Secondary Fracture Prevention : Consensus Clinical Recommendations from a Multistakeholder Coalition

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Tyck till om SwePub Sök här!

Sökning: WFRF:(Kiel Douglas P) > Secondary Fracture ...

Secondary Fracture Prevention : Consensus Clinical Recommendations from a Multistakeholder Coalition

Conley, Robert B. (författare): Center for Medical Technology Policy

Adib, Gemma (författare): Osteoporosis Centre

Adler, Robert A. (författare): Veterans Health Administration

visa fler...

Åkesson, Kristina E. (författare): Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups

Alexander, Ivy M. (författare): University of Connecticut

Amenta, Kelly C. (författare): Mercyhurst University

Blank, Robert D. (författare): Garvan Institute of Medical Research,Medical College of Wisconsin

Brox, William Timothy (författare): University of California, San Francisco

Carmody, Emily E. (författare): University of Rochester

Chapman-Novakofski, Karen (författare): University of Illinois at Urbana-Champaign

Clarke, Bart L. (författare): Mayo Clinic Minnesota

Cody, Kathleen M. (författare): American Bone Health

Cooper, Cyrus (författare): University of Southampton

Crandall, Carolyn J. (författare): University of California, Los Angeles

Dirschl, Douglas R. (författare): University of Chicago Medical Center

Eagen, Thomas J. (författare): National Council on Aging

Elderkin, Ann L. (författare): American Society for Bone and Mineral Research

Fujita, Masaki (författare): International Osteoporosis Foundation, Switzerland

Greenspan, Susan L. (författare): University of Pittsburgh

Halbout, Philippe (författare): International Osteoporosis Foundation, Switzerland

Hochberg, Marc C. (författare): Slotervaart Hospital

Javaid, Muhammad (författare): University of Oxford

Jeray, Kyle J. (författare): Greenville Hospital System

Kearns, Ann E. (författare): Mayo Clinic Minnesota

King, Toby (författare): United States Bone and Joint Initiative (USBJI)

Koinis, Thomas F. (författare): Duke Primary Care Oxford

Koontz, Jennifer Scott (författare): Newton Medical Center,University of Kansas School of Medicine

Kužma, Martin (författare): University Hospital in Bratislava

Lindsey, Carleen (författare): Bristol Physical Therapy, LLC

Lorentzon, Mattias (författare): Sahlgrenska Academy,Sahlgrenska University Hospital,Australian Catholic University

Lyritis, George P. (författare): Hellenic Osteoporosis Foundation

Michaud, Laura Boehnke (författare): University of Texas

Miciano, Armando (författare): Nevada Rehabilitation Institute

Morin, Suzanne N. (författare): McGill University

Mujahid, Nadia (författare): Brown University

Napoli, Nicola (författare): University Campus Bio-Medico,Washington University in St. Louis

Olenginski, Thomas P. (författare): Geisinger Health System

Puzas, J. Edward (författare): University of Rochester

Rizou, Stavroula (författare): Hellenic Osteoporosis Foundation

Rosen, Clifford J. (författare): Maine Medical Center Research Institute,Tufts University School of Medicine

Saag, Kenneth (författare): University of Alabama

Thompson, Elizabeth (författare): National Osteoporosis Foundation

Tosi, Laura L. (författare): Children’s National Health System, Washington

Tracer, Howard (författare): Agency for Healthcare Research and Quality

Khosla, Sundeep (författare): Mayo Clinic Minnesota

Kiel, Douglas P. (författare): Harvard Medical School

visa färre...

(creator_code:org_t)

2020
2020
Engelska 17 s.
Ingår i: Orthopaedic Nursing. - 0744-6020. ; 39:3, s. 145-161

Relaterad länk:: http://dx.doi.org/10...; visa fler...; https://lup.lub.lu.s...; https://doi.org/10.1...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Osteoporosis-related fractures are undertreated, due in part to misinformation about recommended approaches to patient care and discrepancies among treatment guidelines. To help bridge this gap and improve patient outcomes, the American Society for Bone and Mineral Research assembled a multistakeholder coalition to develop clinical recommendations for the optimal prevention of secondary fracture among people aged 65 years and older with a hip or vertebral fracture. The coalition developed 13 recommendations (7 primary and 6 secondary) strongly supported by the empirical literature. The coalition recommends increased communication with patients regarding fracture risk, mortality and morbidity outcomes, and fracture risk reduction. Risk assessment (including fall history) should occur at regular intervals with referral to physical and/or occupational therapy as appropriate. Oral, intravenous, and subcutaneous pharmacotherapies are efficacious and can reduce risk offuture fracture. Patients need education, however, about the benefits and risks of both treatment and not receiving treatment. Oral bisphosphonates alendronate and risedronate are first-line options and are generally well tolerated; otherwise, intravenous zoledronic acid and subcutaneous denosumab can be considered. Anabolic agents are expensive but may be beneficial for selected patients at high risk. Optimal duration of pharmacotherapy is unknown but because the riskfor second fractures is highest in the early post-fracture period, prompt treatment is recommended. Adequate dietary or supplemental vitamin D and calcium intake should be assured. Individuals being treated for osteoporosis should be reevaluated for fracture risk routinely, including via patient education about osteoporosis and fractures and monitoring foradverse treatment effects. Patients should be strongly encouraged to avoid tobacco, consume alcohol in moderation at most, and engage in regular exercise and fall prevention strategies. Finally, referral to endocrinologists or other osteoporosis specialists may be warranted for individuals who experience repeated fracture or bone loss and those with complicating comorbidities (eg, hyperparathyroidism, chronic kidney disease). (c) 2019 American Society for Bone and Mineral Research.

Hitta via bibliotek

Orthopaedic Nursing (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Av författaren/redakt...: Conley, Robert B ...; Adib, Gemma; Adler, Robert A.; Åkesson, Kristin ...; Alexander, Ivy M ...; Amenta, Kelly C.; visa fler...; Blank, Robert D.; Brox, William Ti ...; Carmody, Emily E ...; Chapman-Novakofs ...; Clarke, Bart L.; Cody, Kathleen M ...; Cooper, Cyrus; Crandall, Caroly ...; Dirschl, Douglas ...; Eagen, Thomas J.; Elderkin, Ann L.; Fujita, Masaki; Greenspan, Susan ...; Halbout, Philipp ...; Hochberg, Marc C ...; Javaid, Muhammad; Jeray, Kyle J.; Kearns, Ann E.; King, Toby; Koinis, Thomas F ...; Koontz, Jennifer ...; Kužma, Martin; Lindsey, Carleen; Lorentzon, Matti ...; Lyritis, George ...; Michaud, Laura B ...; Miciano, Armando; Morin, Suzanne N ...; Mujahid, Nadia; Napoli, Nicola; Olenginski, Thom ...; Puzas, J. Edward; Rizou, Stavroula; Rosen, Clifford ...; Saag, Kenneth; Thompson, Elizab ...; Tosi, Laura L.; Tracer, Howard; Khosla, Sundeep; Kiel, Douglas P.; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

Artiklar i publikationen: Orthopaedic Nurs ...

Av lärosätet: Lunds universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se

Secondary Fracture Prevention : Consensus Clinical Recommendations from a Multistakeholder Coalition

Ämnesord

Nyckelord

Publikations- och innehållstyp

Hitta via bibliotek

Till lärosätets databas

Hitta mer i SwePub

Sök utanför SwePub