Top

Archives of Osteoporosis

Published in:

01-12-2023 | Care | Original Article

A new digital case-based educational program Orthogeriatrics TeleECHO, a strategy to improve the care of fragility fracture patients

Authors: Olga Lesnyak, Elena Frolova, Olga Kuznetsova, E. M. Lewiecki

Published in: Archives of Osteoporosis | Issue 1/2023

Abstract

Summary

Participation in Orthogeriatrics TeleECHO was associated with improvement in physicians’ knowledge and self-confidence in managing elderly patients with fractures.

Purpose

To develop and conduct an interactive case-based virtual TeleECHO program to expand the knowledge of healthcare professionals in the field of orthogeriatrics.

Methods

The project included twelve 90-min sessions for physicians and healthcare managers. Each session was based on real clinical cases discussed by the multidisciplinary group of faculty. The efficacy of the project was assessed using questionnaires.

Results

The attendance of individual sessions ranged from 129 to 224 with the total number of participants 829; 25% of participants were from remote rural regions. A survey conducted at the beginning of the project showed insufficient knowledge and ability to apply the concepts of orthogeriatrics. A final questionnaire showed that 74% of respondents participated in most sessions, with 94% wishing to continue participating in further sessions. There was a statistically significant overall improvement in confidence of caring for fragility fracture patients with an effect size of 0.75 (p<0.001). The proportion of responders who were able to apply their new knowledge in clinical practice shortly after TeleECHO showed a substantial increase (p<0.0001).

Conclusion

The Orthogeriatrics TeleECHO program was effective in changing perceptions and self-confidence of the participants, and applying knowledge acquired to patient care. This model of learning could be applied in other countries in other languages to improve post-fracture care worldwide.

Lesnyak O, Ershova O, Belova K, Gladkova E, Sinitsina O, Ganert O, Romanova M, Khodirev V, Johansson H, McCloskey E, Kanis JA (2012) Epidemiology of fracture in the Russian Federation and the development of a FRAX model. Arch Osteoporos 7:67–73. https://doi.org/10.1007/s11657-012-0082-3CrossRefPubMed

Kanis JA, Odén A, McCloskey EV, Johansson H, Wahl DA, Cooper C (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporosis International 23(9):2239–2256. https://doi.org/10.1007/s00198-012-1964-3CrossRefPubMedPubMedCentral

Lesnyak O, Bilezikian JP, Zakroyeva A (2020) Working Group for the Audit on Burden of Osteoporosis in Eurasian Region. Report on the Audit on Burden of Osteoporosis in Eight Countries of the Eurasian Region: Armenia, Belarus, Georgia, Moldova, Kazakhstan, the Kyrgyz Republic, the Russian Federation, and Uzbekistan. Arch Osteoporos 15(1):175. https://doi.org/10.1007/s11657-020-00836-yCrossRefPubMed

Lesnyak O, Svedbom A, Belova K, Dobrovolskaya O, Ershova O, Golubev G, Grebenshikov V, Ivanov S, Kochish A, Menshikova L, Nikitinskaya O, Nurligayanov R, Solodovnikov A, Toroptsova N, Varavko J, Zotkin E, Borgstrom F, Kanis JA (2020) Quality of life after fragility fracture in the Russian Federation: results from the Russian arm of the International Cost and Utility Related to Osteoporotic Fractures Study (ICUROS). Arch Osteoporos 15(1):37. https://doi.org/10.1007/s11657-020-0699-6CrossRefPubMedPubMedCentral

Dreinhofer KE, Mitchell PJ, Begue T et al (2018) A global call to action to improve the care of people with fragility fractures. Injury 49(8):1393–1397CrossRefPubMed

Mitchell P, Åkesson K, Chandran M, Cooper C, Ganda K, Schneider M (2016) Implementation of Models of Care for secondary osteoporotic fracture prevention and orthogeriatric Models of Care for osteoporotic hip fracture. Best Pract Res Clin Rheumatol 30(3):536–558. https://doi.org/10.1016/j.berh.2016.09.008CrossRefPubMed

Van Heghe A, Mordant G, Dupont J, Dejaeger M, Laurent MR, Gielen E (2022) Effects of orthogeriatric care models on outcomes of hip fracture patients: a systematic review and meta-analysis. Calcif Tissue Int 110(2):162–184. https://doi.org/10.1007/s00223-021-00913-5CrossRefPubMed

Huang CF, Pan PJ, Chiang YH, Yang SH (2021) A rehabilitation-based multidisciplinary care model reduces hip fracture mortality in older adults. J Multidiscip Healthc 14:2741–2747. https://doi.org/10.2147/JMDH.S331136CrossRefPubMedPubMedCentral

Osuna PM, Ruppe MD, Tabatabai LS (2017) Fracture liaison services: multidisciplinary approaches to secondary fracture prevention. Endocr Pract 23(2):199–206. https://doi.org/10.4158/EP161433.RACrossRefPubMed

10.

Lewiecki EM, Rochelle R (2019) Project ECHO: telehealth to expand capacity to deliver best practice medical care. Rheum Dis Clin North Am 45(2):303–314. https://doi.org/10.1016/j.rdc.2019.01.003CrossRefPubMed

11.

Lewiecki EM, Rochelle R, Bouchonville MF 2nd, Chafey DH, Olenginski TP, Arora S (2017) Leveraging scarce resources with bone health TeleECHO to improve the care of osteoporosis. J Endocr Soc 1(12):1428–1434. https://doi.org/10.1210/js.2017-00361CrossRefPubMedPubMedCentral

12.

Belaya Z, Melnichenko G, Golounina O, Tsoriev T, Rozhinskaya L, Dubovitskaya T, Belovalova I, Gorochov E, Shestakova M, Dedov I, Lewiecki EM (2022) Three-year progress report of Bone Health TeleECHO Moscow: a strategy to improve the care of patients with osteoporosis and other metabolic skeletal diseases in underserved communities of Russia. Osteoporos Int 33(9):2035–2040. https://doi.org/10.1007/s00198-022-06431-wCrossRefPubMed

13.

‘Orthogeriatrics. The Management of Older Patients with Fragility Fractures’ https://link.springer.com/book/10.1007/978-3-030-48126-1 (accessed 08 March 2023)

14.

https://fragilityfracturenetwork.org/ffn-resources/ (accessed 08 March 2023)

Title: A new digital case-based educational program Orthogeriatrics TeleECHO, a strategy to improve the care of fragility fracture patients
Authors: Olga Lesnyak
Elena Frolova
Olga Kuznetsova
E. M. Lewiecki
Publication date: 01-12-2023
Publisher: Springer London
Keywords: Care
Osteoporosis
Osteoporosis
Published in: Archives of Osteoporosis / Issue 1/2023
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-023-01311-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A new digital case-based educational program Orthogeriatrics TeleECHO, a strategy to improve the care of fragility fracture patients

Abstract

Summary

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2023

An assessment of intervention thresholds for high fracture risk in Chile

Osteoporotic fracture admissions compared to other major medical admissions in Irish public hospitals

Cumulated ambulation score in hospitalized patients with osteoporotic vertebral fractures is an important predictor of returning home: a retrospective cohort study

A diagnostic predictive model for secondary osteoporosis in patients with fragility fracture: a retrospective cohort study in a tertiary care hospital

Access to care among patients with osteogenesis imperfecta during the COVID-19 pandemic

Association of early-life famine exposure with low bone mass in adulthood