Osteoporosis, the subject of a public hearing in Brazil

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IOF member societies in Brazil participated in the Coalition on Osteoporosis in Brazil for the creation of a local public policy focusing on different aspects of osteoporosis.

On October 24, the Commission for the Defense of the Rights of the Elderly presented at an ordinary public hearing before the Federal Chamber of Deputies in Brasilia. The audience discussed the scenario of osteoporosis in Brazil, its impacts on the population, especially the elderly, and the challenges in access to diagnosis and treatment.

Studies show that 121,000 hip fractures are reported annually in the country, with a potential increase to 160,000 by 2050, and that more than 50% of those who survive a hip fracture cannot live independently. In addition, annual costs related to osteoporosis in Brazil are estimated at US$ 309 million, mainly related to lost productivity (61%) and hospitalization costs (19%).

The text was prepared by the Coalition on Osteoporosis in Brazil, made up of experts and recognized organizations in the field that consider the initiative as an alert to make healthy aging a priority issue for public health. Mr. Denis Bezerra (PSB-EC) was the author of the request for discussion. The public hearing included parliamentarians, doctors, specialists, guests, leaders and representatives of entities including the 4 member societies of IOF: ABRASSO - Brazilian Association of Bone Evaluation and Osteometabolismo; ABOOM - Brazilian Association of Osteometabolismo Orthopedics; SBR - Brazilian Society of Rheumatology; FEBRASGO - Brazilian Federation of Associations of Gynecology and Obstetrics; SBEM - Brazilian Society of Endocrinology and Metabolism - Region of Sao Paulo and Osteoporosis Brazil.

The objective is to contribute to the formulation of policies and care lines based on scientific evidence, to improve the diagnosis and treatment of the disease in the country. The Brazilian Osteoporosis Coalition advocated for the creation of a "public policy that focuses on the dissemination of knowledge about the disease, its prevention, the availability of diagnostic tests and patient follow-up.” Its agenda included the launch of the coalition, the impact of osteoporosis in human, medical and economic terms, the patient's vision, osteoporosis in primary care and how it can contribute to improving the disease situation at the local level.

The director of ABQV - Brazilian Association of Quality of Life, Dr. Alberto Ogata, emphasized during his talk to the audience that the collaboration of all sectors is fundamental to face the problem:

The bone health of our population is a matter of utmost urgency. Concrete actions such as those initiated today are fundamental. In addition, social factors such as safety, independence, quality of life and employability, as well as the reduction of costs with medicines and hospitals, also contribute directly to the good emotional and physical health of the elderly population.”

Dr. Ben Hur Albergaria, president of the National Osteoporosis Commission of the Brazilian Federation of Associations of Gynecology and Obstetrics (FEBRASGO), explained the impact of osteoporosis on society.

This is a common and serious disease. Every three seconds an osteoporosis fracture occurs somewhere in the world. One in three women will have a fracture from the age of 50.”

The context of the disease in Brazil was marked as a social alert by the statistics of the Latin American Consensus on Osteoporosis and scientific studies, which drove the Coalition movement. He added:

Our gross fracture rate in men and women over 50 is eight to a thousand. For every 1,000 Brazilians over 50, eight will have osteoporosis fractures. We can calculate using FRAX that 10% of the population over the age of 65 will have a fracture and 33% of postmenopausal women will have osteoporosis. This is an extremely important number, there are almost seven million Brazilians who have osteoporosis and most do not know it. In 2015, we had 370,000 fractures and in 2018 the number increased to 415,000. In the next ten years there will be a 63% increase in fractures, there is no single budget that can cover this if we do not work proactively to reverse this situation.”

Dr. Ben Hur Albergaria concluded:

One of the solutions mentioned was to include osteoporosis in Primary Health Care (PHC), as well as a better demographic distribution of bone mineral density scanning devices (DXA) and the use of the Fracture Risk Assessment Tool (FRAX). We have come a long way, but there is a long way to go before we have this as a national priority. In terms of care, we have to make the prevention of osteoporosis reach the general practitioner responsible for family health. If we want to meet this challenge of the population, primary care is the key to that.”

> Link to full public hearing

About ABQV - Founded in 1995, ABQV - Brazilian Association of Quality of Life, is a non-profit organization that aims to stimulate actions and programs of quality of life in corporate environments, as well as develop partnerships and agreements with important entities. of Brazilian society. Its focus is to develop and integrate professionals to work in Quality of Life and influence the processes of organizational and social transformation. To achieve this objective, it offers updated and relevant subsidies to professionals who wish to expand their knowledge in the area and act as multipliers of a routine that harmoniously combines work and well-being. It operates throughout the country and has associated companies throughout Brazil. ABQV is a member of the Global Healthy Workplace Awards (GHWA), an international award that brings together the world's leaders in health and wellness, designed to recognize health promotion programs.

Source: http://www.abqv.org.br/Noticias/NoticiaDetalhe?idNoticia=1419

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