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Patient education following vertebral fragility fracture: a scoping review

Cunningham C, Linehan P, Kilkenny F, Duffy J, Heatley E, Stokes D, Barker K, Hogan K

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2025

Abstract

Vertebral fragility fracture (VFF) incidence is rising with significant associated patient and health service burden. Patient education is core to effective VFF management and thus the focus of this robust literature review. Eight studies met review inclusion criteria with the limited evidence and inconsistent approach to education post VFF illustrated.

Purpose: The incidence of vertebral fragility fracture is rising, associated with osteoporosis among an ageing global population. Most VFFs are managed conservatively with patient education, a core element of conservative management. This review aims to identify and synthesise the available literature regarding healthcare professional (HCP)-led patient education post VFF.

Methods: This review was registered on OSF [25] and conducted in accordance with the Joanna Briggs Institute methodology [21] for scoping reviews and guided by the Arksey and O'Malley Framework [22], using five key stages: (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting the data and (5) charting, collecting and summarising the data. Six databases (Pubmed, ERIC, Embase, Cinahl, APA PsychINFO and Cochrane) were searched for papers published (in English) from January 2008 to November 2023, using a clearly defined search strategy. Predefined inclusion/exclusion criteria were used for screening papers using Covidence software [26] and a minimum of two independent reviewers. Data were extracted from…

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