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2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older

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  • Jo Adams, University of Southampton
  • ,
  • Nicky Wilson, University of Southampton
  • ,
  • Emalie Hurkmans, Dutch National Health Care Institute
  • ,
  • Margot Bakkers, EULAR Standing Committee of People with Arthritis/Rheumatism in Europe (PARE)
  • ,
  • Petra Balaová, EULAR Young PARE, Slovak League Against Rheumatism
  • ,
  • Mark Baxter, Southampton University Hospitals NHS Trust
  • ,
  • Anne Birgitte Blavnsfeldt
  • Karine Briot, Institut National de la Recherche Agronomique
  • ,
  • Catharina Chiari, Medical University of Vienna
  • ,
  • Cyrus Cooper, University of Southampton
  • ,
  • Razvan Gabriel Dragoi, Victor Babes University of Medicine and Pharmacy
  • ,
  • Gabriele Gäbler, Medical University of Vienna
  • ,
  • Willem Lems, Vrije Universiteit Amsterdam
  • ,
  • Erika Mosor, Medical University of Vienna
  • ,
  • Sandra Pais, University of Algarve
  • ,
  • Cornelia Simon, Victor Babes University of Medicine and Pharmacy
  • ,
  • Paul Studenic, Medical University of Vienna
  • ,
  • Simon Tilley, Southampton University Hospitals NHS Trust
  • ,
  • Jenny De La Torre-Aboki, Alicante General and University Hospital
  • ,
  • Tanja A. Stamm, Medical University of Vienna, Ludwig Boltzmann Institute

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.

Original languageEnglish
JournalAnnals of the Rheumatic Diseases
Volume80
Issue1
Pages (from-to)57-64
Number of pages8
ISSN0003-4967
DOIs
Publication statusPublished - Jan 2021

    Research areas

  • health services research, multidisciplinary team-care, osteoporosis

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