Evidence map›Paper›PMID 31838552›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2020

Patient engagement in clinical guidelines development: input from > 1000 members of the Canadian Osteoporosis Patient Network.

S N Morin, M Djekic-Ivankovic, L Funnell, L Giangregorio, I B Rodrigues, R Ridout, S Feldman, S Kim, H McDonald-Blumer, G Kline and 3 more

Abstract read
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 update.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Guideline
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  12. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  13. [Participation of Patients in the Development of Clinical Guidelines: A Selective Country Comparison in a Narrative Review].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

S N MorinMcGill University, Montreal, Canada. suzanne.morin@mcgill.ca.ORCID http://orcid.org/0000-0002-4317-492X
M Djekic-IvankovicCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, 5252 de Maisonneuve O, Room 3E.11, Montreal, Quebec, H4A 3S5, Canada.
L FunnellOsteoporosis Canada, Toronto, Canada.
L GiangregorioUniversity of Waterloo and Schlegel-UW Research Institute for Aging, Waterloo, Canada.
I B RodriguesUniversity of Waterloo and Schlegel-UW Research Institute for Aging, Waterloo, Canada.
R RidoutUniversity of Toronto, Toronto, Canada.
S FeldmanUniversity of Toronto, Toronto, Canada.
S KimUniversity of Toronto, Toronto, Canada.
H McDonald-BlumerUniversity of Toronto, Toronto, Canada.
G KlineUniversity of Calgary, Calgary, Canada.
W E WardBrock University, St. Catharines, Canada.
N SantessoMcMaster University, Hamilton, Canada.
W D LeslieUniversity of Manitoba, Winnipeg, Canada.

Funding

CIHR 152605
6 · The paper itself

Abstract

Patient engagement in clinical guidelines development is essential. The results of a self-administered online survey identified themes important to people living with osteoporosis and will inform the development of Osteoporosis Canada clinical guidelines recommendations.

introductionPatient engagement is essential in the development of high-quality and relevant guidelines for osteoporosis management. Osteoporosis Canada (OC) is updating its national clinical practice guidelines in collaboration with people living with osteoporosis in the process.

methodsUsing electronic mail, we contacted 6937 members of the Canadian Osteoporosis Patient Network (COPN) to provide input on the selection of relevant content, outcomes, and research questions via a self-administered online survey. Close-ended questions were analyzed using descriptive statistics, and conventional content analysis was conducted for open-ended questions.

resultsA total of 1108 individuals completed the survey (97% women, 86% stated they lived with osteoporosis). Most participants considered it critical to have recommendations on physical activity and exercise (74%), fall prevention (69%), nutrition (68%), and initial bone mineral density testing (67%). In addition to preventing fractures, over 75% of respondents stated that consideration of preserving quality of life and ability to perform daily activities, preventing admission to long-term care and fracture-related death, and avoiding serious harms from medications were essential outcomes to consider in evaluating the evidence. In terms of selection of research questions, seven themes emerged from the content analysis including pharmacotherapy, screening and monitoring, diet and supplements, education, exercise, alternative therapies, and pain management.

conclusionsPatients emphasized that autonomy, mobility, and quality of life are highly valued outcomes and must be integral to practice guideline development. As expected, guidance on pharmacotherapy, screening and monitoring, and fracture prevention were priorities identified to be included in osteoporosis management guidelines.

Indexed as

OsteoporosisPatient ParticipationBone DensityCanadaFemaleHumansMaleQuality of LifeClinical guidelinesOsteoporosisPatient engagementSurvey

Identifiers

PMID31838552
PMCPMC7170816

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.