{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:06:23Z","timestamp":1790345183888,"version":"4.1.0"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Patients living with Parkinson's disease (PD) and related disorders are at increased risk of osteoporosis and fractures. However, bone health remains under\u2010assessed in clinical practice. The aim of this study was to evaluate whether the FRAGILE tool that we previously developed improved osteoporosis screening and referral practices in a PD and related diseases clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed an audit of 283 outpatient consultation letters evaluating the use of the FRAGILE tool for screening osteoporosis risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Following implementation of the FRAGILE tool our referral rate for osteoporosis screening improved from 23% to 48% of at\u2010risk patients. Specifically, marked improvements were seen in referrals for patients with osteopenia, falls and fractures, but factors such as osteoporosis\u2010associated medications and medical comorbidities were still often overlooked.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Osteoporosis screening referrals improved after introduction of the FRAGILE tool in clinical practice. Further efforts are required to address less overt risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70234","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:11:03Z","timestamp":1789099863000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving Osteoporosis Screening in Parkinson's Disease and Related Conditions\u2014Think\n                    <scp>FRAGILE<\/scp>"],"prefix":"10.1111","volume":"45","author":[{"given":"Christopher","family":"Coppin","sequence":"first","affiliation":[{"name":"Parkinson's Disease Research Clinic, Macquarie Medical School, Macquarie University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7585-5992","authenticated-orcid":false,"given":"Ayush","family":"Jha","sequence":"additional","affiliation":[{"name":"Parkinson's Disease Research Clinic, Macquarie Medical School, Macquarie University  Sydney Australia"},{"name":"Imperial College School of Medicine, Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4093-7071","authenticated-orcid":false,"given":"Simon J. G.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Parkinson's Disease Research Clinic, Macquarie Medical School, Macquarie University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2019.03.021"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.074070"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-024-12752-z"},{"key":"e_1_2_11_5_1","unstructured":"Practitioners RACoG \u201cOsteoporosis Management and Fracture Prevention in Postmenopausal Women and Men Over 50\u2009Years of Age \u201d 2024."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaf052"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1197\/aemj.9.11.1184"},{"key":"e_1_2_11_8_1","unstructured":"UK Ps \u201c2022 UK Parkinson's Audit \u2013 Summary Report \u201d 2022."},{"key":"e_1_2_11_9_1","unstructured":"UK Ps \u201cExcellence Network Bone Health Improvement Project Update \u201d 2022."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu122"},{"issue":"3","key":"e_1_2_11_11_1","first-page":"16","article-title":"Osteoporosis and Parkinson's Disease","volume":"8","author":"Raglione L. M.","year":"2011","journal-title":"Clinical Cases in Mineral and Bone Metabolism"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2013-307307"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjquality.u210921.w5756"}],"container-title":["Australasian Journal on Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.70234","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajag.70234","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.70234","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:51:34Z","timestamp":1790344294000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajag.70234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/ajag.70234"],"URL":"https:\/\/doi.org\/10.1111\/ajag.70234","archive":["Portico"],"relation":{},"ISSN":["1440-6381","1741-6612"],"issn-type":[{"value":"1440-6381","type":"print"},{"value":"1741-6612","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-04-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70234"}}