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Closing the Osteoporosis Care Gap

Åkesson, Kristina E. LU and McGuigan, Fiona E.A. LU orcid (2021) In Current Osteoporosis Reports 19(1). p.58-65
Abstract

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,... (More)

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.

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Elderly, Fracture, Fracture liaison service, Frailty, Prevention
in
Current Osteoporosis Reports
volume
19
issue
1
pages
58 - 65
publisher
Current Science, Inc.
external identifiers
  • scopus:85099106139
  • pmid:33420632
ISSN
1544-1873
DOI
10.1007/s11914-020-00644-w
language
English
LU publication?
yes
id
5bc83f8b-dacf-40c1-b251-21ad6af47a19
date added to LUP
2021-01-19 13:44:57
date last changed
2024-07-11 07:16:00
@article{5bc83f8b-dacf-40c1-b251-21ad6af47a19,
  abstract     = {{<p>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.</p>}},
  author       = {{Åkesson, Kristina E. and McGuigan, Fiona E.A.}},
  issn         = {{1544-1873}},
  keywords     = {{Elderly; Fracture; Fracture liaison service; Frailty; Prevention}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{1}},
  pages        = {{58--65}},
  publisher    = {{Current Science, Inc.}},
  series       = {{Current Osteoporosis Reports}},
  title        = {{Closing the Osteoporosis Care Gap}},
  url          = {{http://dx.doi.org/10.1007/s11914-020-00644-w}},
  doi          = {{10.1007/s11914-020-00644-w}},
  volume       = {{19}},
  year         = {{2021}},
}