Fragility Fractures & Their Impact on Older People

Lídia Sànchez-Riera; Nicholas Wilson

doi:10.1016/j.berh.2017.10.001

Fragility Fractures & Their Impact on Older People

Best Pract Res Clin Rheumatol. 2017 Apr;31(2):169-191. doi: 10.1016/j.berh.2017.10.001. Epub 2017 Nov 20.

Authors

Lídia Sànchez-Riera¹, Nicholas Wilson²

Affiliations

¹ University Hospital Bristol NHS Foundation Trust, Bristol, UK; Institute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, St Leonards, NSW, Australia. Electronic address: 37416lsr@comb.cat.
² Institute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, St Leonards, NSW, Australia.

PMID: 29224695
DOI: 10.1016/j.berh.2017.10.001

Abstract

Osteoporotic fractures, in particular hip and vertebral, are a major health burden worldwide. The majority of these fractures occur in the elderly population, resulting in one of the most important causes of mortality and disability in older ages. Their cost for societies is enormous and is forecast to steadily increase over the coming decades globally. Low bone mineral density (BMD) remains a key preventable risk factor for fractures. Screening and treatment of individuals with high risk of fracture is cost-effective. Predictive tools including clinical risk factors, minimisation of falls risk and public authorities' support to create Fracture Liaison Services are paramount strategies.

Keywords: Burden; Costs; Elderly; Fracture; Fracture liaison services (FLS); Mortality; Osteoporosis; Prevention.

Publication types

Review

MeSH terms

Aged
Aged, 80 and over
Female
Fractures, Bone / etiology*
Humans
Osteoporosis / complications*
Osteoporotic Fractures / etiology*
Risk Factors