonTanja A Stamm

Abstract

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. 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. 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 refr...Continue Reading

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Citations

May 14, 2020·International Journal of Environmental Research and Public Health·Lan-Ping LinJin-Ding Lin
Sep 19, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Bo-Lin ChiouHon-Yi Shi
Dec 29, 2020·The Journal of Nutrition, Health & Aging·R AtlihanG Duque

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