Closing the Osteoporosis Care Gap

被引：24

作者：

Akesson, Kristina E. ^{[1
,2
]}

McGuigan, Fiona E. A. ^{[1
,2
]}

机构：

[1] Lund Univ, Dept Clin Sci Malmo, Lund, Sweden

[2] Skane Univ Hosp, Dept Orthopaed, S-20502 Malmo, Sweden

来源：

CURRENT OSTEOPOROSIS REPORTS | 2021年 / 19卷 / 01期

关键词：

Fracture; Prevention; Fracture liaison service; Frailty; Elderly; FRACTURE LIAISON SERVICE; HIP FRACTURE; PRACTICE FRAMEWORK; OLDER-ADULTS; PRE-FRAIL; FALLS; PREVENTION; MORTALITY; RISK; INTERVENTIONS;

D O I：

10.1007/s11914-020-00644-w

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of Review This review outlines the scope of the problem in osteoporosis care and secondary fracture prevention and describes fracture prevention strategies, with a focus on the frail elderly. Recent Findings Despite heightened awareness among patients and clinicians alike and the availability of efficacious anti-osteoporosis medications, osteoporosis is still underdiagnosed and undertreated. However, the introduction of systematic risk assessment and secondary fracture prevention programmes has gained momentum, and evidence of success is accumulating. Summary We possess today the knowledge required to close the osteoporosis care gap. The basic components in a secondary prevention model are similar in all health care settings, number one being a dedicated fracture coordinator, with anti-osteoporosis medications and multifaceted falls prevention as cornerstones, particularly in the frailest, both in the near and long-term. Initiation of structured care pathways including the key elements - identification, investigation, intervention and follow-up of adherence - demonstrably reduces re-fracture rates and is cost-effective.

引用

页码：58 / 65

页数：8

共 62 条

[1] Capture the Fracture: a Best Practice Framework and global campaign to break the fragility fracture cycle [J].

Akesson, K. ;

Marsh, D. ;

Mitchell, P. J. ;

McLellan, A. R. ;

Stenmark, J. ;

Pierroz, D. D. ;

Kyer, C. ;

Cooper, C. .

OSTEOPOROSIS INTERNATIONAL, 2013, 24 (08) :2135-2152

[2]

Arboleya L, 2011, REUMATOL CLIN, V7, P189, DOI [10.1007/s00223-010-9364-1, 10.1016/S2173-5743(11)70039-9, 10.1016/j.reuma.2010.10.005]

[3] Progression of frailty and prevalence of osteoporosis in a community cohort of older womena 10-year longitudinal study [J].

Bartosch, P. ;

McGuigan, F. E. ;

Akesson, K. E. .

OSTEOPOROSIS INTERNATIONAL, 2018, 29 (10) :2191-2199

[4]

Beard JR, 2015, LANCET, V385, P658, DOI [10.1016/S0140-6736(14)61461-6, 10.1016/S0140-6736(15)00516-4]

[5] Management of osteoporosis in fracture liaison service associated with long-term adherence to treatment [J].

Boudou, L. ;

Gerbay, B. ;

Chopin, F. ;

Ollagnier, E. ;

Collet, P. ;

Thomas, T. .

OSTEOPOROSIS INTERNATIONAL, 2011, 22 (07) :2099-2106

[6]

Colley R C., 2011, Physical activity of Canadian children and youth: Accelerometer results from the 2007 to 2009

[7] Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition [J].

Conley, Robert B. ;

Adib, Gemma ;

Adler, Robert A. ;

Akesson, Kristina E. ;

Alexander, Ivy M. ;

Amenta, Kelly C. ;

Blank, Robert D. ;

Brox, William Timothy ;

Carmody, Emily E. ;

Chapman-Novakofski, Karen ;

Clarke, Bart L. ;

Cody, Kathleen M. ;

Cooper, Cyrus ;

Crandall, Carolyn J. ;

Dirschl, Douglas R. ;

Eagen, Thomas J. ;

Elderkin, Ann L. ;

Fujita, Masaki ;

Greenspan, Susan L. ;

Halbout, Philippe ;

Hochberg, Marc C. ;

Javaid, Muhammad ;

Jeray, Kyle J. ;

Kearns, Ann E. ;

King, Toby ;

Koinis, Thomas F. ;

Koontz, Jennifer Scott ;

Kuzma, Martin ;

Lindsey, Carleen ;

Lorentzon, Mattias ;

Lyritis, George P. ;

Michaud, Laura Boehnke ;

Miciano, Armando ;

Morin, Suzanne N. ;

Mujahid, Nadia ;

Napoli, Nicola ;

Olenginski, Thomas P. ;

Puzas, J. Edward ;

Rizou, Stavroula ;

Rosen, Clifford J. ;

Saag, Kenneth ;

Thompson, Elizabeth ;

Tosi, Laura L. ;

Tracer, Howard ;

Khosla, Sundeep ;

Kiel, Douglas P. .

JOURNAL OF BONE AND MINERAL RESEARCH, 2020, 35 (01) :36-52

[8] Frailty and bone health in European men [J].

Cook, Michael J. ;

Oldroyd, Alexander ;

Pye, Stephen R. ;

Ward, Kate A. ;

Gielen, Evelien ;

Ravindrarajah, Rathi ;

Adams, Judith E. ;

Lee, David M. ;

Bartfai, Gyorgy ;

Boonen, Steven ;

Casanueva, Felipe ;

Forti, Gianni ;

Giwercman, Aleksander ;

Han, Thang S. ;

Huhtaniemi, Ilpo T. ;

Kula, Krzysztof ;

Lean, Michael E. ;

Pendleton, Neil ;

Punab, Margus ;

Vanderschueren, Dirk ;

Wu, Frederick C. ;

O'Neill, Terence W. .

AGE AND AGEING, 2017, 46 (04) :635-641

[9] POPULATION-BASED STUDY OF SURVIVAL AFTER OSTEOPOROTIC FRACTURES [J].

COOPER, C ;

ATKINSON, EJ ;

JACOBSEN, SJ ;

OFALLON, WM ;

MELTON, LJ .

AMERICAN JOURNAL OF EPIDEMIOLOGY, 1993, 137 (09) :1001-1005

[10] Interventions to prevent disability in frail community-dwelling elderly: a systematic review [J].

Daniels, Ramon ;

van Rossum, Erik ;

de Witte, Luc ;

Kempen, Gertrudis I. J. M. ;

van den Heuvel, Wim .

BMC HEALTH SERVICES RESEARCH, 2008, 8 (1)

← 1 2 3 4 5 6 7 →