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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 older

2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
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.
0003-4967
Adams, Joanna
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Wilson, Nicola J
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Hurkmans, EJ
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Bakkers, M
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Balážová, P
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Baxter, M
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Blavnsfeldt, A
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Briot, K
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Chiari, C
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Cooper, C
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Dragoi, RG
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Gäbler, G
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Lems, WF
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Mosor, E
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Pais, S
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Simon, C
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Studenic, P
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Tilley, S
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de la Torre, J
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Stamm, T
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Adams, Joanna
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Wilson, Nicola J
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Hurkmans, EJ
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Bakkers, M
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Balážová, P
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Baxter, M
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Blavnsfeldt, A
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Briot, K
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Chiari, C
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Cooper, C
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Dragoi, RG
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Gäbler, G
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Lems, WF
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Mosor, E
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Pais, S
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Simon, C
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Studenic, P
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Tilley, S
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de la Torre, J
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Stamm, T
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Adams, Joanna, Wilson, Nicola J, Hurkmans, EJ, Bakkers, M, Balážová, P, Baxter, M, Blavnsfeldt, A, Briot, K, Chiari, C, Cooper, C, Dragoi, RG, Gäbler, G, Lems, WF, Mosor, E, Pais, S, Simon, C, Studenic, P, Tilley, S, de la Torre, J and Stamm, T (2020) 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older. Annals of the Rheumatic Diseases. (doi:10.1136/annrheumdis-2020-216931).

Record type: Article

Abstract

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 older - Accepted Manuscript
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More information

Accepted/In Press date: 2 April 2020
e-pub ahead of print date: 24 April 2020

Identifiers

Local EPrints ID: 439614
URI: http://eprints.soton.ac.uk/id/eprint/439614
ISSN: 0003-4967
PURE UUID: 2d1bc46c-aba4-4c38-884d-ac2d1ca2c770
ORCID for Joanna Adams: ORCID iD orcid.org/0000-0003-1765-7060
ORCID for Nicola J Wilson: ORCID iD orcid.org/0000-0001-7404-7360

Catalogue record

Date deposited: 28 Apr 2020 16:30
Last modified: 07 Oct 2020 01:38

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Contributors

Author: Joanna Adams ORCID iD
Author: Nicola J Wilson ORCID iD
Author: EJ Hurkmans
Author: M Bakkers
Author: P Balážová
Author: M Baxter
Author: A Blavnsfeldt
Author: K Briot
Author: C Chiari
Author: C Cooper
Author: RG Dragoi
Author: G Gäbler
Author: WF Lems
Author: E Mosor
Author: S Pais
Author: C Simon
Author: P Studenic
Author: S Tilley
Author: J de la Torre
Author: T Stamm

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