Recommendations for the prevention of fragility fractures: a consensus from international experts and Ibero-American scientific societies.

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Sáez-López P
  • Aldecoa Álvarez-Santullano C
  • Arboiro-Pinel R
  • Baquero Úbeda JL
  • Bastida Calvo JC
  • Cassinello Ogea C
  • Condorhuamán Alvarado PY
  • Cortés Berdonces M
  • Cuadra Llopart L
  • Fernández Martínez N
  • Giner García M
  • Micó Pérez RM
  • Mur Molina B
  • Naranjo Hernández A
  • Neyro Bilbao JL
  • Ojeda-Thies C
  • Palacios Gil Antuñano S
  • Santiñá Vila M
  • Soto Bonel J
  • Tarazona-Santabalbina FJ

Grupos

Abstract

PURPOSE: To develop a multidisciplinary consensus outlining key recommendations to prevent fragility fractures and improve care through coordinated efforts across healthcare sectors. METHODS: An international group of experts, coordinated by the Spanish National Hip Fracture Registry (RNFC), engaged over 300 professionals and 31 scientific societies. Using a nominal group technique, the committee reviewed scientific evidence and collaboratively developed ten core recommendations. The consensus was refined through multiple telematic reviews and finalized at the 7th RNFC Annual Meeting in March 2024. RESULTS: The consensus presents ten actionable recommendations: (1) inclusion of osteoporosis and fragility fractures in health policies, (2) early detection and management of frailty and falls, (3) implementation of clinical practice guidelines, (4) promotion of fracture registries and audits, (5) support for Orthogeriatric Units and Fracture Liaison Services (FLS), (6) adoption of a "Fragility Fracture Code," (7) empowerment of Primary Care in fracture prevention, (8) increased patient association involvement, (9) public awareness campaigns, and (10) promotion of research including patient-reported outcomes. CONCLUSIONS: Fragility fractures are a major public health issue with rising incidence, disability, and healthcare costs. This consensus offers unified, evidence-based guidance for policy makers, healthcare professionals, and patient organizations. Broad dissemination and implementation of these recommendations aim to reduce fracture rates and enhance patient outcomes through coordinated, multidisciplinary care.

© 2025. The Author(s).

Datos de la publicación

ISSN/ISSNe:
1862-3522, 1862-3514

Archives of Osteoporosis  SPRINGER LONDON LTD

Tipo:
Article
Páginas:
76-76
PubMed:
40504279
Factor de Impacto:
0,693 SCImago
Cuartil:
Q2 SCImago

Citas Recibidas en Web of Science: 7

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Keywords

  • Consensus statement; Fragility fracture; Osteoporosis; Stakeholder

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