Task force report outlines consensus recommendations for secondary fracture prevention

IOF is part of an ASBMR-led multi-stakeholder coalition which has published clinical recommendations for the optimal prevention of secondary fracture among people aged 65 years and older with hip or vertebral fractures.

After a fracture, and without appropriate treatment for osteoporosis (the underlying disease) a fracture patient is at high risk for breaking more bones, especially over the next 1 to 2 years. Despite the danger, a vast majority of patients remain untreated, and are essentially unprotected against the high risk of life-threatening secondary fractures.

To help bridge this gap and improve patient outcomes, the American Society for Bone and Mineral Research (ASBMR) assembled a multi-stakeholder coalition to develop clinical recommendations for the prevention of secondary fracture among people aged 65 years and older with a hip or vertebral fracture. The coalition included representatives from 42 professional organizations from the United States and abroad, including the International Osteoporosis Foundation (IOF) and leading US scientific organizations such as the American College of Physicians, American Association of Nurse Practitioners and the American Geriatrics Society.

Following a consensus building process, 13 recommendations (7 primary and 6 secondary), strongly supported by the empirical literature, have been published in the task force report ‘Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition’.

IOF President Cyrus Cooper stated:

IOF was delighted to take part in this initiative and to provide an international perspective to the task force report. As underscored by the missions of the IOF Capture the Fracture initiative, improved secondary fracture prevention is urgently needed to address the global fracture epidemic. These Task Force recommendations outline an effective action plan which can be adapted for different health care systems worldwide.”

Among the recommendations, the coalition recommends increased communication with patients regarding fracture risk, mortality and morbidity outcomes, and fracture risk reduction.

Conley RB, Adib G, Adler RA, et al. Secondary Fracture Prevention: Consensus Clinical Recommendations from a Multistakeholder Coalition. J Bone Miner Res. 2019 Sep 20. doi: 10.1002/jbmr.3877.