Integrated Osteoporosis Care: The Collaborative Role Of Dentistry , Laboratories, Nursing, Health Informatics And Physical Therapy
Main Article Content
Keywords
Osteoporosis, Integrated Care, Multidisciplinary Approach, Healthcare Professionals, Fracture Prevention.
Abstract
Osteoporosis presents a significant global health challenge, leading to increased fracture risk and substantial morbidity and mortality. Integrated osteoporosis care, involving collaboration among various healthcare professionals, is essential for effective prevention, diagnosis, and management. This paper explores the collaborative roles of dentists, laboratory scientists, nurses, health informaticians, and physical therapists in providing comprehensive care for osteoporotic patients. Models such as coordinator-based fracture liaison services and orthogeriatric units demonstrate successful multidisciplinary approaches to osteoporosis management. Challenges in implementing integrated care models are discussed, along with the role of technology in expanding care delivery. Overall, integrated multidisciplinary care is crucial for reducing the burden of osteoporosis globally and improving patient outcomes.
References
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Axelsson, K. F., Jacobsson, S., Lundh, D., & Lorentzon, M. (2016). Effectiveness of a minimal resource fracture liaison service. Osteoporosis International, 27(11), 3165-3175.
Banakh, I. (2011). PRO-OSTEO Project (Improving osteoporosis management in the acute hospital setting): A pilot single-centre study. Archives of Osteoporosis, 6(1-2), 157-165.
Baroni, M., Tallis, A., Russo, A., & Longo, U. G. (2019). The orthogeriatric comanagement improves clinical outcomes of hip fracture in older adults. Osteoporosis International, 30(4), 907-916.
Beaton, D. E., et al. (2017). Addition of a fracture risk assessment to a coordinator’s role improved treatment rates within 6 months of screening in a fragility fracture screening program. Osteoporosis International, 28(3), 863-869.
Beaupre, L. A., et al. (2020). Implementation of an in-patient hip fracture liaison service to improve initiation of osteoporosis medication use within 1 year of hip fracture. Archives of Osteoporosis, 15(1), 83.
Bracey, D. N., et al. (2016). An orthopedic-hospitalist comanaged hip fracture service reduces inpatient length of stay. Geriatric Orthopaedic Surgery & Rehabilitation, 7(4), 171-177.
Brañas, F., et al. (2018). Beyond orthogeriatric co-management model: Benefits of implementing a process management system for hip fracture. Archives of Osteoporosis, 13(1), 81.
Chehade, M. J., et al. (2016). Building multidisciplinary health workforce capacity to support the implementation of integrated, people-centred Models of Care for musculoskeletal health. Best Practice & Research Clinical Rheumatology, 30(3), 559-584.
Cheung, W. H., et al. (2018). Evaluation of a multidisciplinary rehabilitation programme for elderly patients with hip fracture. Journal of Rehabilitation Medicine, 50(3), 285-291.
Deschodt, M., et al. (2011). Effect of an inpatient geriatric consultation team on functional outcome, mortality, institutionalization, and readmission rate in older adults with hip fracture. Journal of the American Geriatrics Society, 59(7), 1299-1308.
Folbert, E. C., et al. (2012). Geriatric fracture center: A multidisciplinary treatment approach for older patients with a hip fracture improved quality of clinical care and short-term treatment outcomes. Geriatric Orthopaedic Surgery & Rehabilitation, 3(2), 59-67.
Giles, M., et al. (2011). A team approach: Implementing a model of care for preventing osteoporosis-related fractures. Osteoporosis International, 22(8), 2321-2328.
Gomez, F., et al. (2019). Effects of the falls and fractures clinic as an integrated multidisciplinary model of care in Australia: A pre-post study. BMJ Open, 9(7), e027013.
González-Montalvo, J. I., et al. (2010). The orthogeriatric unit for acute patients: A new model of care that improves efficiency in the management of patients with hip fracture. Hip International, 20(2), 229-235.
Greenspan, S. L., et al. (2018). Implementing a fracture liaison service open model of care utilizing a cloud-based tool. Osteoporosis International, 29(4), 953-960.
IOF. (2021). Capture the fracture. Retrieved from https://www.capturethefracture.org
Li, N., et al. (2021). The impact of fracture liaison services on subsequent fractures and mortality: A systematic literature review and meta-analysis. Osteoporosis International, 32(8), 1517-1530.
Marsh, D., et al. (2011). Coordinator-based systems for secondary prevention in fragility fracture patients. Osteoporosis International, 22(7), 2051-2065.
Sabharwal, S., & Wilson, H. (2015). Orthogeriatrics in the management of frail older patients with a fragility fracture. Osteoporosis International, 26(10), 2387-2399.
Walters, S., et al. (2017). Fracture liaison services: Improving outcomes for patients with osteoporosis. Clinical Interventions in Aging, 12, 117-127.
Wu, C. H., et al. (2018). Economic impact and cost-effectiveness of fracture liaison services: A systematic review of the literature. Osteoporosis International, 29(6), 1227-1242.
Axelsson, K. F., Jacobsson, S., Lundh, D., & Lorentzon, M. (2016). Effectiveness of a minimal resource fracture liaison service. Osteoporosis International, 27(11), 3165-3175.
Banakh, I. (2011). PRO-OSTEO Project (Improving osteoporosis management in the acute hospital setting): A pilot single-centre study. Archives of Osteoporosis, 6(1-2), 157-165.
Baroni, M., Tallis, A., Russo, A., & Longo, U. G. (2019). The orthogeriatric comanagement improves clinical outcomes of hip fracture in older adults. Osteoporosis International, 30(4), 907-916.
Beaton, D. E., et al. (2017). Addition of a fracture risk assessment to a coordinator’s role improved treatment rates within 6 months of screening in a fragility fracture screening program. Osteoporosis International, 28(3), 863-869.
Beaupre, L. A., et al. (2020). Implementation of an in-patient hip fracture liaison service to improve initiation of osteoporosis medication use within 1 year of hip fracture. Archives of Osteoporosis, 15(1), 83.
Bracey, D. N., et al. (2016). An orthopedic-hospitalist comanaged hip fracture service reduces inpatient length of stay. Geriatric Orthopaedic Surgery & Rehabilitation, 7(4), 171-177.
Brañas, F., et al. (2018). Beyond orthogeriatric co-management model: Benefits of implementing a process management system for hip fracture. Archives of Osteoporosis, 13(1), 81.
Chehade, M. J., et al. (2016). Building multidisciplinary health workforce capacity to support the implementation of integrated, people-centred Models of Care for musculoskeletal health. Best Practice & Research Clinical Rheumatology, 30(3), 559-584.
Cheung, W. H., et al. (2018). Evaluation of a multidisciplinary rehabilitation programme for elderly patients with hip fracture. Journal of Rehabilitation Medicine, 50(3), 285-291.
Deschodt, M., et al. (2011). Effect of an inpatient geriatric consultation team on functional outcome, mortality, institutionalization, and readmission rate in older adults with hip fracture. Journal of the American Geriatrics Society, 59(7), 1299-1308.
Folbert, E. C., et al. (2012). Geriatric fracture center: A multidisciplinary treatment approach for older patients with a hip fracture improved quality of clinical care and short-term treatment outcomes. Geriatric Orthopaedic Surgery & Rehabilitation, 3(2), 59-67.
Giles, M., et al. (2011). A team approach: Implementing a model of care for preventing osteoporosis-related fractures. Osteoporosis International, 22(8), 2321-2328.
Gomez, F., et al. (2019). Effects of the falls and fractures clinic as an integrated multidisciplinary model of care in Australia: A pre-post study. BMJ Open, 9(7), e027013.
González-Montalvo, J. I., et al. (2010). The orthogeriatric unit for acute patients: A new model of care that improves efficiency in the management of patients with hip fracture. Hip International, 20(2), 229-235.
Greenspan, S. L., et al. (2018). Implementing a fracture liaison service open model of care utilizing a cloud-based tool. Osteoporosis International, 29(4), 953-960.
IOF. (2021). Capture the fracture. Retrieved from https://www.capturethefracture.org
Li, N., et al. (2021). The impact of fracture liaison services on subsequent fractures and mortality: A systematic literature review and meta-analysis. Osteoporosis International, 32(8), 1517-1530.
Marsh, D., et al. (2011). Coordinator-based systems for secondary prevention in fragility fracture patients. Osteoporosis International, 22(7), 2051-2065.
Sabharwal, S., & Wilson, H. (2015). Orthogeriatrics in the management of frail older patients with a fragility fracture. Osteoporosis International, 26(10), 2387-2399.
Walters, S., et al. (2017). Fracture liaison services: Improving outcomes for patients with osteoporosis. Clinical Interventions in Aging, 12, 117-127.
Wu, C. H., et al. (2018). Economic impact and cost-effectiveness of fracture liaison services: A systematic review of the literature. Osteoporosis International, 29(6), 1227-1242.
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Published
Dec 18, 2022
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How to Cite
Taleb Ali Alessa7, Hussain Yousef Mohammed Alshaqaqiq8, Ali Hussain Al Ali9, Mohammed Kazim Abdullah Albarry10, Mohammed Ibrahiem Almukaideer11, Komail Salman Ibrahim Alnasser12, M. N. A. H. J. A. A. A. A. A. A. J. A. H. A. A. N. M. A. Z. A. H. A. (2022). Integrated Osteoporosis Care: The Collaborative Role Of Dentistry , Laboratories, Nursing, Health Informatics And Physical Therapy. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 1427-1434. https://doi.org/10.53555/jptcp.v29i04.5904
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Taleb Ali Alessa7, Hussain Yousef Mohammed Alshaqaqiq8, Ali Hussain Al Ali9, Mohammed Kazim Abdullah Albarry10, Mohammed Ibrahiem Almukaideer11, Komail Salman Ibrahim Alnasser12, M. N. A. H. J. A. A. A. A. A. A. J. A. H. A. A. N. M. A. Z. A. H. A. (2022). Integrated Osteoporosis Care: The Collaborative Role Of Dentistry , Laboratories, Nursing, Health Informatics And Physical Therapy. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 1427-1434. https://doi.org/10.53555/jptcp.v29i04.5904