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Digital health interventions for osteoporosis and post-fragility fracture care

Digital health interventions for osteoporosis and post-fragility fracture care
Digital health interventions for osteoporosis and post-fragility fracture care
The growing burden from osteoporosis and fragility fractures highlights a need to improve osteoporosis management across healthcare systems. Sub-optimal management of osteoporosis is an area suitable for digital health interventions. While fracture liaison services (FLSs) are proven to greatly improve care for people with osteoporosis, such services might benefit from technologies that enhance automation. The term ‘Digital Health’ covers a variety of different tools including clinical decision support systems, electronic medical record tools, patient decision aids, patient apps, education tools, and novel artificial intelligence (AI) algorithms. Within the scope of this review are AI solutions that use algorithms within health system registries to target interventions. Clinician-targeted, patient-targeted, or system-targeted digital health interventions could be used to improve management and prevent fragility fractures. This review was commissioned by The Royal Osteoporosis Society and Bone Research Academy during the production of the 2020 Research Roadmap (https://theros.org.uk), with the intention of identifying gaps where targeted research funding could lead to improved patient health. We explore potential uses of digital technology in the general management of osteoporosis. Evidence suggests that digital technologies can support multidisciplinary teams to provide the best possible patient care based on current evidence and to support patients in self-management. However, robust randomised controlled studies are still needed to assess the effectiveness and cost-effectiveness of these technologies
1759-720X
Gupta, Amit
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Maslen, Christina
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Vindlacheruvu, Madhavi
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Abel, Richard L.
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Bhattacharya, Pinaki
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Bromiley, Paul A.
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Clark, Emma M.
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Compston, Juliet E.
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Crabtree, Nicola
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Gregory, Jennifer S.
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Kariki, Eleni P.
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Harvey, Nicholas
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McCloskey, Eugene
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Ward, Kate
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Poole, Kenneth E.S.
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Gupta, Amit
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Maslen, Christina
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Vindlacheruvu, Madhavi
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Abel, Richard L.
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Bhattacharya, Pinaki
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Bromiley, Paul A.
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Clark, Emma M.
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Compston, Juliet E.
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Crabtree, Nicola
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Gregory, Jennifer S.
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Kariki, Eleni P.
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Harvey, Nicholas
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McCloskey, Eugene
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Ward, Kate
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Poole, Kenneth E.S.
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Gupta, Amit, Maslen, Christina, Vindlacheruvu, Madhavi, Abel, Richard L., Bhattacharya, Pinaki, Bromiley, Paul A., Clark, Emma M., Compston, Juliet E., Crabtree, Nicola, Gregory, Jennifer S., Kariki, Eleni P., Harvey, Nicholas, McCloskey, Eugene, Ward, Kate and Poole, Kenneth E.S. (2022) Digital health interventions for osteoporosis and post-fragility fracture care. Therapeutic Advances in Musculoskeletal Disease.

Record type: Article

Abstract

The growing burden from osteoporosis and fragility fractures highlights a need to improve osteoporosis management across healthcare systems. Sub-optimal management of osteoporosis is an area suitable for digital health interventions. While fracture liaison services (FLSs) are proven to greatly improve care for people with osteoporosis, such services might benefit from technologies that enhance automation. The term ‘Digital Health’ covers a variety of different tools including clinical decision support systems, electronic medical record tools, patient decision aids, patient apps, education tools, and novel artificial intelligence (AI) algorithms. Within the scope of this review are AI solutions that use algorithms within health system registries to target interventions. Clinician-targeted, patient-targeted, or system-targeted digital health interventions could be used to improve management and prevent fragility fractures. This review was commissioned by The Royal Osteoporosis Society and Bone Research Academy during the production of the 2020 Research Roadmap (https://theros.org.uk), with the intention of identifying gaps where targeted research funding could lead to improved patient health. We explore potential uses of digital technology in the general management of osteoporosis. Evidence suggests that digital technologies can support multidisciplinary teams to provide the best possible patient care based on current evidence and to support patients in self-management. However, robust randomised controlled studies are still needed to assess the effectiveness and cost-effectiveness of these technologies

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Clean revised document - Digital Health Interventions for Osteoporosis and Post-Fragility Fracture Care (4) - Accepted Manuscript
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More information

Accepted/In Press date: 7 February 2022
e-pub ahead of print date: 28 March 2022
Published date: 28 March 2022

Identifiers

Local EPrints ID: 456740
URI: http://eprints.soton.ac.uk/id/eprint/456740
ISSN: 1759-720X
PURE UUID: bb4abc0e-0181-4440-a050-ac81754b3a0e
ORCID for Nicholas Harvey: ORCID iD orcid.org/0000-0002-8194-2512
ORCID for Kate Ward: ORCID iD orcid.org/0000-0001-7034-6750

Catalogue record

Date deposited: 10 May 2022 16:44
Last modified: 28 Feb 2024 02:55

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Contributors

Author: Amit Gupta
Author: Christina Maslen
Author: Madhavi Vindlacheruvu
Author: Richard L. Abel
Author: Pinaki Bhattacharya
Author: Paul A. Bromiley
Author: Emma M. Clark
Author: Juliet E. Compston
Author: Nicola Crabtree
Author: Jennifer S. Gregory
Author: Eleni P. Kariki
Author: Nicholas Harvey ORCID iD
Author: Eugene McCloskey
Author: Kate Ward ORCID iD
Author: Kenneth E.S. Poole

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