A scorecard for osteoporosis in Canada and seven Canadian provinces
SUMMARY: The scorecard evaluates the burden and management of osteoporosis in Canada and how care pathways differ across Canadian provinces. The results showed there are inequities in patients’ access to diagnosis, treatment, and post-fracture care programs in Canada. Interventions are needed to clo...
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ftpubmed:oai:pubmedcentral.nih.gov:7755868 2023-05-15T17:21:55+02:00 A scorecard for osteoporosis in Canada and seven Canadian provinces Kendler, D.L. Adachi, J.D. Brown, J.P. Juby, A.G. Kovacs, C.S. Duperrouzel, C. McTavish, R.K. Cameron, C. Slatkovska, L. Burke, N. 2020-07-25 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755868/ http://www.ncbi.nlm.nih.gov/pubmed/32712739 https://doi.org/10.1007/s00198-020-05554-2 en eng Springer London http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755868/ http://www.ncbi.nlm.nih.gov/pubmed/32712739 http://dx.doi.org/10.1007/s00198-020-05554-2 © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. CC-BY-NC Osteoporos Int Original Article Text 2020 ftpubmed https://doi.org/10.1007/s00198-020-05554-2 2021-01-03T01:38:28Z SUMMARY: The scorecard evaluates the burden and management of osteoporosis in Canada and how care pathways differ across Canadian provinces. The results showed there are inequities in patients’ access to diagnosis, treatment, and post-fracture care programs in Canada. Interventions are needed to close the osteoporosis treatment gap and minimize these inequities. INTRODUCTION: The purpose of this study was to develop a visual scorecard that assesses the burden of osteoporosis and its management within Canada and seven Canadian provinces. METHODS: We adapted the Scorecard for Osteoporosis in Europe (SCOPE) to score osteoporosis indicators for Canada and seven provinces (British Columbia, Alberta, Saskatchewan, Ontario, Quebec, New Brunswick, and Newfoundland). We obtained data from a comprehensive literature review and interviews with osteoporosis experts. We scored 20 elements across four domains: burden of disease, policy framework, service provision, and service uptake. Each element was scored as red, yellow, or green, indicating high, intermediate, or low risk, respectively. Elements with insufficient data were scored black. RESULTS: Canada performed well on several elements of osteoporosis care, including high uptake of risk assessment algorithms and minimal wait times for hip fracture surgery. However, there were no established fracture registries, and reporting on individuals with high fracture risk who remain untreated was limited. Furthermore, osteoporosis was not an official health priority in most provinces. Government-backed action plans and other osteoporosis initiatives were primarily confined to Ontario and Alberta. Several provinces (Saskatchewan, New Brunswick, Newfoundland) did not have any registered fracture liaison service (FLS) programs. Access to diagnosis and treatment was also inconsistent and reimbursement policies did not align with clinical guidelines. CONCLUSION: Government-backed action plans are needed to address provincial inequities in patients’ access to diagnosis, treatment, and ... Text Newfoundland PubMed Central (PMC) British Columbia ENVELOPE(-125.003,-125.003,54.000,54.000) Canada Osteoporosis International 32 1 123 132 |
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Original Article |
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Original Article Kendler, D.L. Adachi, J.D. Brown, J.P. Juby, A.G. Kovacs, C.S. Duperrouzel, C. McTavish, R.K. Cameron, C. Slatkovska, L. Burke, N. A scorecard for osteoporosis in Canada and seven Canadian provinces |
topic_facet |
Original Article |
description |
SUMMARY: The scorecard evaluates the burden and management of osteoporosis in Canada and how care pathways differ across Canadian provinces. The results showed there are inequities in patients’ access to diagnosis, treatment, and post-fracture care programs in Canada. Interventions are needed to close the osteoporosis treatment gap and minimize these inequities. INTRODUCTION: The purpose of this study was to develop a visual scorecard that assesses the burden of osteoporosis and its management within Canada and seven Canadian provinces. METHODS: We adapted the Scorecard for Osteoporosis in Europe (SCOPE) to score osteoporosis indicators for Canada and seven provinces (British Columbia, Alberta, Saskatchewan, Ontario, Quebec, New Brunswick, and Newfoundland). We obtained data from a comprehensive literature review and interviews with osteoporosis experts. We scored 20 elements across four domains: burden of disease, policy framework, service provision, and service uptake. Each element was scored as red, yellow, or green, indicating high, intermediate, or low risk, respectively. Elements with insufficient data were scored black. RESULTS: Canada performed well on several elements of osteoporosis care, including high uptake of risk assessment algorithms and minimal wait times for hip fracture surgery. However, there were no established fracture registries, and reporting on individuals with high fracture risk who remain untreated was limited. Furthermore, osteoporosis was not an official health priority in most provinces. Government-backed action plans and other osteoporosis initiatives were primarily confined to Ontario and Alberta. Several provinces (Saskatchewan, New Brunswick, Newfoundland) did not have any registered fracture liaison service (FLS) programs. Access to diagnosis and treatment was also inconsistent and reimbursement policies did not align with clinical guidelines. CONCLUSION: Government-backed action plans are needed to address provincial inequities in patients’ access to diagnosis, treatment, and ... |
format |
Text |
author |
Kendler, D.L. Adachi, J.D. Brown, J.P. Juby, A.G. Kovacs, C.S. Duperrouzel, C. McTavish, R.K. Cameron, C. Slatkovska, L. Burke, N. |
author_facet |
Kendler, D.L. Adachi, J.D. Brown, J.P. Juby, A.G. Kovacs, C.S. Duperrouzel, C. McTavish, R.K. Cameron, C. Slatkovska, L. Burke, N. |
author_sort |
Kendler, D.L. |
title |
A scorecard for osteoporosis in Canada and seven Canadian provinces |
title_short |
A scorecard for osteoporosis in Canada and seven Canadian provinces |
title_full |
A scorecard for osteoporosis in Canada and seven Canadian provinces |
title_fullStr |
A scorecard for osteoporosis in Canada and seven Canadian provinces |
title_full_unstemmed |
A scorecard for osteoporosis in Canada and seven Canadian provinces |
title_sort |
scorecard for osteoporosis in canada and seven canadian provinces |
publisher |
Springer London |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755868/ http://www.ncbi.nlm.nih.gov/pubmed/32712739 https://doi.org/10.1007/s00198-020-05554-2 |
long_lat |
ENVELOPE(-125.003,-125.003,54.000,54.000) |
geographic |
British Columbia Canada |
geographic_facet |
British Columbia Canada |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Osteoporos Int |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755868/ http://www.ncbi.nlm.nih.gov/pubmed/32712739 http://dx.doi.org/10.1007/s00198-020-05554-2 |
op_rights |
© The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1007/s00198-020-05554-2 |
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Osteoporosis International |
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32 |
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1 |
container_start_page |
123 |
op_container_end_page |
132 |
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