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Gaps and alternative surgical and non-surgical approaches in the bone fragility management : an updated review

Tarantino, Umberto ; Cariati, Ida ; Greggi, Chiara ; Iundusi, Riccardo ; Gasbarra, Elena ; Iolascon, Giovanni ; Kurth, Andreas ; Akesson, Kristina E. LU ; Bouxsein, Mary and Tranquilli Leali, Paolo , et al. (2022) In Osteoporosis International 33(12). p.2467-2478
Abstract

Osteoporotic fractures are one of the major problems facing healthcare systems worldwide. Undoubtedly, fragility fractures of the hip represent a far greater burden in terms of morbidity, mortality, and healthcare costs than other fracture sites. However, despite the significant impact on the health and quality of life of older adults, there is a general lack of awareness of osteoporosis, which results in suboptimal care. In fact, most high-risk individuals are never identified and do not receive adequate treatment, leading to further fragility fractures and worsening health status. Furthermore, considering the substantial treatment gap and the proven cost-effectiveness of fracture prevention programs such as Fracture Liaison Services,... (More)

Osteoporotic fractures are one of the major problems facing healthcare systems worldwide. Undoubtedly, fragility fractures of the hip represent a far greater burden in terms of morbidity, mortality, and healthcare costs than other fracture sites. However, despite the significant impact on the health and quality of life of older adults, there is a general lack of awareness of osteoporosis, which results in suboptimal care. In fact, most high-risk individuals are never identified and do not receive adequate treatment, leading to further fragility fractures and worsening health status. Furthermore, considering the substantial treatment gap and the proven cost-effectiveness of fracture prevention programs such as Fracture Liaison Services, urgent action is needed to ensure that all individuals at high risk of fragility fracture are adequately assessed and treated. Based on this evidence, the aim of our review was to (i) provide an overview and comparison of the burden and management of fragility fractures, highlighting the main gaps, and (ii) highlight the importance of using alternative approaches, both surgical and non-surgical, with the aim of implementing early prevention of osteoporotic fractures and improving the management of osteoporotic patients at imminent and/or very high risk of fracture.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Fracture, Fracture risk, Fragility, Gaps, Osteoporosis, Osteoporosis management
in
Osteoporosis International
volume
33
issue
12
pages
10 pages
publisher
Springer
external identifiers
  • pmid:35851407
  • scopus:85134511870
ISSN
0937-941X
DOI
10.1007/s00198-022-06482-z
language
English
LU publication?
yes
id
45614bb8-8f55-4f6c-b3b7-dcd49dfde927
date added to LUP
2022-10-07 10:59:39
date last changed
2025-01-24 21:02:26
@article{45614bb8-8f55-4f6c-b3b7-dcd49dfde927,
  abstract     = {{<p>Osteoporotic fractures are one of the major problems facing healthcare systems worldwide. Undoubtedly, fragility fractures of the hip represent a far greater burden in terms of morbidity, mortality, and healthcare costs than other fracture sites. However, despite the significant impact on the health and quality of life of older adults, there is a general lack of awareness of osteoporosis, which results in suboptimal care. In fact, most high-risk individuals are never identified and do not receive adequate treatment, leading to further fragility fractures and worsening health status. Furthermore, considering the substantial treatment gap and the proven cost-effectiveness of fracture prevention programs such as Fracture Liaison Services, urgent action is needed to ensure that all individuals at high risk of fragility fracture are adequately assessed and treated. Based on this evidence, the aim of our review was to (i) provide an overview and comparison of the burden and management of fragility fractures, highlighting the main gaps, and (ii) highlight the importance of using alternative approaches, both surgical and non-surgical, with the aim of implementing early prevention of osteoporotic fractures and improving the management of osteoporotic patients at imminent and/or very high risk of fracture.</p>}},
  author       = {{Tarantino, Umberto and Cariati, Ida and Greggi, Chiara and Iundusi, Riccardo and Gasbarra, Elena and Iolascon, Giovanni and Kurth, Andreas and Akesson, Kristina E. and Bouxsein, Mary and Tranquilli Leali, Paolo and Civinini, Roberto and Falez, Francesco and Brandi, Maria Luisa}},
  issn         = {{0937-941X}},
  keywords     = {{Fracture; Fracture risk; Fragility; Gaps, Osteoporosis; Osteoporosis management}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{2467--2478}},
  publisher    = {{Springer}},
  series       = {{Osteoporosis International}},
  title        = {{Gaps and alternative surgical and non-surgical approaches in the bone fragility management : an updated review}},
  url          = {{http://dx.doi.org/10.1007/s00198-022-06482-z}},
  doi          = {{10.1007/s00198-022-06482-z}},
  volume       = {{33}},
  year         = {{2022}},
}