Osteoporotic fractures are one of the major problems facing healthcare systems worldwide. Undoubtedly, fragility fractures of the hip represent a far greater burden in terms of morbidity, mortality, and healthcare costs than other fracture sites. However, despite the significant impact on the health and quality of life of older adults, there is a general lack of awareness of osteoporosis, which results in suboptimal care. In fact, most high-risk individuals are never identified and do not receive adequate treatment, leading to further fragility fractures and worsening health status. Furthermore, considering the substantial treatment gap and the proven cost-effectiveness of fracture prevention programs such as Fracture Liaison Services, urgent action is needed to ensure that all individuals at high risk of fragility fracture are adequately assessed and treated. Based on this evidence, the aim of our review was to (i) provide an overview and comparison of the burden and management of fragility fractures, highlighting the main gaps, and (ii) highlight the importance of using alternative approaches, both surgical and non-surgical, with the aim of implementing early prevention of osteoporotic fractures and improving the management of osteoporotic patients at imminent and/or very high risk of fracture.

Tarantino, U., Cariati, I., Greggi, C., Iundusi, R., Gasbarra, E., Iolascon, G., et al. (2022). Gaps and alternative surgical and non-surgical approaches in the bone fragility management: an updated review. OSTEOPOROSIS INTERNATIONAL, 33(12), 2467-2478 [10.1007/s00198-022-06482-z].

Gaps and alternative surgical and non-surgical approaches in the bone fragility management: an updated review

Tarantino, Umberto;Cariati, Ida;Greggi, Chiara;Iundusi, Riccardo;Gasbarra, Elena;
2022-12-01

Abstract

Osteoporotic fractures are one of the major problems facing healthcare systems worldwide. Undoubtedly, fragility fractures of the hip represent a far greater burden in terms of morbidity, mortality, and healthcare costs than other fracture sites. However, despite the significant impact on the health and quality of life of older adults, there is a general lack of awareness of osteoporosis, which results in suboptimal care. In fact, most high-risk individuals are never identified and do not receive adequate treatment, leading to further fragility fractures and worsening health status. Furthermore, considering the substantial treatment gap and the proven cost-effectiveness of fracture prevention programs such as Fracture Liaison Services, urgent action is needed to ensure that all individuals at high risk of fragility fracture are adequately assessed and treated. Based on this evidence, the aim of our review was to (i) provide an overview and comparison of the burden and management of fragility fractures, highlighting the main gaps, and (ii) highlight the importance of using alternative approaches, both surgical and non-surgical, with the aim of implementing early prevention of osteoporotic fractures and improving the management of osteoporotic patients at imminent and/or very high risk of fracture.
dic-2022
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/33 - MALATTIE APPARATO LOCOMOTORE
English
Fracture
Fracture risk
Fragility
Gaps, Osteoporosis
Osteoporosis management
Tarantino, U., Cariati, I., Greggi, C., Iundusi, R., Gasbarra, E., Iolascon, G., et al. (2022). Gaps and alternative surgical and non-surgical approaches in the bone fragility management: an updated review. OSTEOPOROSIS INTERNATIONAL, 33(12), 2467-2478 [10.1007/s00198-022-06482-z].
Tarantino, U; Cariati, I; Greggi, C; Iundusi, R; Gasbarra, E; Iolascon, G; Kurth, A; Akesson, Ke; Bouxsein, M; Tranquilli Leali, P; Civinini, R; Falez, F; Brandi, Ml
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/329628
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