TY - JOUR
T1 - 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
AU - Adams, Jo
AU - Wilson, Nicky
AU - Hurkmans, Emalie
AU - Bakkers, Margot
AU - Baláová, Petra
AU - Baxter, Mark
AU - Blavnsfeldt, Anne Birgitte
AU - Briot, Karine
AU - Chiari, Catharina
AU - Cooper, Cyrus
AU - Dragoi, Razvan Gabriel
AU - Gäbler, Gabriele
AU - Lems, Willem
AU - Mosor, Erika
AU - Pais, Sandra
AU - Simon, Cornelia
AU - Studenic, Paul
AU - Tilley, Simon
AU - De La Torre-Aboki, Jenny
AU - Stamm, Tanja A.
N1 - Funding Information: Funding This study was funded by the European League Against Rheumatism (EULAR). Grant reference HPR 032. Publisher Copyright: © Author(s) (or their. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - 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.
AB - 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.
KW - health services research
KW - multidisciplinary team-care
KW - osteoporosis
UR - http://www.scopus.com/inward/record.url?scp=85084149987&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/annrheumdis-2020-216931
DO - https://doi.org/10.1136/annrheumdis-2020-216931
M3 - Article
C2 - 32332077
SN - 0003-4967
VL - 80
SP - 57
EP - 64
JO - Annals of the rheumatic diseases
JF - Annals of the rheumatic diseases
IS - 1
M1 - annrheumdis-2020-216931
ER -