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Optimal care for the management of older people non-weight bearing after lower limb fracture: a consensus study
Aloraibi, Saleh ; Gladman, JRF ; Godfrey, Deborah ; Booth, Vicky ; Robinson, Kate ; Lunt, Eleanor K ; Caswell, Alan ; Kerr, Margaret ; Ollivere, Benjamin ; Gordon, Adam L
Aloraibi, Saleh
Gladman, JRF
Godfrey, Deborah
Booth, Vicky
Robinson, Kate
Lunt, Eleanor K
Caswell, Alan
Kerr, Margaret
Ollivere, Benjamin
Gordon, Adam L
Abstract
Background: Older people who are non-weight-bearing after a lower limb fracture are at risk of poor outcomes but there are no clinical guidelines for this group of patients. Given the paucity of the research evidence base, we conducted a consensus exercise to ascertain expert opinion about the management of this group.
Methods: A three-round e-Delphi technique was planned to use the online JISC survey tool with a multidisciplinary panel of health professionals. Panellists were invited by email via professional organisations and UK NHS Trusts. The initial statements for this study were prepared by the authors based upon the findings of their scoping review. Consensus required >/= 70% agreement with statements.
Results: Only 2 survey rounds were required. Ninety panellists, representing seven clinical disciplines, reached consensus for 24 statements about general issues (osteoporosis detection and management, falls risk reduction and nutrition) and specific non-weight bearing issues (such as the need for activity to be promoted during this period).
Conclusions: These findings can be used in the generation of a clinical guideline for this group of patients.
MIDER Authors
Citations
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Date
2021-05-24
Type
Subject
Ageing, Fractures, Bone
Collections
Citation
Aloraibi S, Gladman J, Godfrey D, Booth V, Robinson K, Lunt E, Caswell A, Kerr M, Ollivere B, Gordon AL. Optimal care for the management of older people non-weight bearing after lower limb fracture: a consensus study. BMC Geriatr. 2021 May 24;21(1):332. doi: 10.1186/s12877-021-02265-z.
Journal / Source Title
BMC Geriatrics
DOI
PMID
34030635
Publisher
BioMed Central
Publisher’s URL
Publisher’s statement
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