Effect of a dedicated osteoporosis health professional on screening and treatment in outpatients presenting with acute low trauma non-hip fracture: a systematic review

Summary The aim of this study was to identify the effect a dedicated osteoporosis health professional on screening and treatment in outpatients presenting with acute low trauma fracture. A dedicated osteoporosis health professional improved investigation and management of osteoporosis. Osteoporosis...

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Bibliographic Details
Published in:Archives of osteoporosis 2014, Vol.9 (1), p.167-167, Article 167
Main Authors: Bell, Kate, Strand, Haakan, Inder, Warrick J.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Ambulatory Care
Bone Density - physiology
Case-Control Studies
Early Diagnosis
Endocrinology
Health Personnel
Humans
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Osteoporotic Fractures - diagnosis
Osteoporotic Fractures - prevention & control
Osteoporotic Fractures - therapy
Referral and Consultation
Review
Secondary Prevention
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Summary:Summary The aim of this study was to identify the effect a dedicated osteoporosis health professional on screening and treatment in outpatients presenting with acute low trauma fracture. A dedicated osteoporosis health professional improved investigation and management of osteoporosis. Osteoporosis management was enhanced, leading to the potential for future fracture prevention. Purpose This study aimed to review the effect a dedicated osteoporosis health professional on screening and treatment in outpatients presenting with acute low trauma fracture. Methods We searched the electronic databases of Medline, EMBASE, CINAHL, Current Contents Connect, Joanna Briggs Institute EBP, and Cochrane from database development to April 2013, examined grey literature, and completed manual searches of reference lists to identify English language research that examined the effect that dedicated health professional input had on osteoporosis management with acute low trauma non-hip fracture in the outpatient setting. Outcomes were defined as the proportion of patients with investigation (bone mineral density (BMD) or blood screen); treated with vitamin D supplementation or antiresorptive agent; documented BMD reading change; recurrent fracture occurrence; or referral to specialist bone (osteoporosis) clinic. Results All studies with a suitable control group showed an increase in BMD screening in the intervention group (odds ratio (OR) 5.4, 95 % confidence interval (CI) 4.3–6.9, P  
ISSN:1862-3522
1862-3514
DOI:10.1007/s11657-013-0167-7