PT - JOURNAL ARTICLE AU - Jo Adams AU - Nicky Wilson AU - Emalie Hurkmans AU - Margot Bakkers AU - Petra Balážová AU - Mark Baxter AU - Anne-Birgitte Blavnsfeldt AU - Karine Briot AU - Catharina Chiari AU - Cyrus Cooper AU - Razvan Gabriel Dragoi AU - Gabriele Gäbler AU - Willem Lems AU - Erika Mosor AU - Sandra Pais AU - Cornelia Simon AU - Paul Studenic AU - Simon Tilley AU - Jenny de la Torre-Aboki AU - Tanja A Stamm TI - 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older AID - 10.1136/annrheumdis-2020-216931 DP - 2020 Apr 24 TA - Annals of the Rheumatic Diseases PG - annrheumdis-2020-216931 4099 - http://ard.bmj.com/content/early/2020/04/24/annrheumdis-2020-216931.short 4100 - http://ard.bmj.com/content/early/2020/04/24/annrheumdis-2020-216931.full 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.