The ubiquitous nature of the secondary

fracture preventio

The ubiquitous nature of the secondary

fracture prevention care gap is evident from the national audits summarised in Table 1, for both women and men [57–66]. Additionally, a substantial number of regional and local audits have been summarised in the 2012 IOF World Osteoporosis Day Report, which mirror the findings of the national audits [1]. The secondary fracture prevention care gap INCB28060 is persistent. A recent prospective observational study of >60,000 women aged ≥55 years, recruited from 723 primary physician practices in 10 countries, reported that less than 20 % of women with new fractures received osteoporosis treatment [67]. A province-wide study in Manitoba, Canada has revealed that post-fracture diagnosis and treatment rates have not substantially changed between 1996/1997 and 2007/2008, despite increased awareness of osteoporosis care gaps during the intervening decade [68]. Table 1 National audits of secondary fracture prevention Country No. of fracture patients Study population Fracture risk Selleckchem Semaxanib assessment done or risk factors identified (%) Treated for osteoporosis (%)

Reference Australia 1,829 Minimal-trauma fracture presentations to Emergency Departments – < 13 % had risk factors identified –12 % received calcium Teede et al. [57] –10 % ‘appropriately investigated’ –12 % received vitamin D –8 % received a bisphosphonate Canada 441 CB-839 concentration Men participating in the Canadian Multicentre Osteoporosis Study (CaMos) with a prevalent clinical fracture at baseline –At baseline, 2.3 % reported a diagnosis of osteoporosis –At baseline, <1 % were taking a bisphosphonate Papaioannou et al. [58] –At year 5, 10.3 % (39/379) with a clinical fragility fracture (incident or prevalent) reported a diagnosis of osteoporosis –At year 5, the treatment rate for any fragility fracture was 10 % (36/379) Germany 1,201 Patients admitted

to hospital with an isolated distal radius fracture 62 % of women and 50 % of men had evidence HSP90 of osteoporosis 7 % were prescribed osteoporosis-specific medication Smektala et al. [59] Italy 2,191 Ambulatory patients with a previous osteoporotic hip fracture attending orthopaedic clinics No data –< 20 % of patients had taken an antiresorptive drug before their hip fracture Carnevale et al. [60] –< 50 % took any kind of treatment for osteoporosis 1.4 years after initial interview Japan 2,328 Females suffering their first hip fracture BMD was measured before or during hospitalisation for 16 % of patients –19 % of patients received osteoporosis treatment in the year following fracture Hagino et al.

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