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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

2021Journal article Open Access
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dc.contributor.authorAdams, Jo
dc.contributor.authorWilson, Nicky
dc.contributor.authorHurkmans, Emalie
dc.contributor.authorBakkers, Margot
dc.contributor.authorBalážová, Petra
dc.contributor.authorBaxter, Mark
dc.contributor.authorBlavnsfeldt, Anne-Birgitte
dc.contributor.authorBriot, Karine
dc.contributor.authorChiari, Catharina
dc.contributor.authorCooper, Cyrus
dc.contributor.authorDragoi, Razvan Gabriel
dc.contributor.authorGäbler, Gabriele
dc.contributor.authorLems, Willem
dc.contributor.authorMosor, Erika
dc.contributor.authorPais, Sandra
dc.contributor.authorSimon, Cornelia
dc.contributor.authorStudenic, Paul
dc.contributor.authorTilley, Simon
dc.contributor.authorde la Torre-Aboki, Jenny
dc.contributor.authorStamm, Tanja A
dc.date.accessioned2021-04-01T11:15:35Z
dc.date.available2021-04-01T11:15:35Z
dc.date.issued2021
dc.description.abstractObjective 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.pt_PT
dc.description.sponsorshipHPR 032pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1136/annrheumdis-2020-216931pt_PT
dc.identifier.issn0003-4967
dc.identifier.urihttp://hdl.handle.net/10400.1/15321
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Journalspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAccidental fallspt_PT
dc.subjectAdvisory ocmmitteespt_PT
dc.subjectAgedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectBone density conservation agentspt_PT
dc.subjectEuropept_PT
dc.subjectHumanspt_PT
dc.subjectMedication adherencept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectNursespt_PT
dc.subjectNutritionistspt_PT
dc.subjectOccupational therapistspt_PT
dc.subjectOsteoporosispt_PT
dc.subjectOsteoporotic fracturespt_PT
dc.subjectPharmacistspt_PT
dc.subjectPhysical therapistspt_PT
dc.subjectPrimary preventionpt_PT
dc.subjectRheumatologypt_PT
dc.subjectRisk assessmentpt_PT
dc.subjectSmoking cessationpt_PT
dc.subjectDietary supplementspt_PT
dc.subjectExercisept_PT
dc.subjectHealth personnelpt_PT
dc.subjectSelf-help devicespt_PT
dc.title2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or olderpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage64pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage57pt_PT
oaire.citation.titleAnnals of the Rheumatic Diseasespt_PT
oaire.citation.volume80pt_PT
person.familyNamePais
person.givenNameSandra
person.identifier.ciencia-id1F1A-ED3C-3260
person.identifier.orcid0000-0001-8472-4994
person.identifier.scopus-author-id56469150800
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationcc90b4e2-ac8a-41d3-afff-7e5d5392bfb7
relation.isAuthorOfPublication.latestForDiscoverycc90b4e2-ac8a-41d3-afff-7e5d5392bfb7

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