RT Journal Article
SR Electronic
T1 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
JF Annals of the Rheumatic Diseases
JO Ann Rheum Dis
FD BMJ Publishing Group Ltd and European League Against Rheumatism
SP annrheumdis-2020-216931
DO 10.1136/annrheumdis-2020-216931
A1 Jo Adams
A1 Nicky Wilson
A1 Emalie Hurkmans
A1 Margot Bakkers
A1 Petra Balážová
A1 Mark Baxter
A1 Anne-Birgitte Blavnsfeldt
A1 Karine Briot
A1 Catharina Chiari
A1 Cyrus Cooper
A1 Razvan Gabriel Dragoi
A1 Gabriele Gäbler
A1 Willem Lems
A1 Erika Mosor
A1 Sandra Pais
A1 Cornelia Simon
A1 Paul Studenic
A1 Simon Tilley
A1 Jenny de la Torre-Aboki
A1 Tanja A Stamm
YR 2020
UL http://ard.bmj.com/content/early/2020/04/24/annrheumdis-2020-216931.abstract
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.