Evidence map›Paper›PMID 32332077›Full record

GuidelineAnnals of the rheumatic diseases2021

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

Jo Adams, Nicky Wilson, Emalie Hurkmans, Margot Bakkers, Petra Balážová, Mark Baxter, Anne-Birgitte Blavnsfeldt, Karine Briot, Catharina Chiari, Cyrus Cooper and 10 more

Open access · bronzeAbstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Annals of the rheumatic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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

11 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 12 institutions in 10 countries.

Jo Adams *School of Health Sciences, University of Southampton, Southampton, UK.ORCID 0000-0003-1765-7060
Nicky Wilson *School of Health Sciences, University of Southampton, Southampton, UK.ORCID 0000-0001-7404-7360
Emalie HurkmansDepartment Care I, Musculoskeletal System & Neurology, Dutch National Health Care Institute, Diemen, The Netherlands.
Margot BakkersEULAR Standing Committee of People with Arthritis/Rheumatism in Europe (PARE), Zurich, Switzerland.
Petra BalážováEULAR Young PARE, Zurich, Switzerland.
Mark BaxterMedicine for Older People, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Anne-Birgitte BlavnsfeldtDepartment of Rheumatology, Aarhus University Hospital, Arrhus, Denmark.
Karine BriotINSERM U1153, Paris Descartes University, Reference Center for Genetic Bone Diseases - Department of Rheumatology, Cochin Hospital, Paris, France.ORCID 0000-0002-6238-2601
Catharina ChiariDepartment of Orthopedics and Trauma-Surgery, Medical University of Vienna, Vienna, Austria.
Cyrus CooperMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Razvan Gabriel DragoiRehabilitation, Physical Medicine and Rheumatology, 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Timisoara, Romania.
Gabriele GäblerSection for Outcomes Research, Centre for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Willem LemsDepartment of Rheumatology, VU University Medical Centre Amsterdam, Amsterdam, Noord-Holland, The Netherlands.
Erika MosorSection for Outcomes Research, Centre for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Sandra PaisCentre for Biomedical Research, Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal.
Cornelia SimonDepartment of Balneology, Rehabilitation and Rheumatology, 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Timisoara, Romania.
Paul StudenicInternal Medicine 3, Division of Rheumatology, Medical University Vienna, Vienna, Austria.ORCID 0000-0002-8895-6941
Simon TilleyMedicine for Older People, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Jenny de la Torre-AbokiDay Hospital, Alicante General and university Hospital, Alicante, Spain.ORCID 0000-0002-4905-2034
Tanja A StammSection for Outcomes Research, Centre for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria tanja.stamm@meduniwien.ac.at.ORCID 0000-0003-3073-7284
Statistics Austria · ATEuropean League Against Rheumatism · CHMedical University of Vienna · ATUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Southampton · GBVictor Babeș University of Medicine and Pharmacy Timișoara · ROAarhus University Hospital · DKAlgarve Biomedical Center · PTDélégation Paris 5 · FRHospital General Universitario de Alicante Doctor Balmis · ESMRC Lifecourse Epidemiology Unit · GBZorginstituut Nederland · NL

Funding

Department of Health 10/33/04Medical Research Council G0400491Medical Research Council MC_PC_21000Medical Research Council MC_PC_21001Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2
6 · The paper itself

Abstract

objectiveTo 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.

methodsPoints 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.

resultsTwo 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.

conclusionThese 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.

Indexed as

Dietary SupplementsExerciseHealth PersonnelSelf-Help DevicesAccidental FallsAdvisory CommitteesAgedAged, 80 and overBone Density Conservation AgentsEuropeHumansMedication AdherenceMiddle AgedNursesNutritionistsOccupational TherapistsBone Density Conservation Agentshealth services researchmultidisciplinary team-careosteoporosis

Identifiers

PMID32332077
PMCPMC7788058
OpenAlexW3020189084

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.