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Archives of Osteoporosis
Erschienen in: Archives of Osteoporosis 1/2022

01.12.2022 | Review Article

Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region

verfasst von: Paul James Mitchell, Seng Bin Ang, Leilani Basa Mercado-Asis, Reynaldo Rey-Matias, Wen-Shiang Chen, Leon Flicker, Edward Leung, David Choon, Sankara Kumar Chandrasekaran, Jacqueline Clare Therese Close, Hannah Seymour, Cyrus Cooper, Philippe Halbout, Robert Daniel Blank, Yanling Zhao, Jae-Young Lim, Irewin Tabu, Maoyi Tian, Aasis Unnanuntana, Ronald Man Yeung Wong, Noriaki Yamamoto, Ding-Cheng Chan, Joon Kiong Lee, on behalf of the Asia Pacific Fragility Fracture Alliance

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2022

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Abstract

Summary

This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health improvement Road Maps to be implemented at scale during the United Nations ‘Decade of Healthy Ageing’.

Purpose

This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvement initiatives intended to improve the care and prevention of fragility fractures across the Asia Pacific region.

Methods

The review focuses on published studies, reports and quality improvement initiatives undertaken during the period July 2019 to May 2022.

Results

Epidemiological studies conducted in countries and regions throughout Asia Pacific highlight the current and projected increasing burden of fragility fractures. Recent studies and reports document a persistent and pervasive post-fracture care gap among people who have sustained fragility fractures. Global initiatives developed by the Fragility Fracture Network and International Osteoporosis Foundation have gained significant momentum in the Asia Pacific region, despite the disruption caused by the COVID-pandemic. The Asia Pacific Fragility Fracture Alliance has developed educational resources including a Hip Fracture Registry Toolbox and a Primary Care Physician Education Toolkit. The Asia Pacific Osteoporosis and Fragility Fractures Society—a new section of the Asia Pacific Orthopaedic Association—is working to engage orthopaedic surgeons across the region in the care and prevention of fragility fractures. The Asia Pacific Consortium on Osteoporosis developed a framework to support national clinical guidelines development groups. Considerable activity at the national level is evident in many countries across the region.

Conclusion

Development and implementation of national Road Maps informed by the findings of this review are urgently required to respond to the epidemiological emergency posed by fragility fractures during the United Nations ‘Decade of Healthy Ageing’.
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Metadaten
Titel
Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region
verfasst von
Paul James Mitchell
Seng Bin Ang
Leilani Basa Mercado-Asis
Reynaldo Rey-Matias
Wen-Shiang Chen
Leon Flicker
Edward Leung
David Choon
Sankara Kumar Chandrasekaran
Jacqueline Clare Therese Close
Hannah Seymour
Cyrus Cooper
Philippe Halbout
Robert Daniel Blank
Yanling Zhao
Jae-Young Lim
Irewin Tabu
Maoyi Tian
Aasis Unnanuntana
Ronald Man Yeung Wong
Noriaki Yamamoto
Ding-Cheng Chan
Joon Kiong Lee
on behalf of the Asia Pacific Fragility Fracture Alliance
Publikationsdatum
01.12.2022
Verlag
Springer London
Erschienen in
Archives of Osteoporosis / Ausgabe 1/2022
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-022-01153-2

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