Clinical decision support system for the management of osteoporosis compared to NOGG guidelines and an osteology specialist: a validation pilot study.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
AuthorsGudmundsson, Haukur T
Hansen, Karen E
Halldorsson, Bjarni V
Ludviksson, Bjorn R
MetadataShow full item record
CitationClinical decision support system for the management of osteoporosis compared to NOGG guidelines and an osteology specialist: a validation pilot study. 2019, 19(1):27 BMC Med Inform Decis Mak
AbstractAlthough osteoporosis is an easily diagnosed and treatable condition, many individuals remain untreated. Clinical decision support systems might increase appropriate treatment of osteoporosis. We designed the Osteoporosis Advisor (OPAD), a computerized tool to support physicians managing osteoporosis at the point-of-care. The present study compares the treatment recommendations provided by OPAD, an expert physician and the National Osteoporosis Guideline Group (NOGG). We performed a retrospective analysis of 259 patients attending the outpatient osteoporosis clinic at the University Hospital in Iceland. We entered each patient's data into the OPAD and recorded the OPAD diagnostic comments, 10-year risk of major osteoporotic fracture and treatment options. We compared OPAD recommendations to those given by the osteoporosis specialist, and to those of the NOGG. Risk estimates made by OPAD were highly correlated with those from FRAX (r = 0.99, 95% CI 0.99, 1.00 without femoral neck BMD; r = 0.98, 95% CI, 0.97, 0.99 with femoral neck BMD. Reassurance was recommended by the expert, NOGG and the OPAD in 68, 63 and 52% of cases, respectively. Likewise, intervention was recommended by the expert, NOGG, and the OPAD in 32, 37 and 48% of cases, respectively. The OPAD demonstrated moderate agreement with the physician (kappa 0.51, 95% CI 0.41, 0.61) and even higher agreement with NOGG (kappa 0.69, 95% CI 0.60, 0.77). Primary care physicians can use the OPAD to assess and treat patients' skeletal health. Recommendations given by OPAD are consistent with expert opinion and existing guidelines.
DescriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download
- A clinical decision support system for the diagnosis, fracture risks and treatment of osteoporosis.
- Authors: Halldorsson BV, Bjornsson AH, Gudmundsson HT, Birgisson EO, Ludviksson BR, Gudbjornsson B
- Issue date: 2015
- Impact of UK National Guidelines based on FRAX®--comparison with current clinical practice.
- Authors: Crabtree NJ, Bebbington NA, Chapman DM, Wahid YS, Ayuk J, Boivin CM, Cooper MS, Gittoes NJ, National Osteoporosis Guidelines Group.
- Issue date: 2010 Oct
- Access to fracture risk assessment by FRAX and linked National Osteoporosis Guideline Group (NOGG) guidance in the UK-an analysis of anonymous website activity.
- Authors: McCloskey EV, Johansson H, Harvey NC, Compston J, Kanis JA
- Issue date: 2017 Jan
- Osteoporosis Management in a Real Clinical Setting: Heterogeneity in Intervention Approach and Discrepancy in Treatment Rates when Compared with the NOGG and NOF Guidelines.
- Authors: Kyriakos G, Vidal-Casariesgo A, Quiles-Sánchez LV, Urosa-Maggi JA, Calleja-Fernández A, Hernández-Moreno A, Ballesteros-Pomar MD, Cano-Rodriguez I
- Issue date: 2016 Sep
- Predicting fracture risk in osteoporosis: the use of fracture prediction tools in an osteoporosis clinic population.
- Authors: Aw D, Thain J, Ali A, Aung T, Chua WM, Sahota O, Weerasuriya N, Marshall L, Kearney F, Masud T
- Issue date: 2016 May