Patients’ preferences for fracture risk communication: the Risk Communication in Osteoporosis (RICO) study

Charlotte Beaudart; Mitali Sharma; Patricia Clark; Saeko Fujiwara; Jonathan D. Adachi; Osvaldo D. Messina; Suzanne N. Morin; Lynn A. Kohlmeier; Caroline B. Sangan; Xavier Nogues; Griselda Adriana Cruz-Priego; Andrea Cavallo; Fiona Cooper; Jamie Grier; Carolyn Leckie; Diana Montiel-Ojeda; Alexandra Papaioannou; Nele Raskin; Leonardo Yurquina; Michelle Wall; Olivier Bruyère; Annelies Boonen; Elaine Dennison; Nicholas C. Harvey; John A. Kanis; Jean François Kaux; E. Michael Lewiecki; Oscar Lopez-Borbon; Zoé Paskins; Jean Yves Reginster; Stuart Silverman; Mickaël Hiligsmann

doi:10.1007/s00198-023-06955-9

Patients’ preferences for fracture risk communication: the Risk Communication in Osteoporosis (RICO) study

Charlotte Beaudart, Mitali Sharma, Patricia Clark, Saeko Fujiwara, Jonathan D. Adachi, Osvaldo D. Messina, Suzanne N. Morin, Lynn A. Kohlmeier, Caroline B. Sangan, Xavier Nogues, Griselda Adriana Cruz-Priego, Andrea Cavallo, Fiona Cooper, Jamie Grier, Carolyn Leckie, Diana Montiel-Ojeda, Alexandra Papaioannou, Nele Raskin, Leonardo Yurquina, Michelle WallOlivier Bruyère, Annelies Boonen, Elaine Dennison, Nicholas C. Harvey, John A. Kanis, Jean François Kaux, E. Michael Lewiecki, Oscar Lopez-Borbon, Zoé Paskins, Jean Yves Reginster, Stuart Silverman, Mickaël Hiligsmann

Namur Research Institute for Life Sciences

Research output: Contribution to journal › Article › peer-review

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Abstract

Summary: The RICO study indicated that most patients would like to receive information regarding their fracture risk but that only a small majority have actually received it. Patients globally preferred a visual presentation of fracture risk and were interested in an online tool showing the risk. Purpose: The aim of the Risk Communication in Osteoporosis (RICO) study was to assess patients’ preferences regarding fracture risk communication. Methods: To assess patients’ preferences for fracture risk communication, structured interviews with women with osteoporosis or who were at risk for fracture were conducted in 11 sites around the world, namely in Argentina, Belgium, Canada at Hamilton and with participants from the Osteoporosis Canada Canadian Osteoporosis Patient Network (COPN), Japan, Mexico, Spain, the Netherlands, the UK, and the USA in California and Washington state. The interviews used to collect data were designed on the basis of a systematic review and a qualitative pilot study involving 26 participants at risk of fracture. Results: A total of 332 women (mean age 67.5 ± 8.0 years, 48% with a history of fracture) were included in the study. Although the participants considered it important to receive information about their fracture risk (mean importance of 6.2 ± 1.4 on a 7-point Likert scale), only 56% (i.e. 185/332) had already received such information. Globally, participants preferred a visual presentation with a traffic-light type of coloured graph of their FRAX® fracture risk probability, compared to a verbal or written presentation. Almost all participants considered it important to discuss their fracture risk and the consequences of fractures with their healthcare professionals in addition to receiving information in a printed format or access to an online website showing their fracture risk. Conclusions: There is a significant communication gap between healthcare professionals and patients when discussing osteoporosis fracture risk. The RICO study provides insight into preferred approaches to rectify this communication gap.

Original language	English
Pages (from-to)	451-468
Number of pages	18
Journal	Osteoporosis International
Volume	35
Issue number	3
DOIs	https://doi.org/10.1007/s00198-023-06955-9
Publication status	Published - 13 Nov 2023

Funding

The RICO (Risk Communication in Osteoporosis) project received funding from Amgen US/UCB. Amgen had no role in design, data collection, analysis, or interpretation. ZP is funded by the National Institute for Health Research (NIHR) (Clinician Scientist Award (CS-2018–18-ST2-010)/NIHR Academy). The views represent those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health and Social Care. We thank Osteoporosis Canada and its Canadian Osteoporosis Patient Network and the UK Royal Osteoporosis Society for helping to recruit participants. We also thank all of the participants included in this study for their time dedicated to this research. As compensation for their time, some participants were paid an honorarium. The decision to compensate participants was at the discretion of each study site investigator.

Funders	Funder number
Amgen US
Canadian Osteoporosis Patient Network
NIHR Academy
Osteoporosis Canada
UCB
National Institute for Health and Care Research	CS-2018–18-ST2-010
National Institute for Health and Care Research
Royal Osteoporosis Society

Keywords

Fracture
FRAX®
Osteoporosis
Patient-healthcare professional communication
Risk communication
Shared decision-making
Visual aids

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s00198-023-06955-9

s00198-023-06955-9Final published version, 1.73 MBLicence: CC BY-NC

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Beaudart, C., Sharma, M., Clark, P., Fujiwara, S., Adachi, J. D., Messina, O. D., Morin, S. N., Kohlmeier, L. A., Sangan, C. B., Nogues, X., Cruz-Priego, G. A., Cavallo, A., Cooper, F., Grier, J., Leckie, C., Montiel-Ojeda, D., Papaioannou, A., Raskin, N., Yurquina, L., ... Hiligsmann, M. (2023). Patients’ preferences for fracture risk communication: the Risk Communication in Osteoporosis (RICO) study. Osteoporosis International, 35(3), 451-468. https://doi.org/10.1007/s00198-023-06955-9

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abstract = "Summary: The RICO study indicated that most patients would like to receive information regarding their fracture risk but that only a small majority have actually received it. Patients globally preferred a visual presentation of fracture risk and were interested in an online tool showing the risk. Purpose: The aim of the Risk Communication in Osteoporosis (RICO) study was to assess patients{\textquoteright} preferences regarding fracture risk communication. Methods: To assess patients{\textquoteright} preferences for fracture risk communication, structured interviews with women with osteoporosis or who were at risk for fracture were conducted in 11 sites around the world, namely in Argentina, Belgium, Canada at Hamilton and with participants from the Osteoporosis Canada Canadian Osteoporosis Patient Network (COPN), Japan, Mexico, Spain, the Netherlands, the UK, and the USA in California and Washington state. The interviews used to collect data were designed on the basis of a systematic review and a qualitative pilot study involving 26 participants at risk of fracture. Results: A total of 332 women (mean age 67.5 ± 8.0 years, 48% with a history of fracture) were included in the study. Although the participants considered it important to receive information about their fracture risk (mean importance of 6.2 ± 1.4 on a 7-point Likert scale), only 56% (i.e. 185/332) had already received such information. Globally, participants preferred a visual presentation with a traffic-light type of coloured graph of their FRAX{\textregistered} fracture risk probability, compared to a verbal or written presentation. Almost all participants considered it important to discuss their fracture risk and the consequences of fractures with their healthcare professionals in addition to receiving information in a printed format or access to an online website showing their fracture risk. Conclusions: There is a significant communication gap between healthcare professionals and patients when discussing osteoporosis fracture risk. The RICO study provides insight into preferred approaches to rectify this communication gap.",

keywords = "Fracture, FRAX{\textregistered}, Osteoporosis, Patient-healthcare professional communication, Risk communication, Shared decision-making, Visual aids",

author = "Charlotte Beaudart and Mitali Sharma and Patricia Clark and Saeko Fujiwara and Adachi, {Jonathan D.} and Messina, {Osvaldo D.} and Morin, {Suzanne N.} and Kohlmeier, {Lynn A.} and Sangan, {Caroline B.} and Xavier Nogues and Cruz-Priego, {Griselda Adriana} and Andrea Cavallo and Fiona Cooper and Jamie Grier and Carolyn Leckie and Diana Montiel-Ojeda and Alexandra Papaioannou and Nele Raskin and Leonardo Yurquina and Michelle Wall and Olivier Bruy{\`e}re and Annelies Boonen and Elaine Dennison and Harvey, {Nicholas C.} and Kanis, {John A.} and Kaux, {Jean Fran{\c c}ois} and Lewiecki, {E. Michael} and Oscar Lopez-Borbon and Zo{\'e} Paskins and Reginster, {Jean Yves} and Stuart Silverman and Micka{\"e}l Hiligsmann",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2023.",

year = "2023",

month = nov,

day = "13",

doi = "10.1007/s00198-023-06955-9",

language = "English",

volume = "35",

pages = "451--468",

journal = "Osteoporosis International",

issn = "0937-941X",

publisher = "Springer Science and Business Media Deutschland GmbH",

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Beaudart, C, Sharma, M, Clark, P, Fujiwara, S, Adachi, JD, Messina, OD, Morin, SN, Kohlmeier, LA, Sangan, CB, Nogues, X, Cruz-Priego, GA, Cavallo, A, Cooper, F, Grier, J, Leckie, C, Montiel-Ojeda, D, Papaioannou, A, Raskin, N, Yurquina, L, Wall, M, Bruyère, O, Boonen, A, Dennison, E, Harvey, NC, Kanis, JA, Kaux, JF, Lewiecki, EM, Lopez-Borbon, O, Paskins, Z, Reginster, JY, Silverman, S & Hiligsmann, M 2023, 'Patients’ preferences for fracture risk communication: the Risk Communication in Osteoporosis (RICO) study', Osteoporosis International, vol. 35, no. 3, pp. 451-468. https://doi.org/10.1007/s00198-023-06955-9

TY - JOUR

T1 - Patients’ preferences for fracture risk communication

T2 - the Risk Communication in Osteoporosis (RICO) study

AU - Beaudart, Charlotte

AU - Sharma, Mitali

AU - Clark, Patricia

AU - Fujiwara, Saeko

AU - Adachi, Jonathan D.

AU - Messina, Osvaldo D.

AU - Morin, Suzanne N.

AU - Kohlmeier, Lynn A.

AU - Sangan, Caroline B.

AU - Nogues, Xavier

AU - Cruz-Priego, Griselda Adriana

AU - Cavallo, Andrea

AU - Cooper, Fiona

AU - Grier, Jamie

AU - Leckie, Carolyn

AU - Montiel-Ojeda, Diana

AU - Papaioannou, Alexandra

AU - Raskin, Nele

AU - Yurquina, Leonardo

AU - Wall, Michelle

AU - Bruyère, Olivier

AU - Boonen, Annelies

AU - Dennison, Elaine

AU - Harvey, Nicholas C.

AU - Kanis, John A.

AU - Kaux, Jean François

AU - Lewiecki, E. Michael

AU - Lopez-Borbon, Oscar

AU - Paskins, Zoé

AU - Reginster, Jean Yves

AU - Silverman, Stuart

AU - Hiligsmann, Mickaël

PY - 2023/11/13

Y1 - 2023/11/13

N2 - Summary: The RICO study indicated that most patients would like to receive information regarding their fracture risk but that only a small majority have actually received it. Patients globally preferred a visual presentation of fracture risk and were interested in an online tool showing the risk. Purpose: The aim of the Risk Communication in Osteoporosis (RICO) study was to assess patients’ preferences regarding fracture risk communication. Methods: To assess patients’ preferences for fracture risk communication, structured interviews with women with osteoporosis or who were at risk for fracture were conducted in 11 sites around the world, namely in Argentina, Belgium, Canada at Hamilton and with participants from the Osteoporosis Canada Canadian Osteoporosis Patient Network (COPN), Japan, Mexico, Spain, the Netherlands, the UK, and the USA in California and Washington state. The interviews used to collect data were designed on the basis of a systematic review and a qualitative pilot study involving 26 participants at risk of fracture. Results: A total of 332 women (mean age 67.5 ± 8.0 years, 48% with a history of fracture) were included in the study. Although the participants considered it important to receive information about their fracture risk (mean importance of 6.2 ± 1.4 on a 7-point Likert scale), only 56% (i.e. 185/332) had already received such information. Globally, participants preferred a visual presentation with a traffic-light type of coloured graph of their FRAX® fracture risk probability, compared to a verbal or written presentation. Almost all participants considered it important to discuss their fracture risk and the consequences of fractures with their healthcare professionals in addition to receiving information in a printed format or access to an online website showing their fracture risk. Conclusions: There is a significant communication gap between healthcare professionals and patients when discussing osteoporosis fracture risk. The RICO study provides insight into preferred approaches to rectify this communication gap.

AB - Summary: The RICO study indicated that most patients would like to receive information regarding their fracture risk but that only a small majority have actually received it. Patients globally preferred a visual presentation of fracture risk and were interested in an online tool showing the risk. Purpose: The aim of the Risk Communication in Osteoporosis (RICO) study was to assess patients’ preferences regarding fracture risk communication. Methods: To assess patients’ preferences for fracture risk communication, structured interviews with women with osteoporosis or who were at risk for fracture were conducted in 11 sites around the world, namely in Argentina, Belgium, Canada at Hamilton and with participants from the Osteoporosis Canada Canadian Osteoporosis Patient Network (COPN), Japan, Mexico, Spain, the Netherlands, the UK, and the USA in California and Washington state. The interviews used to collect data were designed on the basis of a systematic review and a qualitative pilot study involving 26 participants at risk of fracture. Results: A total of 332 women (mean age 67.5 ± 8.0 years, 48% with a history of fracture) were included in the study. Although the participants considered it important to receive information about their fracture risk (mean importance of 6.2 ± 1.4 on a 7-point Likert scale), only 56% (i.e. 185/332) had already received such information. Globally, participants preferred a visual presentation with a traffic-light type of coloured graph of their FRAX® fracture risk probability, compared to a verbal or written presentation. Almost all participants considered it important to discuss their fracture risk and the consequences of fractures with their healthcare professionals in addition to receiving information in a printed format or access to an online website showing their fracture risk. Conclusions: There is a significant communication gap between healthcare professionals and patients when discussing osteoporosis fracture risk. The RICO study provides insight into preferred approaches to rectify this communication gap.

KW - Fracture

KW - FRAX®

KW - Osteoporosis

KW - Patient-healthcare professional communication

KW - Risk communication

KW - Shared decision-making

KW - Visual aids

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U2 - 10.1007/s00198-023-06955-9

DO - 10.1007/s00198-023-06955-9

M3 - Article

AN - SCOPUS:85176450438

SN - 0937-941X

VL - 35

SP - 451

EP - 468

JO - Osteoporosis International

JF - Osteoporosis International

IS - 3

ER -

Patients’ preferences for fracture risk communication: the Risk Communication in Osteoporosis (RICO) study

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Keywords

UN SDGs

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