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Article: Hip fractures are preventable: a proposal for osteoporosis screening and fall prevention in older people

TitleHip fractures are preventable: a proposal for osteoporosis screening and fall prevention in older people
Authors
Keywordsaccident prevention
aged
bone density
clinical effectiveness
dual energy X ray absorptiometry
Issue Date2020
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org/
Citation
Hong Kong Medical Journal, 2020, v. 26 n. 3, p. 227-235 How to Cite?
AbstractOsteoporosis is highly prevalent but underdiagnosed and undertreated in Hong Kong. Fragility fractures associated with osteoporosis often result in loss of independence and increased mortality for home-dwelling patients, imposing a high socio-economic burden on society. This issue requires urgent attention given the rapid growth of the elderly population in Hong Kong by approximately 4.3% each year. To address this situation, a group of experts convened to discuss practical ways to reduce the burden of fractures and formulated three recommendations: first, all men (aged ≥70 years) and women (aged ≥65 years) should receive universal dual-energy X-ray absorptiometry assessment for osteoporosis. Second, all men (aged ≥70 years) and women (aged ≥65 years) with a fracture-risk assessment-derived 10-year risk (hip fracture with bone mineral density) ≥3% should receive ≥3 years of anti-osteoporotic treatment. Third, comprehensive structured assessment (including dual-energy X-ray absorptiometry) should be conducted in older patients with a history of falling. By implementing these recommendations, we estimate that we could prevent 5234 hip fractures in 10 years, an annual incidence reduction of approximately 7%, and save HK$425 million in direct medical costs plus substantial indirect savings. Ample clinical and cost-effectiveness data support these recommendations, and studies in Hong Kong and abroad could serve as models on how to implement them. We are confident that by applying these recommendations rigorously and systematically, a significant reduction in hip fractures in Hong Kong is achievable.
Persistent Identifierhttp://hdl.handle.net/10722/290638
ISSN
2019 Impact Factor: 1.679
2015 SCImago Journal Rankings: 0.279
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorKwok, TCY-
dc.contributor.authorLaw, SW-
dc.contributor.authorLeung, EMF-
dc.contributor.authorChoy, DTK-
dc.contributor.authorLam, PMS-
dc.contributor.authorLeung, JCS-
dc.contributor.authorWong, SH-
dc.contributor.authorIp, TP-
dc.contributor.authorCheung, CL-
dc.date.accessioned2020-11-02T05:45:02Z-
dc.date.available2020-11-02T05:45:02Z-
dc.date.issued2020-
dc.identifier.citationHong Kong Medical Journal, 2020, v. 26 n. 3, p. 227-235-
dc.identifier.issn1024-2708-
dc.identifier.urihttp://hdl.handle.net/10722/290638-
dc.description.abstractOsteoporosis is highly prevalent but underdiagnosed and undertreated in Hong Kong. Fragility fractures associated with osteoporosis often result in loss of independence and increased mortality for home-dwelling patients, imposing a high socio-economic burden on society. This issue requires urgent attention given the rapid growth of the elderly population in Hong Kong by approximately 4.3% each year. To address this situation, a group of experts convened to discuss practical ways to reduce the burden of fractures and formulated three recommendations: first, all men (aged ≥70 years) and women (aged ≥65 years) should receive universal dual-energy X-ray absorptiometry assessment for osteoporosis. Second, all men (aged ≥70 years) and women (aged ≥65 years) with a fracture-risk assessment-derived 10-year risk (hip fracture with bone mineral density) ≥3% should receive ≥3 years of anti-osteoporotic treatment. Third, comprehensive structured assessment (including dual-energy X-ray absorptiometry) should be conducted in older patients with a history of falling. By implementing these recommendations, we estimate that we could prevent 5234 hip fractures in 10 years, an annual incidence reduction of approximately 7%, and save HK$425 million in direct medical costs plus substantial indirect savings. Ample clinical and cost-effectiveness data support these recommendations, and studies in Hong Kong and abroad could serve as models on how to implement them. We are confident that by applying these recommendations rigorously and systematically, a significant reduction in hip fractures in Hong Kong is achievable.-
dc.languageeng-
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org/-
dc.relation.ispartofHong Kong Medical Journal-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectaccident prevention-
dc.subjectaged-
dc.subjectbone density-
dc.subjectclinical effectiveness-
dc.subjectdual energy X ray absorptiometry-
dc.titleHip fractures are preventable: a proposal for osteoporosis screening and fall prevention in older people-
dc.typeArticle-
dc.identifier.emailCheung, CL: lung1212@hku.hk-
dc.identifier.authorityCheung, CL=rp01749-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.12809/hkmj198337-
dc.identifier.pmid32554817-
dc.identifier.scopuseid_2-s2.0-85086723709-
dc.identifier.hkuros318398-
dc.identifier.volume26-
dc.identifier.issue3-
dc.identifier.spage227-
dc.identifier.epage235-
dc.identifier.isiWOS:000541839300012-
dc.publisher.placeHong Kong-
dc.identifier.issnl1024-2708-

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