Closing the Osteoporosis Care Gap.
Kristina E Åkesson1,2, Fiona E A McGuigan3,4
1Department of Clinical Sciences Malmö, Lund University, Lund, Sweden. kristina.akesson@med.lu.se.
Current Osteoporosis Reports
|January 9, 2021
Summary
Osteoporosis remains underdiagnosed and undertreated despite available medications. Implementing systematic fracture prevention programs, including dedicated coordinators and falls prevention, can effectively reduce re-fracture rates, especially in frail elderly individuals.
Area of Science:
- Gerontology
- Orthopedics
- Public Health
Background:
- Osteoporosis care and secondary fracture prevention face significant challenges, with underdiagnosis and undertreatment persisting despite increased awareness and effective medications.
- A gap in osteoporosis care continues despite available knowledge and treatments.
Purpose of the Study:
- To review the scope of osteoporosis-related problems and secondary fracture prevention.
- To describe effective fracture prevention strategies, emphasizing frail elderly populations.
Main Methods:
- Review of current literature on osteoporosis care and fracture prevention strategies.
- Focus on systematic risk assessment and secondary prevention programs.
Main Results:
- Systematic risk assessment and secondary fracture prevention programs are gaining momentum with accumulating evidence of success.
- Key components for secondary prevention include a dedicated fracture coordinator, anti-osteoporosis medications, and multifaceted falls prevention.
- Structured care pathways encompassing identification, investigation, intervention, and adherence follow-up demonstrably reduce re-fracture rates and are cost-effective.
Conclusions:
- The knowledge to close the osteoporosis care gap is available.
- Implementing structured secondary prevention models can significantly improve outcomes and reduce re-fracture rates, particularly in the frail elderly.
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