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 EULA...

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Autores: Adams, J, Wilson, N, Hurkmans, E, Bakkers, M, Balazova, P, Baxter, M, Blavnsfeldt, AB, Briot, K, Chiari, C, Cooper, C, Dragoi, RG, Gabler, G, Lems, W, Mosor, E, Pais, S, Simon, C, Studenic, P, Tilley, S, de la Torre-Aboki, J, Stamm, TA
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p7817
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones7817
Access Level:acceso abierto
Palabra clave:*health services research
*multidisciplinary team-care
*osteoporosis
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spelling 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or olderAdams, JWilson, NHurkmans, EBakkers, MBalazova, PBaxter, MBlavnsfeldt, ABBriot, KChiari, CCooper, CDragoi, RGGabler, GLems, WMosor, EPais, SSimon, CStudenic, PTilley, Sde la Torre-Aboki, JStamm, TA*health services research*multidisciplinary team-care*osteoporosisObjective 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.ELSEVIER2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones7817ANNALS OF THE RHEUMATIC DISEASESISSN: 00034967ISSNe: 14682060reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p78172026-06-12T10:20:37Z
dc.title.none.fl_str_mv 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
title 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
spellingShingle 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
Adams, J
*health services research
*multidisciplinary team-care
*osteoporosis
title_short 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
title_full 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
title_fullStr 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
title_full_unstemmed 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
title_sort 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
dc.creator.none.fl_str_mv Adams, J
Wilson, N
Hurkmans, E
Bakkers, M
Balazova, P
Baxter, M
Blavnsfeldt, AB
Briot, K
Chiari, C
Cooper, C
Dragoi, RG
Gabler, G
Lems, W
Mosor, E
Pais, S
Simon, C
Studenic, P
Tilley, S
de la Torre-Aboki, J
Stamm, TA
author Adams, J
author_facet Adams, J
Wilson, N
Hurkmans, E
Bakkers, M
Balazova, P
Baxter, M
Blavnsfeldt, AB
Briot, K
Chiari, C
Cooper, C
Dragoi, RG
Gabler, G
Lems, W
Mosor, E
Pais, S
Simon, C
Studenic, P
Tilley, S
de la Torre-Aboki, J
Stamm, TA
author_role author
author2 Wilson, N
Hurkmans, E
Bakkers, M
Balazova, P
Baxter, M
Blavnsfeldt, AB
Briot, K
Chiari, C
Cooper, C
Dragoi, RG
Gabler, G
Lems, W
Mosor, E
Pais, S
Simon, C
Studenic, P
Tilley, S
de la Torre-Aboki, J
Stamm, TA
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv *health services research
*multidisciplinary team-care
*osteoporosis
topic *health services research
*multidisciplinary team-care
*osteoporosis
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones7817
url https://isabial.portalinvestigacion.com/publicaciones7817
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv ANNALS OF THE RHEUMATIC DISEASES
ISSN: 00034967
ISSNe: 14682060
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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