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Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention.

Publication ,  Journal Article
Eisman, JA; Bogoch, ER; Dell, R; Harrington, JT; McKinney, RE; McLellan, A; Mitchell, PJ; Silverman, S; Singleton, R; Siris, E ...
Published in: J Bone Miner Res
October 2012

Fragility fractures are common, affecting almost one in two older women and one in three older men. Every fragility fracture signals increased risk of future fractures as well as risk of premature mortality. Despite the major health care impact worldwide, currently there are few systems in place to identify and "capture" individuals after a fragility fracture to ensure appropriate assessment and treatment (according to national guidelines) to reduce future fracture risk and adverse health outcomes. The Task Force reviewed the current evidence about different systematic interventional approaches, their logical background, as well as the medical and ethical rationale. This included reviewing the evidence supporting cost-effective interventions and developing a toolkit for reducing secondary fracture incidence. This report presents this evidence for cost-effective interventions versus the human and health care costs associated with the failure to address further fractures. In particular, it summarizes the evidence for various forms of Fracture Liaison Service as the most effective intervention for secondary fracture prevention. It also summarizes the evidence that certain interventions, particularly those based on patient and/or community-focused educational approaches, are consistently, if unexpectedly, ineffective. As an international group, representing 36 countries throughout Asia-Pacific, South America, Europe, and North America, the Task Force reviewed and summarized the international data on barriers encountered in implementing risk-reduction strategies. It presents the ethical imperatives for providing quality of care in osteoporosis management. As part of an implementation strategy, it describes both the quality improvement methods best suited to transforming care and the research questions that remain outstanding. The overarching outcome of the Task Force's work has been the provision of a rational background and the scientific evidence underpinning secondary fracture prevention and stresses the utility of one form or another of a Fracture Liaison Service in achieving those quality outcomes worldwide. © 2012 American Society for Bone and Mineral Research.

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Published In

J Bone Miner Res

DOI

EISSN

1523-4681

Publication Date

October 2012

Volume

27

Issue

10

Start / End Page

2039 / 2046

Location

England

Related Subject Headings

  • Societies, Medical
  • Research Report
  • Humans
  • Hip Fractures
  • Fractures, Bone
  • Anatomy & Morphology
  • Advisory Committees
  • 32 Biomedical and clinical sciences
  • 31 Biological sciences
  • 11 Medical and Health Sciences
 

Citation

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Eisman, J. A., Bogoch, E. R., Dell, R., Harrington, J. T., McKinney, R. E., McLellan, A., … ASBMR Task Force on Secondary Fracture Prevention, . (2012). Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention. J Bone Miner Res, 27(10), 2039–2046. https://doi.org/10.1002/jbmr.1698
Eisman, John A., Earl R. Bogoch, Rick Dell, J Timothy Harrington, Ross E. McKinney, Alastair McLellan, Paul J. Mitchell, et al. “Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention.J Bone Miner Res 27, no. 10 (October 2012): 2039–46. https://doi.org/10.1002/jbmr.1698.
Eisman JA, Bogoch ER, Dell R, Harrington JT, McKinney RE, McLellan A, et al. Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention. J Bone Miner Res. 2012 Oct;27(10):2039–46.
Eisman, John A., et al. “Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention.J Bone Miner Res, vol. 27, no. 10, Oct. 2012, pp. 2039–46. Pubmed, doi:10.1002/jbmr.1698.
Eisman JA, Bogoch ER, Dell R, Harrington JT, McKinney RE, McLellan A, Mitchell PJ, Silverman S, Singleton R, Siris E, ASBMR Task Force on Secondary Fracture Prevention. Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention. J Bone Miner Res. 2012 Oct;27(10):2039–2046.
Journal cover image

Published In

J Bone Miner Res

DOI

EISSN

1523-4681

Publication Date

October 2012

Volume

27

Issue

10

Start / End Page

2039 / 2046

Location

England

Related Subject Headings

  • Societies, Medical
  • Research Report
  • Humans
  • Hip Fractures
  • Fractures, Bone
  • Anatomy & Morphology
  • Advisory Committees
  • 32 Biomedical and clinical sciences
  • 31 Biological sciences
  • 11 Medical and Health Sciences