Effective communication regarding risk of fracture for individuals at risk of fragility fracture: a scoping review

Beaudart, Charlotte; Hiligsmann, Mickaël; Li, Nannan; Lewiecki, E. Michael; Silverman, Stuart

doi:10.1007/s00198-021-06151-7

Cited by 7 publications

(13 citation statements)

References 74 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tools, such as BoneRx, which include a reminder for providers and provide education to the target population, have the potential to increase BMD investigations, may reduce fracture rates [ 50 ], and highlight the need to consider multiple components and targets when developing tools and interventions to change care [ 63 ]. Patient understanding of the risk of OP due to ADT should be confirmed by encouraging questions and the opportunity to express any concerns [ 64 ]. This will contribute to an optimal patient-centred approach.…”

Section: Discussionmentioning

confidence: 99%

Implementing and Evaluating the Impact of BoneRx: A Healthy Bone Prescription for Men with Prostate Cancer Initiating Androgen Deprivation Therapy

Jones

Tsang

Zheng

et al. 2022

JCM

View full text Add to dashboard Cite

Background: The initiation of Androgen Deprivation Therapy (ADT) results in rapid and profound hypogonadism, resulting in significant bone and muscle loss, increasing the risk for osteoporosis (OP), falls, and fractures. Despite this, there exist very low rates of guideline adherent care regarding bone health in this population. We developed and implemented a healthy bone prescription tool entitled BoneRx to facilitate the uptake of guideline-concordant bone health care into practice and increase patient awareness and promote the uptake of health bone behaviours (HBBs). Methods: We conducted a cross-sectional pre-BoneRx implementation (n = 143) vs. post-implementation (n = 149) cohort study to evaluate the impact on (i) bone health care, patient engagement in HBB, and patient knowledge and health beliefs regarding OP. Results: There was a significant difference pre- vs. post BoneRx implementation on receipt of baseline BMD (34.7% vs. 59.5%, p < 0.0001) and bone health counselling (32.4% vs. 59.9%, p < 0.0001). More participants in the post-BoneRx implementation cohort reported taking vitamin D supplements 57% vs. 81% (p < 0.001) and calcium supplements 39% vs. 61% (p < 0.001). Physical activity levels also significantly increased (p = 0.021). No differences were detected in OP knowledge or feelings of OP susceptibility, seriousness, or health motivation. Conclusion: BoneRx is a simple, cost-effective, and acceptable strategy that could improve the care of PCa survivors receiving ADT.

show abstract

Section: Discussionmentioning

confidence: 99%

Implementing and Evaluating the Impact of BoneRx: A Healthy Bone Prescription for Men with Prostate Cancer Initiating Androgen Deprivation Therapy

Jones

Tsang

Zheng

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…Their level of anxiety may depend, however, on the statistical format used. When risks are described as “1 in 25”, patients perceive a higher likelihood of the risk to occur compared to when they are described as“4 in 100” [ 48 ]. Such variations in form may affect anxiety levels of patients.…”

Section: Discussionmentioning

confidence: 99%

Coding linguistic elements in clinical interactions: a step-by-step guide for analyzing communication form

Stortenbeker

Salm

Hartman³

et al. 2022

BMC Med Res Methodol

View full text Add to dashboard Cite

Background The quality of communication between healthcare professionals (HCPs) and patients affects health outcomes. Different coding systems have been developed to unravel the interaction. Most schemes consist of predefined categories that quantify the content of communication (the what). Though the form (the how) of the interaction is equally important, protocols that systematically code variations in form are lacking. Patterns of form and how they may differ between groups therefore remain unnoticed. To fill this gap, we present CLECI, Coding Linguistic Elements in Clinical Interactions, a protocol for the development of a quantitative codebook analyzing communication form in medical interactions. Methods Analyzing with a CLECI codebook is a four-step process, i.e. preparation, codebook development, (double-)coding, and analysis and report. Core activities within these phases are research question formulation, data collection, selection of utterances, iterative deductive and inductive category refinement, reliability testing, coding, analysis, and reporting. Results and conclusion We present step-by-step instructions for a CLECI analysis and illustrate this process in a case study. We highlight theoretical and practical issues as well as the iterative codebook development which combines theory-based and data-driven coding. Theory-based codes assess how relevant linguistic elements occur in natural interactions, whereas codes derived from the data accommodate linguistic elements to real-life interactions and contribute to theory-building. This combined approach increases research validity, enhances theory, and adjusts to fit naturally occurring data. CLECI will facilitate the study of communication form in clinical interactions and other institutional settings.

show abstract

“…The mean TBS and lumbar spine BMD decreased from 20-24 years to 70-74 years in both sexes; especially in women after 50 years of age, TBS and spine BMD showed a clear nonlinear decline (Figure 2). The peak age range for TBS (L 1-4 ) and BMD (L 1-4 ) in men was 25-29 years, with a mean peak TBS (L 1-4 ) of 1.47±0.08 and a mean peak BMD (L 1-4 ) of 1.17±0.15 g/cm 2 . The peak age range for TBS in women was 20-24 years, with a plateau at 20-39 years and a mean peak TBS (L 1-4 ) of 1.43±0.08.…”

Section: Correlation Of Bmd and Tbs Of The Lumbar Spine With Age In M...mentioning

confidence: 97%

“…The peak age range for TBS in women was 20-24 years, with a plateau at 20-39 years and a mean peak TBS (L 1-4 ) of 1.43±0.08. The peak age for BMD (L 1-4 ) was 35-39 years, with a mean of 1.17±0.13 g/cm 2 .…”

Section: Correlation Of Bmd and Tbs Of The Lumbar Spine With Age In M...mentioning

confidence: 99%

“…Osteoporosis is a common age-related disease characterized by low bone mass and subtle changes in bone structure (1). It not only affects the daily life of older adult individuals but also increases the risk of fragility fractures and even death in severe cases (2). The current gold standard for diagnosing and detecting osteoporosis in the clinic is bone mineral density (BMD) as measured by dual-energy X-ray absorptiometry (DXA).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Establishing age-adjusted trabecular bone score curves using dual-energy X-ray absorptiometry in Chinese women and men: a cross-sectional study

Wu¹,

Wu²,

Zhang³

et al. 2023

Quant Imaging Med Surg

View full text Add to dashboard Cite

Background: Trabecular bone score (TBS) is a relatively new gray-level textural parameter that provides information on bone microarchitecture. TBS has been shown to be a good predictor of fragility fractures independent of bone density and clinical risk factors. Estimating the normal reference values of TBS in both sexes among the Chinese population is necessary to improve the clinical fracture risk assessment.Methods: This retrospective study enrolled healthy Chinese participants living in Guangzhou, China, including 1,018 men and 3,061 women (aged 20-74 years). Bone mineral density images were obtained with dual-energy X-ray absorptiometry (DXA) scanning of the lumbar region (L 1-4 ). Lumbar spine TBS values were calculated. The correlations between the scores and bone mineral density, age, height, and weight were calculated for men and women. A TBS reference plot was established in relation to age (20-74 years). Values 2 standard deviations below the mean score for each sex were used as the cutoff values for low-quality bone. Results:The TBS (L 1-4 ) was significantly higher in Chinese men than in Chinese women. The scores peaked at 25-29 years (1.47±0.08 years) in men and at 20-24 years (1.43±0.08 years) in women. According to the statistical confidence interval, in Chinese males, a TBS ≥1.39 is considered normal, a TBS between 1.31 and 1.39 indicates partially degraded microarchitecture, and a TBS ≤1.31 indicates degraded microarchitecture. In Chinese females, a TBS ≥1.35 is considered normal, a TBS between 1.27 and 1.35 indicates partially degraded microarchitecture, and a TBS ≤1.27 indicates degraded microarchitecture.Conclusions: This study provides normative reference ranges for the TBS in Chinese men and women.Chinese men with a TBS score ≤1.31 and Chinese women with a TBS score ≤1.27 are can be considered to have reduced bone microarchitecture and may be at higher risk of having osteoporosis fractures.

show abstract

Effective communication regarding risk of fracture for individuals at risk of fragility fracture: a scoping review

Cited by 7 publications

References 74 publications

Implementing and Evaluating the Impact of BoneRx: A Healthy Bone Prescription for Men with Prostate Cancer Initiating Androgen Deprivation Therapy

Implementing and Evaluating the Impact of BoneRx: A Healthy Bone Prescription for Men with Prostate Cancer Initiating Androgen Deprivation Therapy

Coding linguistic elements in clinical interactions: a step-by-step guide for analyzing communication form

Establishing age-adjusted trabecular bone score curves using dual-energy X-ray absorptiometry in Chinese women and men: a cross-sectional study

Contact Info

Product

Resources

About