2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older.
2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older.
复制标题
DOI：
10.1136/annrheumdis-2020-216931
复制
发表时间：
2021-01
影响因子：
27.4
通讯作者：
Stamm TA
中科院分区：
文献类型：
--
作者：
Adams J;Wilson N;Hurkmans E;Bakkers M;Balážová P;Baxter M;Blavnsfeldt AB;Briot K;Chiari C;Cooper C;Dragoi RG;Gäbler G;Lems W;Mosor E;Pais S;Simon C;Studenic P;Tilley S;de la Torre-Aboki J;Stamm TA
建立欧洲抗风湿病联盟(EULAR)积分，供非医生健康专业人员考虑，以预防和管理50岁或以上成年人的脆性骨折。要考虑的要点是根据欧盟法律援助法认可的建议的标准操作程序制定的，由一个国际多学科特别工作组领导，成员包括来自10个欧洲国家的患者研究伙伴和不同的卫生专业人员。确定了要考虑的每一点的证据水平和建议强度，并计算了工作队成员之间的平均协议水平。根据科学证据和工作队的专家意见，制定了两项总体原则和七点需要考虑的问题。这两个首要原则侧重于患者和非医生健康专业人员之间的共同决定，以及不同的非医生健康专业人员参与预防和管理脆性骨折。与预防有关的四点需要考虑：确定有骨折风险的患者、跌倒风险评估、预防原发骨折的多种干预措施以及不鼓励吸烟和过度饮酒。其余三项侧重于脆性骨折的管理：运动和营养干预、为骨折后护理模式组织和协调多学科服务以及坚持使用抗骨质疏松药物。工作队对总体原则和要审议的要点的平均一致程度在8.4至9.6之间。为预防和管理50岁或50岁以上成年人的脆性骨折，非医生健康专业人员应考虑的这些EULAR要点可用于指导医疗实践和教育。
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. 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. 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. 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.
登录
查看更多内容
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1016/j.injury.2018.06.032
发表时间：
2018-08-01
影响因子：
2.5
作者：
Dreinhoefer, K. E.;Mitchell, P. J.;Magaziner, J.
通讯作者：
Magaziner, J.
DOI：
10.1111/j.1532-5415.2006.00912.x
发表时间：
2006-11-01
影响因子：
6.3
作者：
Cawthon, Peggy M.;Harrison, Stephanie L.;Cummings, Steven R.
通讯作者：
Cummings, Steven R.
影响因子：
15.8
作者：
Cheung AM;Tile L;Lee Y;Tomlinson G;Hawker G;Scher J;Hu H;Vieth R;Thompson L;Jamal S;Josse R
通讯作者：
Josse R
影响因子：
4
作者：
Balasubramanian, A.;Zhang, J.;Curtis, J. R.
通讯作者：
Curtis, J. R.