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Is it time to consider population screening for fracture risk in postmenopausal women? A position paper from the International Osteoporosis Foundation Epidemiology/Quality of Life Working Group.

Is it time to consider population screening for fracture risk in postmenopausal women? A position paper from the International Osteoporosis Foundation Epidemiology/Quality of Life Working Group.
Is it time to consider population screening for fracture risk in postmenopausal women? A position paper from the International Osteoporosis Foundation Epidemiology/Quality of Life Working Group.
Summary
The IOF Epidemiology and Quality of Life Working Group has reviewed the potential role of population screening for high hip fracture risk against well-established criteria. The report concludes that such an approach should strongly be considered in many health care systems to reduce the burden of hip fractures.

Introduction
The burden of long-term osteoporosis management falls on primary care in most healthcare systems. However, a wide and stable treatment gap exists in many such settings; most of which appears to be secondary to a lack of awareness of fracture risk. Screening is a public health measure for the purpose of identifying individuals who are likely to benefit from further investigations and/or treatment to reduce the risk of a disease or its complications. The purpose of this report was to review the evidence for a potential screening programme to identify postmenopausal women at increased risk of hip fracture.

Methods
The approach took well-established criteria for the development of a screening program, adapted by the UK National Screening Committee, and sought the opinion of 20 members of the International Osteoporosis Foundation’s Working Group on Epidemiology and Quality of Life as to whether each criterion was met (yes, partial or no). For each criterion, the evidence base was then reviewed and summarized.

Results and Conclusion
The report concludes that evidence supports the proposal that screening for high fracture risk in primary care should strongly be considered for incorporation into many health care systems to reduce the burden of fractures, particularly hip fractures. The key remaining hurdles to overcome are engagement with primary care healthcare professionals, and the implementation of systems that facilitate and maintain the screening program.
1862-3522
Chotiyarnwong, Pojchong
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McCloskey, E. V.
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Harvey, Nicholas
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Lorentzon, M.
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Prieto-Alhambra, Daniel
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Abrahamsen, B.
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Adachi, J.D
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Borgström, F.
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Bruyère, Olivier
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Carey, J J
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Clark, P.
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Cooper, Cyrus
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Curtis, Elizabeth
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Dennison, Elaine
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Diaz Curiel, Manuel
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Dimai, H.P.
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Grigorie, D.
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Hiligsmann, Mickaël
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Khashayar, Patricia
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Lewiecki, E. Michael
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Lips, P.
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Lorenc, R.S.
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Ortolani, S.
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Papaioannou, A.
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Silverman, S.
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Sosa-Henríquez, Manuel
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Szulc, Pawel
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Ward, Kate
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Yoshimura, N.
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Kanis, J A.
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Chotiyarnwong, Pojchong
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McCloskey, E. V.
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Harvey, Nicholas
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Lorentzon, M.
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Prieto-Alhambra, Daniel
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Abrahamsen, B.
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Adachi, J.D
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Borgström, F.
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Bruyère, Olivier
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Carey, J J
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Clark, P.
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Cooper, Cyrus
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Curtis, Elizabeth
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Dennison, Elaine
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Diaz Curiel, Manuel
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Dimai, H.P.
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Grigorie, D.
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Hiligsmann, Mickaël
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Khashayar, Patricia
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Lewiecki, E. Michael
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Lips, P.
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Lorenc, R.S.
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Ortolani, S.
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Papaioannou, A.
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Silverman, S.
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Sosa-Henríquez, Manuel
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Szulc, Pawel
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Ward, Kate
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Yoshimura, N.
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Kanis, J A.
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Chotiyarnwong, Pojchong, McCloskey, E. V., Harvey, Nicholas, Lorentzon, M., Prieto-Alhambra, Daniel, Abrahamsen, B., Adachi, J.D, Borgström, F., Bruyère, Olivier, Carey, J J, Clark, P., Cooper, Cyrus, Curtis, Elizabeth, Dennison, Elaine, Diaz Curiel, Manuel, Dimai, H.P., Grigorie, D., Hiligsmann, Mickaël, Khashayar, Patricia, Lewiecki, E. Michael, Lips, P., Lorenc, R.S., Ortolani, S., Papaioannou, A., Silverman, S., Sosa-Henríquez, Manuel, Szulc, Pawel, Ward, Kate, Yoshimura, N. and Kanis, J A. (2022) Is it time to consider population screening for fracture risk in postmenopausal women? A position paper from the International Osteoporosis Foundation Epidemiology/Quality of Life Working Group. Archives of Osteoporosis. (doi:10.1007/s11657-022-01117-6).

Record type: Article

Abstract

Summary
The IOF Epidemiology and Quality of Life Working Group has reviewed the potential role of population screening for high hip fracture risk against well-established criteria. The report concludes that such an approach should strongly be considered in many health care systems to reduce the burden of hip fractures.

Introduction
The burden of long-term osteoporosis management falls on primary care in most healthcare systems. However, a wide and stable treatment gap exists in many such settings; most of which appears to be secondary to a lack of awareness of fracture risk. Screening is a public health measure for the purpose of identifying individuals who are likely to benefit from further investigations and/or treatment to reduce the risk of a disease or its complications. The purpose of this report was to review the evidence for a potential screening programme to identify postmenopausal women at increased risk of hip fracture.

Methods
The approach took well-established criteria for the development of a screening program, adapted by the UK National Screening Committee, and sought the opinion of 20 members of the International Osteoporosis Foundation’s Working Group on Epidemiology and Quality of Life as to whether each criterion was met (yes, partial or no). For each criterion, the evidence base was then reviewed and summarized.

Results and Conclusion
The report concludes that evidence supports the proposal that screening for high fracture risk in primary care should strongly be considered for incorporation into many health care systems to reduce the burden of fractures, particularly hip fractures. The key remaining hurdles to overcome are engagement with primary care healthcare professionals, and the implementation of systems that facilitate and maintain the screening program.

Text
s11657-022-01117-6 - Version of Record
Available under License Creative Commons Attribution.
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More information

Accepted/In Press date: 3 May 2022
e-pub ahead of print date: 28 June 2022

Identifiers

Local EPrints ID: 468276
URI: http://eprints.soton.ac.uk/id/eprint/468276
ISSN: 1862-3522
PURE UUID: 15304355-8b26-489a-91a4-954da0f2e250
ORCID for Nicholas Harvey: ORCID iD orcid.org/0000-0002-8194-2512
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Elizabeth Curtis: ORCID iD orcid.org/0000-0002-5147-0550
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961
ORCID for Kate Ward: ORCID iD orcid.org/0000-0001-7034-6750

Catalogue record

Date deposited: 09 Aug 2022 16:40
Last modified: 13 Aug 2022 01:54

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Contributors

Author: Pojchong Chotiyarnwong
Author: E. V. McCloskey
Author: Nicholas Harvey ORCID iD
Author: M. Lorentzon
Author: Daniel Prieto-Alhambra
Author: B. Abrahamsen
Author: J.D Adachi
Author: F. Borgström
Author: Olivier Bruyère
Author: J J Carey
Author: P. Clark
Author: Cyrus Cooper ORCID iD
Author: Elaine Dennison ORCID iD
Author: Manuel Diaz Curiel
Author: H.P. Dimai
Author: D. Grigorie
Author: Mickaël Hiligsmann
Author: Patricia Khashayar
Author: E. Michael Lewiecki
Author: P. Lips
Author: R.S. Lorenc
Author: S. Ortolani
Author: A. Papaioannou
Author: S. Silverman
Author: Manuel Sosa-Henríquez
Author: Pawel Szulc
Author: Kate Ward ORCID iD
Author: N. Yoshimura
Author: J A. Kanis

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