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How has COVID-19 affected the treatment of osteoporosis? An IOF-NOF-ESCEO global survey

How has COVID-19 affected the treatment of osteoporosis? An IOF-NOF-ESCEO global survey
How has COVID-19 affected the treatment of osteoporosis? An IOF-NOF-ESCEO global survey
Summary: the effects of COVID-19 have the potential to impact on the management of chronic diseases including osteoporosis. A global survey has demonstrated that these impacts include an increase in telemedicine consultations, delays in DXA scanning, interruptions in the supply of medications and reductions in parenteral medication delivery.

Introduction: the COVID-19 pandemic has had profound effects on the health of the global population both directly, via the sequelae of the infection, and indirectly, including the relative neglect of chronic disease management. Together the International Osteoporosis Foundation and National Osteoporosis Foundation sought to ascertain the impact on osteoporosis management.

Methods: questionnaires were electronically circulated to a sample of members of both learned bodies and included information regarding the location and specialty of respondents, current extent of face to face consultations, alterations in osteoporosis risk assessment, telemedicine experience, alterations to medication ascertainment and delivery and electronic health record (EHR) utilisation. Responses were collected, quantitative data analysed, and qualitative data assessed for recurring themes.

Results: responses were received from 209 healthcare workers from 53 countries, including 28% from Europe, 24% from North America, 19% from the Asia Pacific region, 17% from the Middle East and 12% from Latin America. Most respondents were physicians (85%) with physician assistants, physical therapists and nurses/nurse practitioners represented in the sample. The main three specialties represented included rheumatology (40%), endocrinology (22%) and orthopaedics (15%). In terms of the type of patient contact, 33% of respondents conducted telephone consultations and 21% video consultations. Bone mineral density assessment by dual-energy X-ray absorptiometry (DXA) usage was affected with only 29% able to obtain a scan as recommended. The majority of clinicians (60%) had systems in place to identify patients receiving parenteral medication, and 43% of clinicians reported difficulty in arranging appropriate osteoporosis medications during the COVID-19 crisis.

Conclusions: to conclude through surveying a global sample of osteoporosis healthcare professionals, we have observed an increase in telemedicine consultations, delays in DXA scanning, interrupted supply of medications and reductions in parenteral medication delivery.
COVID-19, Coronavirus, Fracture, Osteoporosis
0937-941X
611-617
Fuggle, Nicholas
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Singer, Andrea
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Gill, Claire
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Patel, Ami
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Medeiros, Andrea
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Mlotek, Anastasia Soulié
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Pierroz, Dominique D.
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Halbout, Phillipe
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Harvey, Nicholas
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Reginster, Jean-Yves
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Cooper, Cyrus
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Greenspan, Susan L.
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Fuggle, Nicholas
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Singer, Andrea
0aefe63e-d7f8-4720-9323-1e248337f396
Gill, Claire
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Patel, Ami
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Medeiros, Andrea
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Mlotek, Anastasia Soulié
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Pierroz, Dominique D.
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Halbout, Phillipe
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Harvey, Nicholas
ce487fb4-d360-4aac-9d17-9466d6cba145
Reginster, Jean-Yves
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Cooper, Cyrus
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Greenspan, Susan L.
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Fuggle, Nicholas, Singer, Andrea, Gill, Claire, Patel, Ami, Medeiros, Andrea, Mlotek, Anastasia Soulié, Pierroz, Dominique D., Halbout, Phillipe, Harvey, Nicholas, Reginster, Jean-Yves, Cooper, Cyrus and Greenspan, Susan L. (2021) How has COVID-19 affected the treatment of osteoporosis? An IOF-NOF-ESCEO global survey. Osteoporosis International, 32 (4), 611-617. (doi:10.1007/s00198-020-05793-3).

Record type: Article

Abstract

Summary: the effects of COVID-19 have the potential to impact on the management of chronic diseases including osteoporosis. A global survey has demonstrated that these impacts include an increase in telemedicine consultations, delays in DXA scanning, interruptions in the supply of medications and reductions in parenteral medication delivery.

Introduction: the COVID-19 pandemic has had profound effects on the health of the global population both directly, via the sequelae of the infection, and indirectly, including the relative neglect of chronic disease management. Together the International Osteoporosis Foundation and National Osteoporosis Foundation sought to ascertain the impact on osteoporosis management.

Methods: questionnaires were electronically circulated to a sample of members of both learned bodies and included information regarding the location and specialty of respondents, current extent of face to face consultations, alterations in osteoporosis risk assessment, telemedicine experience, alterations to medication ascertainment and delivery and electronic health record (EHR) utilisation. Responses were collected, quantitative data analysed, and qualitative data assessed for recurring themes.

Results: responses were received from 209 healthcare workers from 53 countries, including 28% from Europe, 24% from North America, 19% from the Asia Pacific region, 17% from the Middle East and 12% from Latin America. Most respondents were physicians (85%) with physician assistants, physical therapists and nurses/nurse practitioners represented in the sample. The main three specialties represented included rheumatology (40%), endocrinology (22%) and orthopaedics (15%). In terms of the type of patient contact, 33% of respondents conducted telephone consultations and 21% video consultations. Bone mineral density assessment by dual-energy X-ray absorptiometry (DXA) usage was affected with only 29% able to obtain a scan as recommended. The majority of clinicians (60%) had systems in place to identify patients receiving parenteral medication, and 43% of clinicians reported difficulty in arranging appropriate osteoporosis medications during the COVID-19 crisis.

Conclusions: to conclude through surveying a global sample of osteoporosis healthcare professionals, we have observed an increase in telemedicine consultations, delays in DXA scanning, interrupted supply of medications and reductions in parenteral medication delivery.

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COVID-19 clinician survey manuscript 20_12_01 (clean) - Accepted Manuscript
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Accepted/In Press date: 9 December 2020
e-pub ahead of print date: 8 February 2021
Keywords: COVID-19, Coronavirus, Fracture, Osteoporosis

Identifiers

Local EPrints ID: 447039
URI: http://eprints.soton.ac.uk/id/eprint/447039
ISSN: 0937-941X
PURE UUID: 5cb2e780-9625-4ee8-aedc-8483e15999f6
ORCID for Nicholas Harvey: ORCID iD orcid.org/0000-0002-8194-2512
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 02 Mar 2021 17:31
Last modified: 22 Nov 2021 02:50

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Contributors

Author: Nicholas Fuggle
Author: Andrea Singer
Author: Claire Gill
Author: Ami Patel
Author: Andrea Medeiros
Author: Anastasia Soulié Mlotek
Author: Dominique D. Pierroz
Author: Phillipe Halbout
Author: Nicholas Harvey ORCID iD
Author: Jean-Yves Reginster
Author: Cyrus Cooper ORCID iD
Author: Susan L. Greenspan

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