Academic Journal
The integrated structure of care: evidence for the efficacy of models of clinical governance in the prevention of fragility fractures after recent sentinel fracture after the age of 50 years
| العنوان: | The integrated structure of care: evidence for the efficacy of models of clinical governance in the prevention of fragility fractures after recent sentinel fracture after the age of 50 years |
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| المؤلفون: | Cianferotti L., Porcu G., Ronco R., Adami G., Alvaro R., Bogini R., Caputi A. P., Frediani B., Gatti D., Gonnelli S., Iolascon G., Lenzi A., Leone S., Michieli R., Migliaccio S., Nicoletti T., Paoletta M., Pennini A., Piccirilli E., Rossini M., Tarantino U., Brandi M. L., Corrao G., Biffi A. |
| المساهمون: | Cianferotti, L, Porcu, G, Ronco, R, Adami, G, Alvaro, R, Bogini, R, Caputi, A, Frediani, B, Gatti, D, Gonnelli, S, Iolascon, G, Lenzi, A, Leone, S, Michieli, R, Migliaccio, S, Nicoletti, T, Paoletta, M, Pennini, A, Piccirilli, E, Rossini, M, Tarantino, U, Brandi, M, Corrao, G, Biffi, A |
| بيانات النشر: | Springer UK GB |
| سنة النشر: | 2023 |
| المجموعة: | Università degli Studi di Milano-Bicocca: BOA (Bicocca Open Archive) |
| مصطلحات موضوعية: | Fracture liaison service, Fragility fracture, Secondary prevention, Systematic review |
| الوصف: | Summary : Randomized clinical trials and observational studies on the implementation of clinical governance models, in patients who had experienced a fragility fracture, were examined. Literature was systematically reviewed and summarized by a panel of experts who formulated recommendations for the Italian guideline. Purpose: After experiencing a fracture, several strategies may be adopted to reduce the risk of recurrent fragility fractures and associated morbidity and mortality. Clinical governance models, such as the fracture liaison service (FLS), have been introduced for the identification, treatment, and monitoring of patients with secondary fragility fractures. A systematic review was conducted to evaluate the association between multidisciplinary care systems and several outcomes in patients with a fragility fracture in the context of the development of the Italian Guidelines. Methods: PubMed, Embase, and the Cochrane Library were investigated up to December 2020 to update the search of the Scottish Intercollegiate Guidelines Network. Randomized clinical trials (RCTs) and observational studies that analyzed clinical governance models in patients who had experienced a fragility fracture were eligible. Three authors independently extracted data and appraised the risk of bias in the included studies. The quality of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation methodology. Effect sizes were pooled in a meta-analysis using random-effects models. Primary outcomes were bone mineral density values, antiosteoporotic therapy initiation, adherence to antiosteoporotic medications, subsequent fracture, and mortality risk, while secondary outcomes were quality of life and physical performance. Results: Fifteen RCTs and 62 observational studies, ranging from very low to low quality for bone mineral density values, antiosteoporotic initiation, adherence to antiosteoporotic medications, subsequent fracture, mortality, met our inclusion criteria. The implementation of ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/37603196; info:eu-repo/semantics/altIdentifier/wos/WOS:001052164600001; volume:18; issue:1; journal:ARCHIVES OF OSTEOPOROSIS; https://hdl.handle.net/10281/511709; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85168428529 |
| DOI: | 10.1007/s11657-023-01316-9 |
| الاتاحة: | https://hdl.handle.net/10281/511709 https://doi.org/10.1007/s11657-023-01316-9 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.E158E3B8 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s11657-023-01316-9 |
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