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General and specific considerations as to why osteoporosis-related care is often suboptimal

General and specific considerations as to why osteoporosis-related care is often suboptimal
General and specific considerations as to why osteoporosis-related care is often suboptimal
Purpose of review: the assessment of fracture risk, and use of antiosteoporosis medications, have increased greatly over the last 20-30 years. However, despite this, osteoporosis care remains suboptimal worldwide. Even in patients who have sustained a fragility fracture, fewer than 20% actually receive appropriate antiosteoporosis therapy in the year following the fracture. There is also evidence that treatment rates have declined substantially in the last 5-10 years, in many countries. The goal of this article is to consider the causes for this decline, and consider how this situation could be remedied.

Recent findings: a number of possible reasons, including the lack of prioritisation of osteoporosis therapy in ageing populations with multimorbidity, disproportionate concerns regarding the rare side effects of anti-resorptives and adverse changes in reimbursement in the US, have been identified as contributing factors in poor osteoporosis care.

Summary: improved secondary prevention strategies, screening measures (primary prevention) and appropriate, cost-effective guideline and treatment threshold development could support the optimisation of osteoporosis care and prevention of future fractures.
Adverse effects, Epidemiology, Fracture, Osteoporosis, Policy, Treatment gap
38-46
Curtis, Elizabeth
12aba0c3-1e9e-49ef-a7e9-3247e649cdd6
Woolford, Stephen
fbecb815-4294-45c2-a735-6c3ac9739b96
Holmes, Claire
587ccc2d-5cca-407c-9c35-7a5eb465e8fa
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Harvey, Nicholas
ce487fb4-d360-4aac-9d17-9466d6cba145
Curtis, Elizabeth
12aba0c3-1e9e-49ef-a7e9-3247e649cdd6
Woolford, Stephen
fbecb815-4294-45c2-a735-6c3ac9739b96
Holmes, Claire
587ccc2d-5cca-407c-9c35-7a5eb465e8fa
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Harvey, Nicholas
ce487fb4-d360-4aac-9d17-9466d6cba145

Curtis, Elizabeth, Woolford, Stephen, Holmes, Claire, Cooper, Cyrus and Harvey, Nicholas (2020) General and specific considerations as to why osteoporosis-related care is often suboptimal. Current Osteoporosis Reports, 18 (1), 38-46. (doi:10.1007/s11914-020-00566-7).

Record type: Article

Abstract

Purpose of review: the assessment of fracture risk, and use of antiosteoporosis medications, have increased greatly over the last 20-30 years. However, despite this, osteoporosis care remains suboptimal worldwide. Even in patients who have sustained a fragility fracture, fewer than 20% actually receive appropriate antiosteoporosis therapy in the year following the fracture. There is also evidence that treatment rates have declined substantially in the last 5-10 years, in many countries. The goal of this article is to consider the causes for this decline, and consider how this situation could be remedied.

Recent findings: a number of possible reasons, including the lack of prioritisation of osteoporosis therapy in ageing populations with multimorbidity, disproportionate concerns regarding the rare side effects of anti-resorptives and adverse changes in reimbursement in the US, have been identified as contributing factors in poor osteoporosis care.

Summary: improved secondary prevention strategies, screening measures (primary prevention) and appropriate, cost-effective guideline and treatment threshold development could support the optimisation of osteoporosis care and prevention of future fractures.

Text
BC Osteoporosis Care Suboptimal_Current Osteoporosis Reports 2019_10_29_submitted - Accepted Manuscript
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More information

Accepted/In Press date: 6 January 2020
e-pub ahead of print date: 26 February 2020
Keywords: Adverse effects, Epidemiology, Fracture, Osteoporosis, Policy, Treatment gap

Identifiers

Local EPrints ID: 436941
URI: http://eprints.soton.ac.uk/id/eprint/436941
PURE UUID: ab7a9f14-4bd2-4c3b-8994-9d6cba534c59
ORCID for Elizabeth Curtis: ORCID iD orcid.org/0000-0002-5147-0550
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Nicholas Harvey: ORCID iD orcid.org/0000-0002-8194-2512

Catalogue record

Date deposited: 14 Jan 2020 17:31
Last modified: 26 Nov 2021 05:36

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Contributors

Author: Stephen Woolford
Author: Claire Holmes
Author: Cyrus Cooper ORCID iD
Author: Nicholas Harvey ORCID iD

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