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Erschienen in: Osteoporosis International 11/2011

01.11.2011 | Review

Effectiveness of interventions to improve the detection and treatment of osteoporosis in primary care settings: a systematic review and meta-analysis

verfasst von: M.-C. Laliberté, S. Perreault, G. Jouini, B. J. Shea, L. Lalonde

Erschienen in: Osteoporosis International | Ausgabe 11/2011

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Abstract

This study aims to evaluate the effectiveness of primary care interventions to improve the detection and treatment of osteoporosis. Eight electronic databases and six gray literature sources were searched. Randomized controlled trials, controlled clinical trials, quasi-randomized trials, controlled before–after studies, and interrupted time series written in English or French from 1985 to 2009 were considered. Eligible studies had to include patients at risk (women ≥ 65 years, men ≥ 70 years, and men/women ≥ 50 years with at least one major risk factor for osteoporosis) or at high risk (men/women using oral glucocorticoids or with previous fragility fractures) for osteoporosis and fractures. Outcomes included bone mineral density (BMD) testing, osteoporosis treatment initiation, and fractures. Data were pooled using a random effects model when applicable. Thirteen studies were included. The majority were multifaceted and involved patient educational material, physician notification, and/or physician education. Absolute differences in the incidence of BMD testing ranged from 22% to 51% for high-risk patients only and from 4% to 18% for both at-risk and high-risk patients. Absolute differences in the incidence of osteoporosis treatment initiation ranged from 18% to 29% for high-risk patients only and from 2% to 4% for at-risk and high-risk patients. Pooling the results of six trials showed an increased incidence of osteoporosis treatment initiation (risk difference (RD) = 20%; 95% CI: 7–33%) and of BMD testing and/or osteoporosis treatment initiation (RD = 40%; 95% CI: 32–48%) for high-risk patients following intervention. Multifaceted interventions targeting high-risk patients and their primary care providers may improve the management of osteoporosis, but improvements are often clinically modest.
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Literatur
1.
Zurück zum Zitat Brown JP, Josse RG (2002) 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. CMAJ 167(10 Suppl):S1–34PubMed Brown JP, Josse RG (2002) 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada. CMAJ 167(10 Suppl):S1–34PubMed
2.
Zurück zum Zitat Cheung AM, Feig DS, Kapral M et al (2004) Prevention of osteoporosis and osteoporotic fractures in postmenopausal women: recommendation statement from the Canadian Task Force on Preventive Health Care. CMAJ 170(11):1665–7PubMedCrossRef Cheung AM, Feig DS, Kapral M et al (2004) Prevention of osteoporosis and osteoporotic fractures in postmenopausal women: recommendation statement from the Canadian Task Force on Preventive Health Care. CMAJ 170(11):1665–7PubMedCrossRef
3.
Zurück zum Zitat Hodgson SF, Watts NB, Bilezikian JP et al (2003) American Association of Clinical Endocrinologists medical guidelines for clinical practice for the prevention and treatment of postmenopausal osteoporosis: 2001 edition, with selected updates for 2003. Endocr Pract 9(6):544–64PubMed Hodgson SF, Watts NB, Bilezikian JP et al (2003) American Association of Clinical Endocrinologists medical guidelines for clinical practice for the prevention and treatment of postmenopausal osteoporosis: 2001 edition, with selected updates for 2003. Endocr Pract 9(6):544–64PubMed
4.
Zurück zum Zitat American College of Rheumatology Ad Hoc Committee on Glucocorticoid-Induced Osteoporosis (2001) Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis: 2001 update. Arthritis Rheum 44(7):1496–503CrossRef American College of Rheumatology Ad Hoc Committee on Glucocorticoid-Induced Osteoporosis (2001) Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis: 2001 update. Arthritis Rheum 44(7):1496–503CrossRef
6.
Zurück zum Zitat U.S. Preventive Services Task Force (2002) Screening for osteoporosis in postmenopausal women: recommendations and rationale. Ann Intern Med 137(6):526–8 U.S. Preventive Services Task Force (2002) Screening for osteoporosis in postmenopausal women: recommendations and rationale. Ann Intern Med 137(6):526–8
7.
Zurück zum Zitat Papaioannou A, Giangregorio L, Kvern B et al (2004) The osteoporosis care gap in Canada. BMC Musculoskelet Disord 5:11PubMedCrossRef Papaioannou A, Giangregorio L, Kvern B et al (2004) The osteoporosis care gap in Canada. BMC Musculoskelet Disord 5:11PubMedCrossRef
8.
Zurück zum Zitat Giangregorio L, Papaioannou A, Cranney A et al (2006) Fragility fractures and the osteoporosis care gap: an international phenomenon. Semin Arthritis Rheum 35(5):293–305PubMedCrossRef Giangregorio L, Papaioannou A, Cranney A et al (2006) Fragility fractures and the osteoporosis care gap: an international phenomenon. Semin Arthritis Rheum 35(5):293–305PubMedCrossRef
9.
Zurück zum Zitat Elliot-Gibson V, Bogoch ER, Jamal SA et al (2004) Practice patterns in the diagnosis and treatment of osteoporosis after a fragility fracture: a systematic review. Osteoporos Int 15(10):767–78PubMedCrossRef Elliot-Gibson V, Bogoch ER, Jamal SA et al (2004) Practice patterns in the diagnosis and treatment of osteoporosis after a fragility fracture: a systematic review. Osteoporos Int 15(10):767–78PubMedCrossRef
10.
Zurück zum Zitat Ashe M, Khan K, Guy P et al (2004) Wristwatch-distal radial fracture as a marker for osteoporosis investigation: a controlled trial of patient education and a physician alerting system. J Hand Ther 17(3):324–8PubMedCrossRef Ashe M, Khan K, Guy P et al (2004) Wristwatch-distal radial fracture as a marker for osteoporosis investigation: a controlled trial of patient education and a physician alerting system. J Hand Ther 17(3):324–8PubMedCrossRef
11.
Zurück zum Zitat Cranney A, Lam M, Ruhland L et al (2008) A multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures: a cluster randomized trial. Osteoporos Int 19(12):1733–40PubMedCrossRef Cranney A, Lam M, Ruhland L et al (2008) A multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures: a cluster randomized trial. Osteoporos Int 19(12):1733–40PubMedCrossRef
12.
Zurück zum Zitat Feldstein A, Elmer PJ, Smith DH et al (2006) Electronic medical record reminder improves osteoporosis management after a fracture: a randomized, controlled trial. J Am Geriatr Soc 54(3):450–7PubMedCrossRef Feldstein A, Elmer PJ, Smith DH et al (2006) Electronic medical record reminder improves osteoporosis management after a fracture: a randomized, controlled trial. J Am Geriatr Soc 54(3):450–7PubMedCrossRef
13.
Zurück zum Zitat Lafata JE, Kolk D, Peterson EL et al (2007) Improving osteoporosis screening: results from a randomized cluster trial. J Gen Intern Med 22(3):346–51PubMedCrossRef Lafata JE, Kolk D, Peterson EL et al (2007) Improving osteoporosis screening: results from a randomized cluster trial. J Gen Intern Med 22(3):346–51PubMedCrossRef
14.
Zurück zum Zitat Majumdar SR, Rowe BH, Folk D et al (2004) A controlled trial to increase detection and treatment of osteoporosis in older patients with a wrist fracture. Ann Intern Med 141(5):366–73PubMed Majumdar SR, Rowe BH, Folk D et al (2004) A controlled trial to increase detection and treatment of osteoporosis in older patients with a wrist fracture. Ann Intern Med 141(5):366–73PubMed
15.
Zurück zum Zitat Majumdar SR, Beaupre LA, Harley CH et al (2007) Use of a case manager to improve osteoporosis treatment after hip fracture: results of a randomized controlled trial. Arch Intern Med 167(19):2110–5PubMedCrossRef Majumdar SR, Beaupre LA, Harley CH et al (2007) Use of a case manager to improve osteoporosis treatment after hip fracture: results of a randomized controlled trial. Arch Intern Med 167(19):2110–5PubMedCrossRef
16.
Zurück zum Zitat Solomon DH, Katz JN, Finkelstein JS et al (2007) Osteoporosis improvement: a large-scale randomized controlled trial of patient and primary care physician education. J Bone Miner Res 22(11):1808–15PubMedCrossRef Solomon DH, Katz JN, Finkelstein JS et al (2007) Osteoporosis improvement: a large-scale randomized controlled trial of patient and primary care physician education. J Bone Miner Res 22(11):1808–15PubMedCrossRef
17.
Zurück zum Zitat Solomon DH, Polinski JM, Stedman M et al (2007) Improving care of patients at-risk for osteoporosis: a randomized controlled trial. J Gen Intern Med 22(3):362–7PubMedCrossRef Solomon DH, Polinski JM, Stedman M et al (2007) Improving care of patients at-risk for osteoporosis: a randomized controlled trial. J Gen Intern Med 22(3):362–7PubMedCrossRef
18.
Zurück zum Zitat Yuksel N, Majumdar SR, Biggs C et al (2010) Community pharmacist-initiated screening program for osteoporosis: randomized controlled trial. Osteoporos Int 21(3):391–8PubMedCrossRef Yuksel N, Majumdar SR, Biggs C et al (2010) Community pharmacist-initiated screening program for osteoporosis: randomized controlled trial. Osteoporos Int 21(3):391–8PubMedCrossRef
19.
Zurück zum Zitat Davis JC, Guy P, Ashe MC et al (2007) HipWatch: osteoporosis investigation and treatment after a hip fracture: a 6-month randomized controlled trial. J Gerontol A Biol Sci Med Sci 62(8):888–91PubMed Davis JC, Guy P, Ashe MC et al (2007) HipWatch: osteoporosis investigation and treatment after a hip fracture: a 6-month randomized controlled trial. J Gerontol A Biol Sci Med Sci 62(8):888–91PubMed
20.
Zurück zum Zitat McDonough RP, Doucette WR, Kumbera P et al (2005) An evaluation of managing and educating patients on the risk of glucocorticoid-induced osteoporosis. Value Health 8(1):24–31PubMedCrossRef McDonough RP, Doucette WR, Kumbera P et al (2005) An evaluation of managing and educating patients on the risk of glucocorticoid-induced osteoporosis. Value Health 8(1):24–31PubMedCrossRef
21.
Zurück zum Zitat Levy BT, Hartz A, Woodworth G et al (2009) Interventions to improving osteoporosis screening: an Iowa Research Network (IRENE) study. J Am Board Fam Med 22(4):360–7PubMedCrossRef Levy BT, Hartz A, Woodworth G et al (2009) Interventions to improving osteoporosis screening: an Iowa Research Network (IRENE) study. J Am Board Fam Med 22(4):360–7PubMedCrossRef
22.
Zurück zum Zitat Majumdar SR, Johnson JA, McAlister FA et al (2008) Multifaceted intervention to improve diagnosis and treatment of osteoporosis in patients with recent wrist fracture: a randomized controlled trial. CMAJ 178(5):569–75PubMedCrossRef Majumdar SR, Johnson JA, McAlister FA et al (2008) Multifaceted intervention to improve diagnosis and treatment of osteoporosis in patients with recent wrist fracture: a randomized controlled trial. CMAJ 178(5):569–75PubMedCrossRef
23.
Zurück zum Zitat Laliberté MC, Perreault S, Dragomir A et al (2010) Impact of a primary care physician workshop on osteoporosis medical practices. Osteoporos Int 21(9):1471–85PubMedCrossRef Laliberté MC, Perreault S, Dragomir A et al (2010) Impact of a primary care physician workshop on osteoporosis medical practices. Osteoporos Int 21(9):1471–85PubMedCrossRef
24.
Zurück zum Zitat Curtis JR, Westfall AO, Allison J et al (2007) Challenges in improving the quality of osteoporosis care for long-term glucocorticoid users: a prospective randomized trial. Arch Intern Med 167(6):591–6PubMedCrossRef Curtis JR, Westfall AO, Allison J et al (2007) Challenges in improving the quality of osteoporosis care for long-term glucocorticoid users: a prospective randomized trial. Arch Intern Med 167(6):591–6PubMedCrossRef
25.
Zurück zum Zitat Solomon DH, Finkelstein JS, Polinski JM et al (2006) A randomized controlled trial of mailed osteoporosis education to older adults. Osteoporos Int 17(5):760–7PubMedCrossRef Solomon DH, Finkelstein JS, Polinski JM et al (2006) A randomized controlled trial of mailed osteoporosis education to older adults. Osteoporos Int 17(5):760–7PubMedCrossRef
26.
Zurück zum Zitat Solomon DH, Katz JN, La Tourette AM et al (2004) Multifaceted intervention to improve rheumatologists' management of glucocorticoid-induced osteoporosis: a randomized controlled trial. Arthritis Rheum 51(3):383–7PubMedCrossRef Solomon DH, Katz JN, La Tourette AM et al (2004) Multifaceted intervention to improve rheumatologists' management of glucocorticoid-induced osteoporosis: a randomized controlled trial. Arthritis Rheum 51(3):383–7PubMedCrossRef
27.
Zurück zum Zitat Kastner M, Straus SE (2008) Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials. J Gen Intern Med 23(12):2095–105PubMedCrossRef Kastner M, Straus SE (2008) Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials. J Gen Intern Med 23(12):2095–105PubMedCrossRef
28.
Zurück zum Zitat Lai P, Chua SS, Chan SP (2010) A systematic review of interventions by healthcare professionals on community-dwelling postmenopausal women with osteoporosis. Osteoporos Int 21(10):1637–1656PubMedCrossRef Lai P, Chua SS, Chan SP (2010) A systematic review of interventions by healthcare professionals on community-dwelling postmenopausal women with osteoporosis. Osteoporos Int 21(10):1637–1656PubMedCrossRef
29.
Zurück zum Zitat Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–9PubMed Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–9PubMed
30.
Zurück zum Zitat Morris CA, Cabral D, Cheng H et al (2004) Patterns of bone mineral density testing: current guidelines, testing rates, and interventions. J Gen Intern Med 19(7):783–90PubMedCrossRef Morris CA, Cabral D, Cheng H et al (2004) Patterns of bone mineral density testing: current guidelines, testing rates, and interventions. J Gen Intern Med 19(7):783–90PubMedCrossRef
31.
Zurück zum Zitat Solomon DH, Morris C, Cheng H et al (2005) Medication use patterns for osteoporosis: an assessment of guidelines, treatment rates, and quality improvement interventions. Mayo Clin Proc 80(2):194–202PubMedCrossRef Solomon DH, Morris C, Cheng H et al (2005) Medication use patterns for osteoporosis: an assessment of guidelines, treatment rates, and quality improvement interventions. Mayo Clin Proc 80(2):194–202PubMedCrossRef
32.
Zurück zum Zitat Lock CA, Lecouturier J, Mason JM et al (2006) Lifestyle interventions to prevent osteoporotic fractures: a systematic review. Osteoporos Int 17(1):20–8PubMedCrossRef Lock CA, Lecouturier J, Mason JM et al (2006) Lifestyle interventions to prevent osteoporotic fractures: a systematic review. Osteoporos Int 17(1):20–8PubMedCrossRef
33.
Zurück zum Zitat Ladewig PA (1985) Protocol for estrogen replacement therapy in menopausal women. Nurse Pract 10(10):44–7PubMedCrossRef Ladewig PA (1985) Protocol for estrogen replacement therapy in menopausal women. Nurse Pract 10(10):44–7PubMedCrossRef
34.
Zurück zum Zitat Bodenheimer T, Wagner EH, Grumbach K (2002) Improving primary care for patients with chronic illness. JAMA 288(14):1775–9PubMedCrossRef Bodenheimer T, Wagner EH, Grumbach K (2002) Improving primary care for patients with chronic illness. JAMA 288(14):1775–9PubMedCrossRef
35.
Zurück zum Zitat Higgins JPT, Green S, Cochrane Collaboration (2008) Cochrane handbook for systematic reviews of interventions. Wiley-Blackwell, Chichester, p 649CrossRef Higgins JPT, Green S, Cochrane Collaboration (2008) Cochrane handbook for systematic reviews of interventions. Wiley-Blackwell, Chichester, p 649CrossRef
36.
Zurück zum Zitat Murray DM (1998) Design and analysis of group-randomized trials. Oxford University Press, New York, p 467 Murray DM (1998) Design and analysis of group-randomized trials. Oxford University Press, New York, p 467
37.
Zurück zum Zitat Bessette L, Ste-Marie LG, Jean S et al (2008) Recognizing osteoporosis and its consequences in Quebec (ROCQ): background, rationale, and methods of an anti-fracture patient health-management programme. Contemp Clin Trials 29(2):194–210PubMedCrossRef Bessette L, Ste-Marie LG, Jean S et al (2008) Recognizing osteoporosis and its consequences in Quebec (ROCQ): background, rationale, and methods of an anti-fracture patient health-management programme. Contemp Clin Trials 29(2):194–210PubMedCrossRef
38.
Zurück zum Zitat Leslie WD (principal investigator). Closing the post fracture care gap in Manitoba (ongoing study). Information retrieved from Current Controlled Trials (metaRegister), available at: http://www.controlled-trials.com/. Project number: NCT00594789 Leslie WD (principal investigator). Closing the post fracture care gap in Manitoba (ongoing study). Information retrieved from Current Controlled Trials (metaRegister), available at: http://​www.​controlled-trials.​com/​. Project number: NCT00594789
39.
Zurück zum Zitat Majumdar SR, Johnson JA, Lier DA et al (2007) Persistence, reproducibility, and cost-effectiveness of an intervention to improve the quality of osteoporosis care after a fracture of the wrist: results of a controlled trial. Osteoporos Int 18(3):261–70PubMedCrossRef Majumdar SR, Johnson JA, Lier DA et al (2007) Persistence, reproducibility, and cost-effectiveness of an intervention to improve the quality of osteoporosis care after a fracture of the wrist: results of a controlled trial. Osteoporos Int 18(3):261–70PubMedCrossRef
40.
Zurück zum Zitat Morrish DW, Beaupre LA, Bell NR et al (2009) Facilitated bone mineral density testing versus hospital-based case management to improve osteoporosis treatment for hip fracture patients: additional results from a randomized trial. Arthritis Rheum 61(2):209–15PubMedCrossRef Morrish DW, Beaupre LA, Bell NR et al (2009) Facilitated bone mineral density testing versus hospital-based case management to improve osteoporosis treatment for hip fracture patients: additional results from a randomized trial. Arthritis Rheum 61(2):209–15PubMedCrossRef
41.
Zurück zum Zitat Majumdar SR (principal investigator). Addressing vertebral osteoporosis incidentally detected to prevent future fractures (ongoing study). Information retrieved from ClinicalTrials.gov, available at: http://clinicaltrials.gov/. Project number: NCT00388908 Majumdar SR (principal investigator). Addressing vertebral osteoporosis incidentally detected to prevent future fractures (ongoing study). Information retrieved from ClinicalTrials.gov, available at: http://​clinicaltrials.​gov/​. Project number: NCT00388908
42.
Zurück zum Zitat Pencille LJ, Campbell ME, Van Houten HK et al (2009) Protocol for the Osteoporosis Choice trial. A pilot randomized trial of a decision aid in primary care practice. Trials 10:113PubMedCrossRef Pencille LJ, Campbell ME, Van Houten HK et al (2009) Protocol for the Osteoporosis Choice trial. A pilot randomized trial of a decision aid in primary care practice. Trials 10:113PubMedCrossRef
43.
Zurück zum Zitat Solomon DH, Brookhart MA, Polinski J et al (2005) Osteoporosis action: design of the healthy bones project trial. Contemp Clin Trials 26(1):78–94PubMedCrossRef Solomon DH, Brookhart MA, Polinski J et al (2005) Osteoporosis action: design of the healthy bones project trial. Contemp Clin Trials 26(1):78–94PubMedCrossRef
44.
Zurück zum Zitat Waalen J, Bruning AL, Peters MJ et al (2009) A telephone-based intervention for increasing the use of osteoporosis medication: a randomized controlled trial. Am J Manag Care 15(8):e60–70PubMed Waalen J, Bruning AL, Peters MJ et al (2009) A telephone-based intervention for increasing the use of osteoporosis medication: a randomized controlled trial. Am J Manag Care 15(8):e60–70PubMed
45.
Zurück zum Zitat Eekman DA (principal investigator). Implementation of a strategy of osteoporosis screening in patients over 50 years of age with a first fracture (ongoing study). Information retrieved from Current Controlled Trials (ISRCTN Register). Available at: http://www.controlled-trials.com/. Project number: ISRCTN52352361 Eekman DA (principal investigator). Implementation of a strategy of osteoporosis screening in patients over 50 years of age with a first fracture (ongoing study). Information retrieved from Current Controlled Trials (ISRCTN Register). Available at: http://​www.​controlled-trials.​com/​. Project number: ISRCTN52352361
46.
Zurück zum Zitat Shepstone L (principal investigator). A pragmatic randomised controlled trial of the effectiveness and cost effectiveness of Screening for Osteoporosis in Older women for the Prevention of fractures (SCOOP) (ongoing study). Information retrieved from Current Controlled Trials (ISRCTN Register). Available at: http://www.controlled-trials.com/. Project number: ISRCTN55814835 Shepstone L (principal investigator). A pragmatic randomised controlled trial of the effectiveness and cost effectiveness of Screening for Osteoporosis in Older women for the Prevention of fractures (SCOOP) (ongoing study). Information retrieved from Current Controlled Trials (ISRCTN Register). Available at: http://​www.​controlled-trials.​com/​. Project number: ISRCTN55814835
47.
Zurück zum Zitat Ciaschini PM, Straus SE, Dolovich LR et al (2008) Community-based randomised controlled trial evaluating falls and osteoporosis risk management strategies. Trials 9:62PubMedCrossRef Ciaschini PM, Straus SE, Dolovich LR et al (2008) Community-based randomised controlled trial evaluating falls and osteoporosis risk management strategies. Trials 9:62PubMedCrossRef
48.
Zurück zum Zitat Barr RJ, Stewart A, Torgerson DJ et al (2005) Screening elderly women for risk of future fractures—participation rates and impact on incidence of falls and fractures. Calcif Tissue Int 76(4):243–8PubMedCrossRef Barr RJ, Stewart A, Torgerson DJ et al (2005) Screening elderly women for risk of future fractures—participation rates and impact on incidence of falls and fractures. Calcif Tissue Int 76(4):243–8PubMedCrossRef
49.
Zurück zum Zitat Naunton M, Peterson GM, Jones G et al (2004) Multifaceted educational program increases prescribing of preventive medication for corticosteroid induced osteoporosis. J Rheumatol 31(3):550–6PubMed Naunton M, Peterson GM, Jones G et al (2004) Multifaceted educational program increases prescribing of preventive medication for corticosteroid induced osteoporosis. J Rheumatol 31(3):550–6PubMed
50.
Zurück zum Zitat Francis KL, Matthews BL, Van Mechelen W et al (2009) Effectiveness of a community-based osteoporosis education and self-management course: a wait list controlled trial. Osteoporos Int 20(9):1563–70PubMedCrossRef Francis KL, Matthews BL, Van Mechelen W et al (2009) Effectiveness of a community-based osteoporosis education and self-management course: a wait list controlled trial. Osteoporos Int 20(9):1563–70PubMedCrossRef
51.
Zurück zum Zitat Boire G (principal investigator). Strategies to treat osteoporosis following a fragility fracture (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://www.controlled-trials.com/. Project number: NCT00512499 Boire G (principal investigator). Strategies to treat osteoporosis following a fragility fracture (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://​www.​controlled-trials.​com/​. Project number: NCT00512499
52.
Zurück zum Zitat Kilgore ML (principal investigator). Improving osteoporosis care in high-risk home health patients (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://www.controlled-trials.com/. Project number: NCT00679198 Kilgore ML (principal investigator). Improving osteoporosis care in high-risk home health patients (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://​www.​controlled-trials.​com/​. Project number: NCT00679198
53.
Zurück zum Zitat Clark EM (principal investigator). Evaluation of the impact of a case-finding strategy for vertebral fractures (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://www.controlled-trials.com/. Project number: NCT00463905 Clark EM (principal investigator). Evaluation of the impact of a case-finding strategy for vertebral fractures (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://​www.​controlled-trials.​com/​. Project number: NCT00463905
54.
Zurück zum Zitat Kloseck M, Crilly RG, Hanson H et al. Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education model: a randomized controlled trial. 2008; 601. Proceedings of the International Osteoporosis Foundation World Conference on Osteoporosis; Bankok, Thailand, December 3–7. Kloseck M, Crilly RG, Hanson H et al. Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education model: a randomized controlled trial. 2008; 601. Proceedings of the International Osteoporosis Foundation World Conference on Osteoporosis; Bankok, Thailand, December 3–7.
55.
Zurück zum Zitat White TL (2008) Improving osteoporosis knowledge and healthy bone habits of rural-dwelling older adults. Texas Woman's University, USA, p 226 White TL (2008) Improving osteoporosis knowledge and healthy bone habits of rural-dwelling older adults. Texas Woman's University, USA, p 226
56.
Zurück zum Zitat Drummond KA (1998) Effectiveness of learning about osteoporosis with group or impersonal delivery methods in congregate meals participants. Immaculata College, USA, 158 pages Drummond KA (1998) Effectiveness of learning about osteoporosis with group or impersonal delivery methods in congregate meals participants. Immaculata College, USA, 158 pages
57.
Zurück zum Zitat Välimäki MJ (principal investigator) Effectiveness of an educational program in the prevention of osteoporosis and fractures (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://www.controlled-trials.com/. Project number: NCT00589615 Välimäki MJ (principal investigator) Effectiveness of an educational program in the prevention of osteoporosis and fractures (ongoing study). Information retrieved from Current Controlled Trials (metaRegister). Available at: http://​www.​controlled-trials.​com/​. Project number: NCT00589615
58.
Zurück zum Zitat Grahn Kronhed AC, Blomberg C, Lofman O et al (2006) Evaluation of an osteoporosis and fall risk intervention program for community-dwelling elderly. A quasi-experimental study of behavioral modifications. Aging Clin Exp Res 18(3):235–41PubMed Grahn Kronhed AC, Blomberg C, Lofman O et al (2006) Evaluation of an osteoporosis and fall risk intervention program for community-dwelling elderly. A quasi-experimental study of behavioral modifications. Aging Clin Exp Res 18(3):235–41PubMed
59.
Zurück zum Zitat Bero LA, Grilli R, Grimshaw JM et al (1998) Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ 317(7156):465–8PubMed Bero LA, Grilli R, Grimshaw JM et al (1998) Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ 317(7156):465–8PubMed
60.
Zurück zum Zitat Davis DA, Thomson MA, Oxman AD et al (1995) Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA 274(9):700–5PubMedCrossRef Davis DA, Thomson MA, Oxman AD et al (1995) Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA 274(9):700–5PubMedCrossRef
61.
Zurück zum Zitat Farmer AP, Légaré F, Turcot L et al. (2008) Printed educational materials: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews Issue 3 Farmer AP, Légaré F, Turcot L et al. (2008) Printed educational materials: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews Issue 3
62.
Zurück zum Zitat Forsetlund L, Bjorndal A, Rashidian A et al. (2009) Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2009 Issue 2 Forsetlund L, Bjorndal A, Rashidian A et al. (2009) Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2009 Issue 2
63.
Zurück zum Zitat Jamtvedt G, Young JM, Kristoffersen DT et al. (2006) Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2006 Issue 2 Jamtvedt G, Young JM, Kristoffersen DT et al. (2006) Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2006 Issue 2
64.
Zurück zum Zitat O'Brien MA, Rogers S, Jamtvedt G et al. (2007) Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2007 Issue 4 O'Brien MA, Rogers S, Jamtvedt G et al. (2007) Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews 2007 Issue 4
65.
Zurück zum Zitat Teng GG, Warriner A, Curtis JR et al (2008) Improving quality of care in osteoporosis: opportunities and challenges. Curr Rheumatol Rep 10(2):123–30PubMedCrossRef Teng GG, Warriner A, Curtis JR et al (2008) Improving quality of care in osteoporosis: opportunities and challenges. Curr Rheumatol Rep 10(2):123–30PubMedCrossRef
66.
Zurück zum Zitat Jaglal SB, Carroll J, Hawker G et al (2003) How are family physicians managing osteoporosis? Qualitative study of their experiences and educational needs. Can Fam Physician 49:462–8PubMed Jaglal SB, Carroll J, Hawker G et al (2003) How are family physicians managing osteoporosis? Qualitative study of their experiences and educational needs. Can Fam Physician 49:462–8PubMed
Metadaten
Titel
Effectiveness of interventions to improve the detection and treatment of osteoporosis in primary care settings: a systematic review and meta-analysis
verfasst von
M.-C. Laliberté
S. Perreault
G. Jouini
B. J. Shea
L. Lalonde
Publikationsdatum
01.11.2011
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 11/2011
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-011-1557-6

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