Postmenopausal osteoporosis management

Postmenopausal osteoporosis management: A review of the evidence to inform the development of quality indicators

Annalijn Conklin
Ohid Yaqub
Claire Celia
Ellen Nolte
Copyright Date: 2012
Published by: RAND Corporation
Pages: 126
https://www.jstor.org/stable/10.7249/j.ctt3fh1vm
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  • Book Info
    Postmenopausal osteoporosis management
    Book Description:

    The report work aims to inform the development of quality indicators for postmenopausal osteoporosis management in Europe.

    eISBN: 978-0-8330-7984-8
    Subjects: Health Sciences, History

Table of Contents

  1. Front Matter
    (pp. i-ii)
  2. Preface
    (pp. iii-iv)
  3. Table of Contents
    (pp. v-vi)
  4. Table of Figures
    (pp. vii-viii)
  5. Table of Tables
    (pp. ix-x)
  6. Summary
    (pp. xi-xiv)
  7. Acknowledgements
    (pp. xv-xvi)
  8. CHAPTER 1 Introduction
    (pp. 1-2)

    Osteoporosis is the most common clinical disorder of bone metabolism. It is characterised by low bone mass and microarchitectural deterioration of bone tissue and consequent increase in bone fragility and susceptibility to fracture.¹ Osteoporotic fractures are a major cause of morbidity; clinical complications include disability and chronic pain. It is estimated that in developed countries around 50 percent of women aged 50 and older will sustain an osteoporotic fracture during their lifetime.²-³

    Osteoporotic fractures place a high burden on populations; it has been estimated that in the European Union there are about 1,700 associated fractures per day (about 650,000/year).⁴ Osteoporosis...

  9. CHAPTER 2 The diagnosis, prevention and treatment of postmenopausal osteoporosis
    (pp. 5-36)

    This chapter reports on the comprehensive review of reviews as identified from the peer-reviewed and grey literature for the screening and diagnosis of osteoporosis and related risk factors and for the prevention and treatment of osteoporosis and osteoporosis-related fractures. We begin by outlining the methods used, and then provide an overview of the key findings. We conclude with a set of summary observations emerging from the review.

    We performed an electronic search of bibliographic databases (Cochrane Library of Systematic Reviews and Controlled Trials, Centre for Research and Dissemination (CRD), PubMed and Embase) and targeted websites (Agency for Quality in Health...

  10. CHAPTER 3 Managing postmenopausal osteoporosis in Europe
    (pp. 39-68)

    In this chapter, we review current practices to managing postmenopausal osteoporosis in Europe by means of case studies of four countries: England, France, Germany and Spain. We focus on four areas: (a) national strategies to managing osteoporosis in postmenopausal women; (b) guidelines in place and evidence of their use; (c) uptake of preventive and therapeutic interventions; and (d) the quality of care for those with osteoporosis and osteoporosis-related fractures. We begin by outlining our analytical approach and then describe key findings, which are organised as country-specific sections. We conclude with a section drawing together the key emerging observations from country...

  11. CHAPTER 4 Informing the development of quality indicators for the management of postmenopausal osteoporosis
    (pp. 71-80)

    This report set out to inform the development of quality indicators for postmenopausal osteoporosis management through (a) assessing the evidence for the screening and diagnosis of osteoporosis and related risk factors, and for the prevention and treatment of osteoporosis and osteoporosis-related fractures and (b) describing current practice for managing postmenopausal osteoporosis in Europe.

    We presented two sets of analyses: first, a comprehensive review of reviews of the peer-reviewed and grey literature for the screening and diagnosis of osteoporosis and related risk factors, and for the prevention and treatment of osteoporosis and osteoporosis-related fractures; second, a review of current approaches and...

  12. REFERENCES
    (pp. 81-94)
  13. Appendix A: Overview of guidelines in place in four countries
    (pp. 96-108)
  14. Appendix B: Interview topic guide
    (pp. 109-110)