FRAX®; Fracture; Osteoporosis; Patient-healthcare professional communication; Risk communication; Shared decision-making; Visual aids; Endocrinology, Diabetes and Metabolism
Abstract :
[en] [en] UNLABELLED: The RICO study indicated that most patients would like to receive information regarding their fracture risk but that only a small majority have actually received it. Patients globally preferred a visual presentation of fracture risk and were interested in an online tool showing the risk.
PURPOSE: The aim of the Risk Communication in Osteoporosis (RICO) study was to assess patients' preferences regarding fracture risk communication.
METHODS: To assess patients' preferences for fracture risk communication, structured interviews with women with osteoporosis or who were at risk for fracture were conducted in 11 sites around the world, namely in Argentina, Belgium, Canada at Hamilton and with participants from the Osteoporosis Canada Canadian Osteoporosis Patient Network (COPN), Japan, Mexico, Spain, the Netherlands, the UK, and the USA in California and Washington state. The interviews used to collect data were designed on the basis of a systematic review and a qualitative pilot study involving 26 participants at risk of fracture.
RESULTS: A total of 332 women (mean age 67.5 ± 8.0 years, 48% with a history of fracture) were included in the study. Although the participants considered it important to receive information about their fracture risk (mean importance of 6.2 ± 1.4 on a 7-point Likert scale), only 56% (i.e. 185/332) had already received such information. Globally, participants preferred a visual presentation with a traffic-light type of coloured graph of their FRAX® fracture risk probability, compared to a verbal or written presentation. Almost all participants considered it important to discuss their fracture risk and the consequences of fractures with their healthcare professionals in addition to receiving information in a printed format or access to an online website showing their fracture risk.
CONCLUSIONS: There is a significant communication gap between healthcare professionals and patients when discussing osteoporosis fracture risk. The RICO study provides insight into preferred approaches to rectify this communication gap.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Beaudart, Charlotte ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur ; Department of Health Services Research, Care & Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands. charlotte.beaudart@unamur.be ; Research Institute for Life Sciences (NARILIS), Department of Biomedical Sciences, Faculty of Medicine, University of Namur, Namur, Belgium. charlotte.beaudart@unamur.be
Sharma, Mitali; The OMC Research Center, Beverly Hills, CA, USA
Clark, Patricia; Clinical Epidemiology Unit, Children's Hospital of Mexico, Federico Gomez - Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico City, Mexico
Fujiwara, Saeko; Department of Pharmacy, Yasuda Women's University, Hiroshima, Japan
Adachi, Jonathan D; McMaster University, Hamilton, ON, Canada
Messina, Osvaldo D; Investigaciones Reumatológicas y Osteológicas (IRO), Collaborating Centre WHO, Buenos Aires, Argentina ; IRO Medical Center, Investigaciones Reumatologicas y Osteologicas SRL, Buenos Aires, Argentina
Morin, Suzanne N; Department of Medicine, McGill University, Montreal, Canada
Kohlmeier, Lynn A; Spokane Osteoporosis and Endocrinology, Spokane, WA, USA
Sangan, Caroline B; Royal Osteoporosis Society, Bath, UK
Nogues, Xavier; Internal Medicine Department, CIBERFES (ISCIII), Hospital del Mar Medical Research Institute, Pompeu Fabra University, Barcelona, Spain
Cruz-Priego, Griselda Adriana; Clinical Epidemiology Research Unit, Children's Hospital of Mexico, Federico Gomez - Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico City, Mexico
Cavallo, Andrea; Investigaciones Reumatológicas y Osteológicas (IRO), Collaborating Centre WHO, Buenos Aires, Argentina
Cooper, Fiona; Royal Osteoporosis Society, Bath, UK
Grier, Jamie; Royal Osteoporosis Society, Bath, UK
Leckie, Carolyn; McMaster University, Hamilton, ON, Canada
Montiel-Ojeda, Diana; Clinical Epidemiology Research Unit, Children's Hospital of Mexico, Federico Gomez - Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico City, Mexico
Papaioannou, Alexandra; McMaster University, Hamilton, ON, Canada
Raskin, Nele; Department of Health Services Research, Care & Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
Yurquina, Leonardo; AMPC, Hamilton, ON, Canada
Wall, Michelle; Research Institute of the McGill University Health Centre, Montreal, QC, Canada
Bruyère, Olivier ; Université de Liège - ULiège > Unité de recherche Santé publique, épidémiologie et économie de la santé (URSAPES)
Boonen, Annelies; Department of Health Services Research, Care & Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands ; Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands
Dennison, Elaine; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK
Harvey, Nicholas C; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK ; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
Kanis, John A; Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia ; Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK
Kaux, Jean-François ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur
Lewiecki, E Michael; New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, USA
Lopez-Borbon, Oscar; Research Institute for Life Sciences (NARILIS), Department of Biomedical Sciences, Faculty of Medicine, University of Namur, Namur, Belgium
Paskins, Zoé; School of Medicine, Keele University, Stoke-On-Trent, UK ; Haywood Academic Rheumatology Centre, Midlands Partnership University NHS Foundation Trust, Stoke-On-Trent, UK
Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique
Silverman, Stuart; Research Institute for Life Sciences (NARILIS), Department of Biomedical Sciences, Faculty of Medicine, University of Namur, Namur, Belgium ; Cedars-Sinai Medical Center, Los Angeles, CA, USA
Hiligsmann, Mickaël ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé ; Department of Health Services Research, Care & Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
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