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18.07.2022 | Review

Gaps and alternative surgical and non-surgical approaches in the bone fragility management: an updated review

verfasst von: Umberto Tarantino, Ida Cariati, Chiara Greggi, Riccardo Iundusi, Elena Gasbarra, Giovanni Iolascon, Andreas Kurth, Kristina E. Akesson, Mary Bouxsein, Paolo Tranquilli Leali, Roberto Civinini, Francesco Falez, Maria Luisa Brandi

Erschienen in: Osteoporosis International | Ausgabe 12/2022

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Abstract

Osteoporotic fractures are one of the major problems facing healthcare systems worldwide. Undoubtedly, fragility fractures of the hip represent a far greater burden in terms of morbidity, mortality, and healthcare costs than other fracture sites. However, despite the significant impact on the health and quality of life of older adults, there is a general lack of awareness of osteoporosis, which results in suboptimal care. In fact, most high-risk individuals are never identified and do not receive adequate treatment, leading to further fragility fractures and worsening health status. Furthermore, considering the substantial treatment gap and the proven cost-effectiveness of fracture prevention programs such as Fracture Liaison Services, urgent action is needed to ensure that all individuals at high risk of fragility fracture are adequately assessed and treated. Based on this evidence, the aim of our review was to (i) provide an overview and comparison of the burden and management of fragility fractures, highlighting the main gaps, and (ii) highlight the importance of using alternative approaches, both surgical and non-surgical, with the aim of implementing early prevention of osteoporotic fractures and improving the management of osteoporotic patients at imminent and/or very high risk of fracture.
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Metadaten
Titel
Gaps and alternative surgical and non-surgical approaches in the bone fragility management: an updated review
verfasst von
Umberto Tarantino
Ida Cariati
Chiara Greggi
Riccardo Iundusi
Elena Gasbarra
Giovanni Iolascon
Andreas Kurth
Kristina E. Akesson
Mary Bouxsein
Paolo Tranquilli Leali
Roberto Civinini
Francesco Falez
Maria Luisa Brandi
Publikationsdatum
18.07.2022
Verlag
Springer London
Erschienen in
Osteoporosis International / Ausgabe 12/2022
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-022-06482-z

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