Osteoporosis in Crisis: It's Time to Focus on Fracture. J Bone Miner Res 2017 Jul;32(7):1391-1394
Date
05/31/2017Pubmed ID
28556236DOI
10.1002/jbmr.3182Scopus ID
2-s2.0-85021207322 (requires institutional sign-in at Scopus site) 58 CitationsAbstract
A crisis in osteoporosis treatment exists; the majority of those who sustain fracture do not receive treatment to reduce future fracture risk. This crisis presents an opportunity to focus the field from osteoporosis to fracture, the outcome of consequence. Proposed here is a change in focus suggesting that 1) attempts to define the level of trauma leading to fracture are counterproductive and that all fractures in older adults merit consideration of evaluation and 2) bone loss is not the entire problem but rather part of a broader syndrome including osteoporosis, sarcopenia, and other factors leading to fracture. With this approach, all fractures in older adults should be evaluated for potential lifestyle, non-pharmacological, and pharmacological interventions that could be implemented to reduce the risk of fracture recurrence. © 2017 American Society for Bone and Mineral Research.
Author List
Binkley N, Blank RD, Leslie WD, Lewiecki EM, Eisman JA, Bilezikian JPMESH terms used to index this publication - Major topics in bold
Fractures, BoneHumans
Osteoporosis
