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  3. Recommendations For The Prevention Of Fragility Fractures: A Consensus From International Experts And Ibero-american Scientific Societies
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  3. Recommendations For The Prevention Of Fragility Fractures: A Consensus From International Experts And Ibero-american Scientific Societies

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Recommendations for the prevention of fragility fractures: a consensus from international experts and Ibero-American

Pilar Sáez-López1,2, César Aldecoa Álvarez-Santullano3, Rosa Arboiro-Pinel4

  • 1Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain.

Archives of Osteoporosis
|June 12, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

This consensus provides ten key recommendations to prevent fragility fractures and improve patient care. It emphasizes multidisciplinary collaboration across healthcare sectors for better outcomes.

Keywords:
Consensus statementFragility fractureOsteoporosisStakeholder

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Area of Science:

  • Gerontology
  • Orthopedics
  • Public Health

Background:

  • Fragility fractures represent a significant and growing public health concern.
  • Increasing incidence, disability, and healthcare expenditures associated with these fractures necessitate urgent action.

Purpose of the Study:

  • To establish a multidisciplinary consensus on preventing fragility fractures.
  • To outline key recommendations for improving patient care through coordinated healthcare efforts.

Main Methods:

  • An international expert group coordinated by the Spanish National Hip Fracture Registry (RNFC) was convened.
  • A nominal group technique involving over 300 professionals and 31 societies was used to develop ten core recommendations.
  • The consensus underwent multiple reviews and was finalized in March 2024.

Main Results:

  • Ten actionable recommendations were developed, covering health policy, frailty and fall management, clinical guidelines, registries, specialized units (Orthogeriatric Units, Fracture Liaison Services - FLS), a 'Fragility Fracture Code,' primary care empowerment, patient involvement, public awareness, and research promotion.
  • Specific recommendations include integrating osteoporosis and fracture care into health policies and promoting research with patient-reported outcomes.

Conclusions:

  • Fragility fractures pose a major public health challenge requiring unified, evidence-based guidance.
  • The consensus provides a framework for policymakers, healthcare professionals, and patient organizations.
  • Implementation aims to reduce fracture incidence and improve patient outcomes via coordinated, multidisciplinary care.