Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention
Top Cited Papers
Open Access
- 26 July 2012
- journal article
- perspective
- Published by Oxford University Press (OUP) in Journal of Bone and Mineral Research
- Vol. 27 (10), 2039-2046
- https://doi.org/10.1002/jbmr.1698
Abstract
Fragility fractures are common, affecting almost one in two older women and one in three older men. Every fragility fracture signals increased risk of future fractures as well as risk of premature mortality. Despite the major health care impact worldwide, currently there are few systems in place to identify and “capture” individuals after a fragility fracture to ensure appropriate assessment and treatment (according to national guidelines) to reduce future fracture risk and adverse health outcomes. The Task Force reviewed the current evidence about different systematic interventional approaches, their logical background, as well as the medical and ethical rationale. This included reviewing the evidence supporting cost-effective interventions and developing a toolkit for reducing secondary fracture incidence. This report presents this evidence for cost-effective interventions versus the human and health care costs associated with the failure to address further fractures. In particular, it summarizes the evidence for various forms of Fracture Liaison Service as the most effective intervention for secondary fracture prevention. It also summarizes the evidence that certain interventions, particularly those based on patient and/or community-focused educational approaches, are consistently, if unexpectedly, ineffective. As an international group, representing 36 countries throughout Asia-Pacific, South America, Europe, and North America, the Task Force reviewed and summarized the international data on barriers encountered in implementing risk-reduction strategies. It presents the ethical imperatives for providing quality of care in osteoporosis management. As part of an implementation strategy, it describes both the quality improvement methods best suited to transforming care and the research questions that remain outstanding. The overarching outcome of the Task Force's work has been the provision of a rational background and the scientific evidence underpinning secondary fracture prevention and stresses the utility of one form or another of a Fracture Liaison Service in achieving those quality outcomes worldwide. © 2012 American Society for Bone and Mineral Research.Keywords
This publication has 37 references indexed in Scilit:
- Age-specific incidence of first and second fractures of the hipThe Journal of Bone and Joint Surgery. British volume, 2010
- Zoledronic Acid and Clinical Fractures and Mortality after Hip FractureThe New England Journal of Medicine, 2007
- Prior Fractures are Common in Patients with Subsequent Hip FracturesClinical Orthopaedics and Related Research, 2007
- Once-Yearly Zoledronic Acid for Treatment of Postmenopausal OsteoporosisThe New England Journal of Medicine, 2007
- Incidence of second hip fractures. A population-based studyOsteoporosis International, 2007
- Short time-frame from first to second hip fracture in the Funen County Hip Fracture StudyOsteoporosis International, 2006
- A meta-analysis of previous fracture and subsequent fracture riskBone, 2004
- Fracture risk following an osteoporotic fractureOsteoporosis International, 2003
- Osteoporotic fracture: missed opportunity for interventionOsteoporosis International, 2003
- Patients with Prior Fractures Have an Increased Risk of Future Fractures: A Summary of the Literature and Statistical SynthesisJournal of Bone and Mineral Research, 2000