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SCOPE 2021: a new scorecard for osteoporosis in Europe

SCOPE 2021: a new scorecard for osteoporosis in Europe
SCOPE 2021: a new scorecard for osteoporosis in Europe
Summary
This scorecard summarises key indicators of the burden of osteoporosis and its management in the 27 member states of the European Union, as well as the UK and Switzerland. The resulting scorecard elements, assembled on a single sheet, provide a unique overview of osteoporosis in Europe.

Introduction
The scorecard for osteoporosis in Europe (SCOPE) is a project of the International Osteoporosis Foundation (IOF) that seeks to raise awareness of osteoporosis care in Europe. The aim of this project was to develop a scorecard and background documents to draw attention to gaps and inequalities in the provision of primary and secondary prevention of fractures due to osteoporosis.

Methods
The SCOPE panel reviewed the information available on osteoporosis and the resulting fractures for each of the 27 countries of the European Union plus the UK and Switzerland (termed EU27+2). The information obtained covered four domains: background information (e.g. the burden of osteoporosis and fractures), policy framework, service provision and service uptake, e.g. the proportion of men and women at high risk that do not receive treatment (the treatment gap).

Results
There was a marked difference in fracture risk among the EU27+2 countries. Of concern was the marked heterogeneity in the policy framework, service provision and service uptake for osteoporotic fracture that bore little relation to the fracture burden. For example, despite the wide availability of treatments to prevent fractures, in the majority of the EU27+2, only a minority of patients at high risk receive treatment even after their first fracture. The elements of each domain in each country were scored and coded using a traffic light system (red, orange, green) and used to synthesise a scorecard. The resulting scorecard elements, assembled on a single sheet, provide a unique overview of osteoporosis in Europe.

Conclusions
The scorecard enables healthcare professionals and policy makers to assess their country’s general approach to the disease and provide indicators to inform the future provision of healthcare.
Burden of disease, Cost, Epidemiology, European Union, Osteoporosis, Policy framework, SCOPE, Scorecard, Service provision, Service uptake, Treatment gap, Treatment uptake
1862-3522
Kanis, J.A,
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Norton, Nicholas
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Harvey, Nicholas
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Jacobson, Trolle
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Johansson, H.
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Lorentzen, Mattias
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McCloskey, E.V.
38518227-db8f-4a53-88a6-462f469151de
Willers, Carl
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Borgstrom, Fredrik
7084889f-93c8-4949-912f-760c9635b87a
Kanis, J.A,
52c2c5a7-a17a-49dd-9b2a-30b5a1750a5d
Norton, Nicholas
14bdade9-e59d-4b4a-a87f-ddb74d86d725
Harvey, Nicholas
ce487fb4-d360-4aac-9d17-9466d6cba145
Jacobson, Trolle
05dfd555-697b-4c11-83f6-da2e6f10bb99
Johansson, H.
05aa5476-bcb9-4b97-905e-00f1dfd9d691
Lorentzen, Mattias
72997ee0-d7ba-42b1-912e-f60414366449
McCloskey, E.V.
38518227-db8f-4a53-88a6-462f469151de
Willers, Carl
3b127032-773d-43d4-bb74-5f6156c8e9ce
Borgstrom, Fredrik
7084889f-93c8-4949-912f-760c9635b87a

Kanis, J.A,, Norton, Nicholas, Harvey, Nicholas, Jacobson, Trolle, Johansson, H., Lorentzen, Mattias, McCloskey, E.V., Willers, Carl and Borgstrom, Fredrik (2021) SCOPE 2021: a new scorecard for osteoporosis in Europe. Archives of Osteoporosis, 16 (1), [82]. (doi:10.1007/s11657-020-00871-9).

Record type: Article

Abstract

Summary
This scorecard summarises key indicators of the burden of osteoporosis and its management in the 27 member states of the European Union, as well as the UK and Switzerland. The resulting scorecard elements, assembled on a single sheet, provide a unique overview of osteoporosis in Europe.

Introduction
The scorecard for osteoporosis in Europe (SCOPE) is a project of the International Osteoporosis Foundation (IOF) that seeks to raise awareness of osteoporosis care in Europe. The aim of this project was to develop a scorecard and background documents to draw attention to gaps and inequalities in the provision of primary and secondary prevention of fractures due to osteoporosis.

Methods
The SCOPE panel reviewed the information available on osteoporosis and the resulting fractures for each of the 27 countries of the European Union plus the UK and Switzerland (termed EU27+2). The information obtained covered four domains: background information (e.g. the burden of osteoporosis and fractures), policy framework, service provision and service uptake, e.g. the proportion of men and women at high risk that do not receive treatment (the treatment gap).

Results
There was a marked difference in fracture risk among the EU27+2 countries. Of concern was the marked heterogeneity in the policy framework, service provision and service uptake for osteoporotic fracture that bore little relation to the fracture burden. For example, despite the wide availability of treatments to prevent fractures, in the majority of the EU27+2, only a minority of patients at high risk receive treatment even after their first fracture. The elements of each domain in each country were scored and coded using a traffic light system (red, orange, green) and used to synthesise a scorecard. The resulting scorecard elements, assembled on a single sheet, provide a unique overview of osteoporosis in Europe.

Conclusions
The scorecard enables healthcare professionals and policy makers to assess their country’s general approach to the disease and provide indicators to inform the future provision of healthcare.

Text
SCOPE 2 Manuscript v4_20201211 - Accepted Manuscript
Restricted to Repository staff only until 2 June 2022.
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More information

Accepted/In Press date: 18 December 2020
Published date: December 2021
Additional Information: Funding Information: SCOPE 2021 was supported by an unrestricted grant from Amgen. Amgen was neither involved in the design nor writing of the report. We are grateful to Anastasia Souli? Mlotek and Dominique Pierroz of the International Osteoporosis Foundation for the administration of the IOF questionnaire for their help with formatting and editing the report. Bo Abrahamsen, University of Southern Denmark kindly supplied previously unpublished data on the uptake of densitometry for use in this report. Kristian Axelsson provided more detail than that published on the impact of fracture liaison services on treatment uptake. Prof. Jos? Ant?nio P. Da Silva kindly returned information for Portugal in nominem. We are particularly grateful for the help provided by the National Societies of the IOF based in the EU, listed below, for updating the information base of the European audit. We also acknowledge the contribution of the Bulgarian Society of Endocrinology and the Estonian Orthopaedic Society (not CNS members of IOF). Finally, we are grateful to the Committee of Scientific Advisors and the Committee of National Societies of the International Osteoporosis Foundation for their review and endorsement of this report. Funding Information: SCOPE 2021 was supported by an unrestricted grant from Amgen. Amgen was neither involved in the design nor writing of the report. We are grateful to Anastasia Soulié Mlotek and Dominique Pierroz of the International Osteoporosis Foundation for the administration of the IOF questionnaire for their help with formatting and editing the report. Bo Abrahamsen, University of Southern Denmark kindly supplied previously unpublished data on the uptake of densitometry for use in this report. Kristian Axelsson provided more detail than that published on the impact of fracture liaison services on treatment uptake. Prof. José António P. Da Silva kindly returned information for Portugal in nominem. We are particularly grateful for the help provided by the National Societies of the IOF based in the EU, listed below, for updating the information base of the European audit. We also acknowledge the contribution of the Bulgarian Society of Endocrinology and the Estonian Orthopaedic Society (not CNS members of IOF). Finally, we are grateful to the Committee of Scientific Advisors and the Committee of National Societies of the International Osteoporosis Foundation for their review and endorsement of this report. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
Keywords: Burden of disease, Cost, Epidemiology, European Union, Osteoporosis, Policy framework, SCOPE, Scorecard, Service provision, Service uptake, Treatment gap, Treatment uptake

Identifiers

Local EPrints ID: 449814
URI: http://eprints.soton.ac.uk/id/eprint/449814
ISSN: 1862-3522
PURE UUID: 74eee5d6-bcbd-4484-b203-95db6141aa00
ORCID for Nicholas Harvey: ORCID iD orcid.org/0000-0002-8194-2512

Catalogue record

Date deposited: 18 Jun 2021 16:30
Last modified: 24 Nov 2021 02:38

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Contributors

Author: J.A, Kanis
Author: Nicholas Norton
Author: Nicholas Harvey ORCID iD
Author: Trolle Jacobson
Author: H. Johansson
Author: Mattias Lorentzen
Author: E.V. McCloskey
Author: Carl Willers
Author: Fredrik Borgstrom

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