CAPTURE--THE--FRACTURE(捕获骨折).pptx
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1、CAPTURE THE FRACTURE A GLOBAL CAMPAIGN TO BREAK THE FRAGILITY FRACTURE CYCLEwww.iofbonehealth.org 2012 World Osteoporosis Day5/2/202425/2/202431.Forward5/2/20244Forward全球全球Every 3s25,000/day9M/year欧洲欧洲32 billion EUR/year 美国美国20 billion USD/year中国中国 hip fractures1.6 billion 0612.5 billion 20265 billi
2、on 505/2/20245ForwardFracture begets fractureEffective medicines to reduce fractures.Regrettably,by missing the opportunity to respond to the first fracture,healthcare systems around the world are failing to prevent the second and subsequent fractures.5/2/20246ForwardThis report aims to engage:patie
3、nts and their societies;healthcare professionals and their organizations;policy makers and their governments to close the secondary fracture prevention care gap throughout the world.The opportunity is too good to miss!5/2/202472.WHY SECONDARY FRACTURE PREVENTION MUST BE A PUBLIC HEALTH PRIORITY5/2/2
4、0248Why secondary fracture prevention must be a public health priorityFragility fractures:a burden for patients,healthcare systems and national economies Silent High morbidity,mortality and costs Fracture begets fracture 5/2/202495/2/2024103.SECONDARY FRACTURE PREVENTION An opportunity to break the
5、fragility fracture cycle 5/2/202411SECONDARY FRACTURE PREVENTION an opportunity to break the fragility fracture cycle Half of hip fracture patients have suffered prior fragility fractures.One sixth of postmenopausal women have suffered a fragility fracture.5/2/202412Secondary fracture prevention an
6、opportunity to break the fragility fracture cycle 5/2/2024134.THE WORLDWIDE PROBLEM The current care gap 5/2/202414THE WORLDWIDE PROBLEM The current care gap Many professional organization guidelines and national prescribing and reimbursement policies provide endorsement and funding mechanisms for s
7、econdary preventive therapy Documented standards of care in countries where national audit work has been done are summarized below.Australia;Canada;Germany;Switzerland;the Netherlands;Sweden;UK;USA;5/2/202415The Worldwide Problem the current care gap United States A 2007 study of data from National
8、Health and Nutrition Examination Survey(NHANES)estimated that 17%of older women who have sustained a fragility fracture in the United States are receiving osteoporosis treatment.Another study evaluated osteoporosis treatment of 51 346 hip fracture patients admitted to 318 hospitals across the United
9、 States.The authors reported that 6.6%of patients received calcium and vitamin D supplements,7.3%received antiresorptive or bone-forming drugs and only 2%received a combination of these therapies,the approach advocated as optimal in most guidelines worldwide.In an associated editorial98,Dr.Robert Ad
10、lers conclusion sign-posts the solution to this universal problem that will be considered in detail in the next section of this report:“There are several different performance measures for management of osteoporosis after fracture,and most institutions would fail.A small investment in a fracture coo
11、rdinator can result in appropriate diagnostic and therapeutic management of patients who have suffered fractures.This should result in fewer fractures and perhaps fewer deaths.Surely we can do better.“5/2/202416WHY IS SECONDARY FRACTURE PREVENTION NOT HAPPENING?5/2/2024172004 Elliot-Gibson Cost conc
12、erns relating to diagnosis and treatment Time required for diagnosis and case-finding Concerns relating to polypharmacyLack of clarity regarding where clinical responsibility resides2006 Giangregorio Treatment was offered more frequently for patients with vertebral fractures in comparison to patient
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- CAPTURE THE FRACTURE 捕获 骨折
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