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  4. Improving patients’ experiences of diagnosis and treatment of vertebral fracture: co-production of knowledge sharing resources

Improving patients’ experiences of diagnosis and treatment of vertebral fracture: co-production of knowledge sharing resources

BMC Musculoskeletal Disorders, 2024 · DOI: https://doi.org/10.1186/s12891-024-07281-9 · Published: February 14, 2024

Research Methodology & DesignMusculoskeletal Medicine

Simple Explanation

Osteoporosis weakens bones, increasing fracture risk. Vertebral fractures, common in osteoporosis, often go undiagnosed. This study created resources for healthcare professionals and patients to improve diagnosis and treatment access. The study involved interviews and workshops to identify barriers to diagnosis and develop recommendations. Knowledge sharing resources were co-produced to aid timely and accurate diagnosis and treatment. The resources aim to increase awareness of vertebral fractures and improve management. Dissemination of these resources to various stakeholders can significantly improve patient care.

Study Duration
Not specified
Participants
Qualitative interviews: 21 healthcare professionals, 24 patients. Stakeholder groups: 18 participants. Co-production workshops: 12 participants
Evidence Level
Not specified

Key Findings

  • 1
    Lack of patient information, prioritization of other conditions, and self-management hinder diagnosis. Healthcare professionals struggle to identify vertebral fractures in lower-risk groups, mistaking them for other conditions.
  • 2
    Communication gaps between primary and secondary care delay diagnosis and treatment. Recommendations include guidance for healthcare professionals and information for patients.
  • 3
    Co-produced resources focused on areas stakeholders found beneficial. These resources were developed to aid timely and accurate diagnosis and treatment.

Research Summary

This study co-produced knowledge sharing resources to improve vertebral fracture diagnosis. It identified barriers and facilitators through interviews and stakeholder workshops. Fourteen recommendations were developed for healthcare professionals and patients. Prototype resources were refined through stakeholder feedback. The resources aim to improve timely and accurate diagnosis and treatment. Dissemination strategies target healthcare professionals and patients.

Practical Implications

Improved Diagnosis

The resources can help healthcare professionals and patients identify vertebral fractures more effectively, leading to earlier diagnosis and treatment.

Enhanced Communication

Clearer communication between primary and secondary care can ensure patients are informed and receive timely treatment.

Better Patient Outcomes

Early intervention and bone protection therapies can reduce the risk of further fractures, improving patient outcomes and quality of life.

Study Limitations

  • 1
    Data collection occurred during the COVID-19 pandemic, impacting care pathways.
  • 2
    Limited GP representation in later workshop stages.
  • 3
    Most participants identified as women of white ethnicity, potentially limiting the generalizability of findings.

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