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Expert Consensus on the Management of Patients with Postmenopausal Osteoporosis in the Spanish Healthcare System.
- Source :
-
Advances in therapy [Adv Ther] 2016 Apr; Vol. 33 (4), pp. 658-69. Date of Electronic Publication: 2016 Mar 17. - Publication Year :
- 2016
-
Abstract
- Introduction: The management of postmenopausal osteoporosis (PMO) in routine clinical practice differs considerably from guideline recommendations. The objective of our study was to reach a consensus on the management of PMO, considering prevention, diagnosis, treatment and follow-up, according to expert opinion in Spain.<br />Methods: A two-round Delphi technique was conducted, including 38 experts. The questionnaire contained 35 sections, each one including 1-10 questions (n = 308) based on a literature review and contributions from the scientific steering committee. Each question was scored by experts from the current (1 = no occurrence, 9 = occurrence in all cases), wish (1 = total rejection; 9 = wish) and prediction (1 = no occurrence at all; 9 = occurs with maximum probability) perspectives. Consensus (wish and prediction perspectives) was considered when ≥75% of experts scored 7-9 (agreement) or 1-3 (disagreement).<br />Results: Overall, consensus was achieved on 75% of questions. While protocols of clinical management and consultation/referral should be followed, their implementation is unlikely. Furthermore, the medical specialties currently involved in PMO management are poorly defined. PMO patients without fracture should be managed (prevention, diagnosis, treatment and follow-up) in both primary care and rheumatology settings; however, experts predicted that only treatment and follow-up will be assumed by these specialties. A multidisciplinary team should be involved in patients with fracture. No assessment tools are usually applied, and prediction indicated that they will not be used.<br />Conclusion: Efforts should be focused on questions with high divergence between wishes and predictions, defining actions that will improve PMO management. Collaboration between scientific societies and health authorities to address the identified opportunities of improvement is proposed.<br />Funding: Amgen S.A.
- Subjects :
- Aged
Consensus Development Conferences as Topic
Delphi Technique
Female
Humans
Middle Aged
Needs Assessment
Spain epidemiology
Surveys and Questionnaires
Attitude of Health Personnel
Osteoporosis, Postmenopausal diagnosis
Osteoporosis, Postmenopausal epidemiology
Osteoporosis, Postmenopausal prevention & control
Osteoporosis, Postmenopausal therapy
Patient Care Management methods
Patient Care Management organization & administration
Patient Care Team organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1865-8652
- Volume :
- 33
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Advances in therapy
- Publication Type :
- Academic Journal
- Accession number :
- 26984314
- Full Text :
- https://doi.org/10.1007/s12325-016-0314-9