Effect of high-dose cholecalciferol (vitamin D 3 ) on bone and body composition in children and young adults with HIV infection: a randomized, double-blind, placebo-controlled trial
The objective of this paper was to determine the impact of high-dose daily cholecalciferol (vitamin D3) supplementation on body composition and bone density, structure, and strength in children and young adults with perinatally acquired (PHIV) or behaviorally acquired (BHIV) HIV infection.MethodsParticipants were randomized to receive vitamin D3 supplementation (7000  IU/day) or placebo for 12 months. Serum 25-hydroxyvitamin D [25(OH)D] concentrations, dual energy X-ray absorptiometry (DXA) of the whole body and lumbar spine, and peripheral quantitative computed tomography (pQCT) of tibia sites were acquired at 0...
Source: Osteoporosis International - November 11, 2016 Category: Orthopaedics Source Type: research

Secular trends in incidence and recurrence rates of hip fracture: a nationwide population-based study
ConclusionsSince 2006, the IR of hip fractures has been declining in Taiwan. The 10-year cumulative IR of mortality is substantial for individuals who with first hip fracture. (Source: Osteoporosis International)
Source: Osteoporosis International - November 10, 2016 Category: Orthopaedics Source Type: research

Surgery alters parameters of vitamin D status and other laboratory results
AbstractSummaryFracture liaison services often perform laboratory testing, but these results may be altered by surgery. In 40 hip arthroplasty patients, many laboratory parameters of bone health relevance were reduced by 8 –22% on the first post-operative day. Laboratory results obtained in the immediate post-surgery interval do not reliably ascertain baseline status.IntroductionAs secondary causes of osteoporosis are common, fracture liaison services often perform laboratory testing in the immediate post-fracture interval. We hypothesized that laboratory results obtained shortly after surgery may not accurately asce...
Source: Osteoporosis International - November 8, 2016 Category: Orthopaedics Source Type: research

Do osteoporotic fractures constitute a greater recalcitrant challenge for skeletal regeneration? Investigating the efficacy of BMP-7 and zoledronate treatment of diaphyseal fractures in an open fracture osteoporotic rat model
ConclusionsOur findings refute the hypothesis that osteoporotic fractures constitute a greater recalcitrant challenge for skeletal regeneration. Furthermore, our results suggest that an oestrogen-deficient environment may in fact cause an increased sensitivity to BMP-7. (Source: Osteoporosis International)
Source: Osteoporosis International - November 7, 2016 Category: Orthopaedics Source Type: research

Bone turnover predicts change in volumetric bone density and bone geometry at the radius in men
ConclusionsAge-related changes in vBMD and bone geometry are greater in men with higher biochemical markers of bone turnover at baseline. Sex hormones have little influence on change in pQCT parameters. (Source: Osteoporosis International)
Source: Osteoporosis International - November 4, 2016 Category: Orthopaedics Source Type: research

Geographic variation in secondary fracture prevention after a hip fracture during 1999 –2013: a UK study
ConclusionsSignificant geographic differences exist in prescribing of anti-osteoporosis drugs after hip fracture despite adjustment for potential confounders. Further work examining differences in health care provision may inform strategies to improve secondary fracture prevention after hip fracture. (Source: Osteoporosis International)
Source: Osteoporosis International - November 3, 2016 Category: Orthopaedics Source Type: research

IOF Regionals – 6th Asia-Pacific Osteoporosis Meeting
(Source: Osteoporosis International)
Source: Osteoporosis International - November 1, 2016 Category: Orthopaedics Source Type: research

Associations between OPG and RANKL polymorphisms, vertebral fractures, and abdominal aortic calcification in community-dwelling older subjects: the Sao Paulo Ageing & amp; Health Study (SPAH)
AbstractSummaryThis is the first study analyzing concomitantly osteoprotegerin (OPG)/receptor activator of nuclear factor kappa B ligand (RANKL) polymorphisms and OPG/RANKL serum levels and their association with bone mineral density (BMD), vertebral fractures, and vascular aortic calcification in a cohort of 800 subjects in community-dwelling older individuals.IntroductionOsteoprotegerin (OPG) and RANKL play an important role in osteoclast activation and differentiation as well as in vascular calcification. At present, there are no studies ofOPG orRANKL gene polymorphisms in Brazilian older populations. The aim of this st...
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Nephrolithiasis, bone mineral density, osteoporosis, and fractures: a systematic review and comparative meta-analysis
AbstractSummaryOur meta-analysis demonstrates that people with nephrolithiasis have decreased bone mineral density, an increased odds of osteoporosis, and potentially an elevated risk of fractures.IntroductionPeople with nephrolithiasis might be at risk of reduced bone mineral density (BMD) and fractures, but the data is equivocal. We conducted a meta-analysis to investigate if patients with nephrolithiasis have worse bone health outcomes (BMD), osteoporosis, and fractures versus healthy controls (HCs).MethodsTwo investigators searched major databases for articles reporting BMD (expressed as g/cm2 or a T- or Z-score), oste...
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

The association between glucose metabolism status, diabetes severity and a history of fractures and recent falls in participants of 50 years and older —the Maastricht Study
ConclusionsGlucose metabolism status was not significantly associated with previous fractures and recent falls. In addition, in this cohort of relatively young and well-treated participants with type 2 diabetes, diabetes severity was not associated with previous fractures and recent falls. (Source: Osteoporosis International)
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Aggravation of spinal cord compromise following new osteoporotic vertebral compression fracture prevented by teriparatide in patients with surgical contraindications
ConclusionsIn patients with neurological deficits following new unstable OVCF and with surgical contraindications, teriparatide was better than alendronate at improving the BMD and the bone turnover parameters, as well as preventing aggravation of spinal cord compromise. (Source: Osteoporosis International)
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Stroke increases the risk of hip fracture: a systematic review and meta-analysis
AbstractMany studies have investigated the association between stroke and hip fracture risk, but the precise association was still unclear due to insufficient statistical power in single studies with relatively small sample size. Thus, we firstly conducted a meta-analysis of all published studies to precisely estimate the relationship of stroke with hip fracture risk. The strength for this relationship was weighed by pooled relative risks (RRs) with 95  % confidence intervals (95 % CIs) after adjustment for confounding variables. Stratified analyses by study design and ethnicity and sensitivity analysis were also...
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

The effect of single-task and dual-task balance exercise programs on balance performance in adults with osteoporosis: a randomized controlled preliminary trial
AbstractSummaryOsteoporosis is a serious disease characterized by muscle weakness in the lower extremities, shortened length of trunk, and increased dorsal kyphosis leading to poor balance performance. Although balance impairment increases in adults with osteoporosis, falls and fall-related injuries have been shown to occur mainly during the dual-task performance. Several studies have shown that dual-task performance was improved with specific repetitive dual-task exercises.IntroductionThe aims of this study were to compare the effect of single- and dual-task balance exercise programs on static balance, dynamic balance, an...
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Osteoanabolic therapy: a valid option to reduce refracture risk after vertebral augmentation procedures?
(Source: Osteoporosis International)
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Secular trends in fracture incidence in the UK between 1990 and 2012
ConclusionAlthough overall sex-specific fracture incidence in the UK population 50  years or over appears to have remained stable over the last two decades, there have been noticeable changes in rates of individual fracture types. Given that the impact of a fracture on morbidity, mortality, and health economy varies according to fracture site, these data inform the provision of h ealthcare services in the UK and elsewhere. (Source: Osteoporosis International)
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Falling age-related incidence of hip fractures in women, but not men, in Northern Ireland: 2001 –2011
ConclusionsOur results are in keeping with the declining trend in hip fracture incidence in many Western countries, though we found that this is only true for women. The exact reasons for this remain unclear but are likely to be multifactorial. In the future, the number of fractures may increase further given the increasingly elderly population and further provision particularly for patients with pertrochanteric fractures will be required. Increased awareness, diagnosis and treatment of males with osteoporosis should be prioritised. (Source: Osteoporosis International)
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Considerations concerning the definition of sarcopenia
AbstractIn this commentary, we describe the sarcopenia spectrum that results in frailty and consider the impact of several components of the frailty definition on its global prevalence. We review proposed operational definitions of sarcopenia and the extent to which they have been shown to predict hard clinical outcomes, such as hip fracture, falls, and mortality. A head-to-head comparison of nine proposed operational definitions of sarcopenia as predictors of falls revealed that the definition involving appendicular lean mass (ALM)/ht2 alone was a significant predictor; the prevalence of sarcopenia by this definition was ...
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Osteoanabolic therapy for reduction of refracture risk after vertebral augmentation procedures? Response to Massarotti et al
(Source: Osteoporosis International)
Source: Osteoporosis International - October 13, 2016 Category: Orthopaedics Source Type: research

Added clinical use of trabecular bone score to BMD for major osteoporotic fracture prediction in older Chinese people: the Mr. OS and Ms. OS cohort study in Hong Kong
ConclusionsTBS in combination with BMD can predict MOF more reliably in older men than by BMD alone. (Source: Osteoporosis International)
Source: Osteoporosis International - October 11, 2016 Category: Orthopaedics Source Type: research

Cost-effectiveness of combined oral bisphosphonate therapy and falls prevention exercise for fracture prevention in the USA
ConclusionsAmong community-dwelling US white women ages 75 and 80, adding 1  year of exercise to 5 years of oral bisphosphonate therapy is cost-effective at a willingness-to-pay of $100,000 per QALY, compared with oral bisphosphonate therapy only. This analysis will help clinicians and policymakers make better decisions about treatment options to reduce fracture risk. (Source: Osteoporosis International)
Source: Osteoporosis International - October 11, 2016 Category: Orthopaedics Source Type: research

Uric acid and bone mineral density in postmenopausal osteoporotic women: the link lies within the fat
AbstractSummaryThe association between serum uric acid (SUA) levels and bone mineral density (BMD) is controversial. Fat accumulation is linked to SUA and BMD, thus possibly explaining the mixed results. We found that adiposity drives part of the association between SUA and BMD in women with postmenopausal osteoporosis.IntroductionBoth positive and negative associations between SUA and BMD have been reported. SUA levels and BMD increase with higher body weight and other indices of adiposity; hence, the association between SUA and BMD might be a consequence of the confounding effect of adiposity. We investigated in this cro...
Source: Osteoporosis International - October 10, 2016 Category: Orthopaedics Source Type: research

The epidemiology of mortality after fracture in England: variation by age, sex, time, geographic location, and ethnicity
ConclusionThis study provides up-to-date mortality outcomes following fracture in England and will aid allocation of healthcare provision to those at greatest need. (Source: Osteoporosis International)
Source: Osteoporosis International - October 8, 2016 Category: Orthopaedics Source Type: research

Early post-surgical cognitive dysfunction is a risk factor for mortality among hip fracture hospitalized older persons
This study investigates the relationship between cognitive dysfunction or delirium detected in the early post-surgical phase and the 1-year mortality among 514 hip fracture hospitalized older persons. Patients with early cognitive dysfunction or delirium experienced a 2-fold increased mortality risk. Early post-operative cognitive dysfunction and delirium are negative prognostic factors for mortality.Background and purposePremorbid cognitive impairment and dementia in older individuals negatively affect functional recovery after hip fracture. Additionally, post-operative delirium is an established risk factor for negative ...
Source: Osteoporosis International - October 7, 2016 Category: Orthopaedics Source Type: research

Incident atrial fibrillation and the risk of fracture in the cardiovascular health study
ConclusionIn this cohort of older, community-dwelling adults, incident AF was not shown to be associated with falls or hip or other fractures. (Source: Osteoporosis International)
Source: Osteoporosis International - October 7, 2016 Category: Orthopaedics Source Type: research

Excess mortality following hip fracture: impact of self-perceived health, smoking, and body mass index. A NOREPOS study
This study aimed to investigate the impact of pre-fracture self-perceived health, smoking, and body mass index (BMI) on excess post-hip fracture mortality using matched peers without hip fracture as reference.MethodsThe study was based on the Cohort of Norway (CONOR) consisting of 10 regional health studies (1994 –2003) and the NOREPOS hip fracture database (1994–2008). A matched cohort design was used to compare survival between hip fracture patients and subjects without fracture (matched on gender, age at participation in CONOR, and study site). Subjects aged ≥60 years were included. Hazard ratios w e...
Source: Osteoporosis International - October 7, 2016 Category: Orthopaedics Source Type: research

Facilitators and barriers to exercise adherence in patients with osteopenia and osteoporosis: a systematic review
ConclusionsMost RCTs found were of fair quality; however, less than three quarters identified facilitators and barriers to exercise. Reporting of methods to promote and measure exercise adherence were low. Future work should be directed toward identifying major facilitators and barriers to exercise adherence within RCTs. Only then can methods be identified to leverage facilitators and overcome barriers, thus strengthening the evidence for efficacy of optimal interventional exercise programs. This review has been registered in PROSPERO under registration number CRD42016039941. (Source: Osteoporosis International)
Source: Osteoporosis International - October 6, 2016 Category: Orthopaedics Source Type: research

Celiac disease is associated with reduced bone mineral density and increased FRAX scores in the US National Health and Nutrition Examination Survey
AbstractSummaryWe investigated the association between celiac disease (CD) and bone mass density (BMD) and risk of osteoporotic fractures in the general US population. In children and men ≥18 years, CD was associated with reduced BMD, and in men ≥40 years, CD was associated with increased risk of osteoporotic fractures.IntroductionCeliac disease (CD) is an autoimmune condition, characterized by inflammation of the small intestine. CD has an increasing prevalence, and if unrecognized or untreated, CD can lead to complications from malabsorption and micronutrient deficiencies. We aimed to study whether CD is ...
Source: Osteoporosis International - October 6, 2016 Category: Orthopaedics Source Type: research

Economic evaluation of osteoporosis liaison service for secondary fracture prevention in postmenopausal osteoporosis patients with previous hip fracture in Japan
ConclusionsSecondary fracture prevention by OLS is cost-effective in Japanese women with osteoporosis who have suffered a hip fracture. In addition, secondary fracture prevention is less expensive than no therapy in high-risk patients with multiple risk factors. (Source: Osteoporosis International)
Source: Osteoporosis International - October 4, 2016 Category: Orthopaedics Source Type: research

Autoimmune arthritis deteriorates bone quantity and quality of periarticular bone in a mouse model of rheumatoid arthritis
ConclusionsAutoimmune arthritis induces periarticular osteoporosis, characterized by deterioration of cortical bone geometry and quality as well as by trabecular bone loss, leading to severe bone fragility in periarticular bone adjacent to inflamed joints. (Source: Osteoporosis International)
Source: Osteoporosis International - October 4, 2016 Category: Orthopaedics Source Type: research

Are milk and alternatives and fruit and vegetable intakes during adolescence associated with cortical and trabecular bone structure, density, and strength in adulthood?
AbstractSummaryWe investigated the impact of food group intake during adolescence on bone structure and strength during adulthood. In females, we found a beneficial effect of adolescent milk and alternatives and fruit and vegetable intake on adult radius shaft and distal tibia bone structure, respectively. No association was observed in males.IntroductionThe purpose of this study was to investigate whether adolescents with high intake of milk and alternatives (M&A) or fruit and vegetables (F&V) had better adult bone structure and strength compared to those with low intake levels.MethodsWe analyzed data from 47 male...
Source: Osteoporosis International - October 3, 2016 Category: Orthopaedics Source Type: research

Clinical characteristics and risk factors of postoperative pneumonia after hip fracture surgery: a prospective cohort study
ConclusionIntrinsic factors and major clinical interventions were all important risk factors of POP in patients after hip fracture surgery. Targeted preventive measures to mitigate the above risk factors may help in reducing the incidence of POP. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Combination of micellar casein with calcium and vitamins D2 and K2 improves bone status of ovariectomized mice
ConclusionOur results show that, when chronically ingested, BHPs improve BMD of ovariectomized mice. This work supports that providing an ingredient including micellar casein rich in calcium, vitamin D2 and vitamin K2 is more efficient than the control diet to maintain bone quality. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Dietary patterns are associated with bone mineral density in an urban Mexican adult population
ConclusionThis study identified specific dietary patterns associated with BMD among a Mexican adult population and highlights the importance of promoting food-based prevention strategies for maintaining bone health. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Effects of tai chi exercise on bone health in perimenopausal and postmenopausal women: a systematic review and meta-analysis
AbstractTai chi exercise may have positive effects on bone health in perimenopausal and postmenopausal women. This systematic review is the first to summarize evidence to clarify the efficacy of tai chi exercise in bone health. The benefits of tai chi exercise on bone health remain unclear; further studies are needed. Emerging randomized controlled trials (RCTs) exploring the efficacy of tai chi exercise on bone health among older women, but yielded inconclusive results. Our objective is to conduct a systematic review to evaluate evidence from RCTs to clarify the efficacy of tai chi exercise on bone mineral density (BMD), ...
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Multiple diaphyseal sclerosis (Ribbing disease): what about neridronate?
We report the case of a patient that showed lack of response to intravenous neridronate within 1  year of treatment, both in terms of pain and persistence of bone marrow edema at MRI. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Clinical height measurements are unreliable: a call for improvement
ConclusionsClinical height measurements and EHR recorded height results are unreliable. Improvement in this measure is needed as an adjunct to improve osteoporosis care. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Clinical cone beam computed tomography compared to high-resolution peripheral computed tomography in the assessment of distal radius bone
AbstractSummaryClinical cone beam computed tomography (CBCT) was compared to high-resolution peripheral quantitative computed tomography (HR-pQCT) for the assessment of ex vivo radii. Strong correlations were found for geometry, volumetric density, and trabecular structure. Using CBCT, bone architecture assessment was feasible but compared to HR-pQCT, trabecular parameters were overestimated whereas cortical ones were underestimated.IntroductionHR-pQCT is the most widely used technique to assess bone microarchitecture in vivo. Yet, this technology has been only applicable at peripheral sites, in only few research centers. ...
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Men ’s health-seeking behaviours regarding bone health after a fragility fracture: a secondary analysis of qualitative data
ConclusionsBehaviours consistent with those shown in other studies on men were described by our sample. We recommend that future research address these findings in more detail so that communication strategies specific to men about bone health be developed. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Delivering a quality-assured fracture liaison service in a UK teaching hospital —is it achievable?
ConclusionsPreliminary evaluation of a FLS implemented according to UK NOS standards demonstrates that the model is practical to apply to a large teaching hospital population. Collection and review of outcome and cost effectiveness data is required to determine the performance of this model in comparison with existing models. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Clinical and biochemical phenotypes of adults with monoallelic and biallelic CYP24A1 mutations: evidence of gene dose effect
ConclusionsIn this family, adults withCYP24A1 mutations a gene dose effect is apparent: subjects with biallelic, compound heterozygous mutations (A/B) have a more severe clinical and biochemical phenotype, whereas, subjects with monoallelic mutations demonstrate milder disease manifestations which are not easily characterized through biochemical assessment. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Zolpidem use and risk of fractures: a systematic review and meta-analysis
AbstractSummaryZolpidem is a representative of non-benzodiazepine hypnotics. Recent epidemiologic studies have reported increased fracture risk in patients taking zolpidem, but the results have been inconsistent. The present meta-analysis shows that the use of zolpidem is associated with an increased risk of fractures.PurposePrevious studies have reported inconsistent findings regarding the association between the use of zolpidem and the risk of fractures. We performed a systematic literature review and meta-analysis to assess the association.MethodsWe identified relevant studies by searching MEDLINE, EMBASE, Cochrane Libr...
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Treatment responses with once-weekly teriparatide therapy for osteoporosis
ConclusionsIt appears that the LSC could be used as a surrogate efficacy indicator at an earlier stage of treatment, and the absolute criterion of −2.5SD was confirmed as a useful marker of long-term treatment success. (Source: Osteoporosis International)
Source: Osteoporosis International - September 30, 2016 Category: Orthopaedics Source Type: research

Higher serum sclerostin levels and insufficiency of vitamin D are strongly associated with vertebral fractures in hemodialysis patients: a case control study
ConclusionsOur data shows high prevalence of vertebral fractures in hemodialysis patients and that it is associated with elevated sclerostin levels, reflecting bone fragility in these patients. (Source: Osteoporosis International)
Source: Osteoporosis International - September 28, 2016 Category: Orthopaedics Source Type: research

Hypocalcaemia after denosumab in older people following fracture
ConclusionsDenosumab is a relatively safe treatment of osteoporosis. This study shows that hypocalcaemia following denosumab therapy can be observed in older adults. Clinicians should be aware of this adverse effect when using denosumab in  the older people. (Source: Osteoporosis International)
Source: Osteoporosis International - September 28, 2016 Category: Orthopaedics Source Type: research

Is it necessary to investigate rapamycin-modulated autophagy during the development of experimental osteoporosis in female rat?
(Source: Osteoporosis International)
Source: Osteoporosis International - September 27, 2016 Category: Orthopaedics Source Type: research

Abstracts of osteoporosis conference 2016
(Source: Osteoporosis International)
Source: Osteoporosis International - September 22, 2016 Category: Orthopaedics Source Type: research

The FRAX-based Lebanese osteoporosis treatment guidelines: rationale for a hybrid model
This study aimed to describe the approach in developing FRAX-based osteoporosis treatment guidelines in Lebanon, a country with relatively low fracture rates.MethodsWe reassessed previous national guidelines combined with an evaluation of age-dependent and fixed FRAX-based intervention threshold models used in the UK, the USA, and Canada. We took into consideration the risk for major osteoporotic fractures (MOF) and the proportions of subjects considered for therapy using such thresholds, before finalizing a model for Lebanon.ResultsThe new Lebanese guidelines retained the recommendation to treat individuals with fragility...
Source: Osteoporosis International - September 20, 2016 Category: Orthopaedics Source Type: research

Significant improvement of bone mineral density and bone turnover markers by denosumab therapy in bisphosphonate-unresponsive patients
This study showed that lumbar as well as hip BMD significantly increased after denosumab treatment in patients not responsive to BPs. Thus, denosumab may be a strong OP treatment option for BP-unresponsive patients.IntroductionBMD sometimes cannot be improved by long-term BP therapy.MethodsWe administered denosumab to osteoporotic patients with a poor response to BPs who had been taking them for 2  years or longer. Ninety-eight women with BP-poor responsive OP were enrolled in this study. Mean (standard deviation [SD]) age was 71.2 (6.9) years and mean (SD) duration of BP treatment was 59.9 (34.3) month...
Source: Osteoporosis International - September 20, 2016 Category: Orthopaedics Source Type: research

Recent hip fracture trends in Sweden and Denmark with age-period-cohort effects
ConclusionsTime trends, cohort, and period effects were different in SE and DK. This may reflect differences in general health as evident in known differences in life expectancy, healthcare organization, and prevention such as use of anti-osteoporosis drugs. Analyses indicate that hip fracture rates may increase in the not so far future. (Source: Osteoporosis International)
Source: Osteoporosis International - September 19, 2016 Category: Orthopaedics Source Type: research

A pilot randomized controlled trial of a decision aid with tailored fracture risk tool delivered via a patient portal
This study suggests the possible utility of leveraging the patient portal to enhance patient education and decision making in osteoporosis care.IntroductionAlthough interventions have improved osteoporosis screening and/or treatment for certain populations of high-risk patients, recent national studies suggest that large-scale uptake of these interventions has been limited. We aimed to determine the feasibility and potential efficacy of a patient portal-based osteoporosis decision aid (DA).MethodsWe conducted a pilot randomized controlled trial of primary care patients aged ≥55 who were enrolled in a patient portal and had a T-score of
Source: Osteoporosis International - September 19, 2016 Category: Orthopaedics Source Type: research