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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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How to implement guidelines and models of care.

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  • 1Department of Rheumatology, Maastricht University, Minderbroedersberg 4-6, 6211 LK Maastricht, Netherlands.

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Summary

Identifying fracture risk in individuals over 50 is crucial. Early assessment and personalized treatment strategies, including bone density measurement and medication, are key to managing osteoporosis and preventing future fractures.

Keywords:
Anabolic drugsAnti-resorptive drugsBone mineral densityFall riskFracture prevention strategyFracture riskGuideline implementationVertebral fracture assessment

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Area of Science:

  • Geriatric Medicine
  • Endocrinology
  • Orthopedics

Background:

  • Osteoporosis and fractures pose significant health risks, particularly in older adults.
  • Effective case finding and risk stratification are essential for timely intervention.

Purpose of the Study:

  • To outline a comprehensive approach for identifying and managing fracture risk in individuals over 50 years of age.
  • To emphasize the importance of clinical risk factors (CRFs) and bone mineral density (BMD) in treatment decisions.

Main Methods:

  • Case finding based on CRFs and recent fractures.
  • Further assessment including BMD measurement (dual-energy absorptiometry - DXA), spinal imaging, fall risk evaluation, and laboratory tests.
  • Development of lifelong treatment strategies considering continuous, intermittent, and sequential therapy.

Main Results:

  • Clinical risk factors and recent fractures are primary indicators for assessing fracture risk in older adults.
  • Comprehensive assessments guide personalized treatment decisions for high-risk individuals.
  • Available treatments include anti-resorptive and anabolic drugs.

Conclusions:

  • Implementing guidelines requires enhanced case finding, public awareness, and supportive national policies for osteoporosis management.
  • A lifelong, strategic approach to treatment is necessary for optimal outcomes.
  • Further initiatives are needed to improve the accessibility of assessment and therapy.