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Identification and management of patients at increased risk of osteoporotic fracture: outcomes of an ESCEO expert consensus meeting.

Identifieur interne : 000A46 ( PubMed/Checkpoint ); précédent : 000A45; suivant : 000A47

Identification and management of patients at increased risk of osteoporotic fracture: outcomes of an ESCEO expert consensus meeting.

Auteurs : J A Kanis [Royaume-Uni] ; C. Cooper [Royaume-Uni] ; R. Rizzoli [Suisse] ; B. Abrahamsen [Danemark] ; N M Al-Daghri [Arabie saoudite] ; M L Brandi [Italie] ; J. Cannata-Andia [Espagne] ; B. Cortet [France] ; H P Dimai [Autriche] ; S. Ferrari [Suisse] ; P. Hadji [Allemagne] ; N C Harvey [Royaume-Uni] ; M. Kraenzlin [Suisse] ; A. Kurth [Allemagne] ; E. Mccloskey [Royaume-Uni] ; S. Minisola [Italie] ; T. Thomas [France] ; J-Y Reginster [Belgique]

Source :

RBID : pubmed:28451733

Abstract

Osteoporosis represents a significant and increasing healthcare burden in Europe, but most patients at increased risk of fracture do not receive medication, resulting in a large treatment gap. Identification of patients who are at particularly high risk will help clinicians target appropriate treatment more precisely and cost-effectively, and should be the focus of future research.

DOI: 10.1007/s00198-017-4009-0
PubMed: 28451733


Affiliations:


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<name sortKey="Reginster, J Y" sort="Reginster, J Y" uniqKey="Reginster J" first="J-Y" last="Reginster">J-Y Reginster</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Public Health, Epidemiology and Health Economics, University of Liège, Liège</wicri:regionArea>
<orgName type="university">Université de Liège</orgName>
<placeName>
<settlement type="city">Liège</settlement>
<region type="region" nuts="1">Région wallonne</region>
<region type="province" nuts="1">Province de Liège</region>
</placeName>
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</analytic>
<series>
<title level="j">Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA</title>
<idno type="eISSN">1433-2965</idno>
<imprint>
<date when="2017" type="published">2017</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">Osteoporosis represents a significant and increasing healthcare burden in Europe, but most patients at increased risk of fracture do not receive medication, resulting in a large treatment gap. Identification of patients who are at particularly high risk will help clinicians target appropriate treatment more precisely and cost-effectively, and should be the focus of future research.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="In-Process" Owner="NLM">
<PMID Version="1">28451733</PMID>
<DateCreated>
<Year>2017</Year>
<Month>04</Month>
<Day>28</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1433-2965</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>28</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2017</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA</Title>
<ISOAbbreviation>Osteoporos Int</ISOAbbreviation>
</Journal>
<ArticleTitle>Identification and management of patients at increased risk of osteoporotic fracture: outcomes of an ESCEO expert consensus meeting.</ArticleTitle>
<Pagination>
<MedlinePgn>2023-2034</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00198-017-4009-0</ELocationID>
<Abstract>
<AbstractText>Osteoporosis represents a significant and increasing healthcare burden in Europe, but most patients at increased risk of fracture do not receive medication, resulting in a large treatment gap. Identification of patients who are at particularly high risk will help clinicians target appropriate treatment more precisely and cost-effectively, and should be the focus of future research.</AbstractText>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The purpose of the study was to review data on the identification and treatment of patients with osteoporosis at increased risk of fracture.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A working group convened by the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis met to review current data on the epidemiology and burden of osteoporosis and the patterns of medical management throughout Europe.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In Europe in 2010, the cost of managing osteoporosis was estimated at €37 billion and notably the costs of treatment and long-term care of patients with fractures were considerably higher than the costs for pharmacological prevention. Despite the availability of effective treatments, the uptake of osteoporosis therapy is low and declining, in particular for secondary fracture prevention where the risk of a subsequent fracture following a first fracture is high. Consequently, there is a significant treatment gap between those who would benefit from treatment and those who receive it, which urgently needs to be addressed so that the burden of disease can be reduced.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implementation of global fracture prevention strategies is a critical need. Future research should focus on identifying specific risk factors for imminent fractures, periods of high fracture risk, patients who are at increased risk of fracture and therapies that are most suited to such high-risk patients and optimal implementation strategies in primary, secondary and tertiary care.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Kanis</LastName>
<ForeName>J A</ForeName>
<Initials>JA</Initials>
<AffiliationInfo>
<Affiliation>Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK. w.j.Pontefract@shef.ac.uk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Institute for Health and Ageing, Catholic University of Australia, Melbourne, Australia. w.j.Pontefract@shef.ac.uk.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cooper</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Rizzoli</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Service of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Abrahamsen</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Al-Daghri</LastName>
<ForeName>N M</ForeName>
<Initials>NM</Initials>
<AffiliationInfo>
<Affiliation>Prince Mutaib Chair for Biomarkers of Osteoporosis, Biochemistry Department, College of Science, King Saud University, Riyadh, Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Brandi</LastName>
<ForeName>M L</ForeName>
<Initials>ML</Initials>
<AffiliationInfo>
<Affiliation>Department of Surgery and Translational Medicine, Unit of Bone and Mineral Diseases, University of Florence, Florence, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cannata-Andia</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Bone and Mineral Research Unit, Instituto "Reina Sofía" de Investigación, REDinREN ISCIII, Hospital Universitario Central de Asturias, Universidad de Oviedo, Asturias, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cortet</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Department of Rheumatology, Lille University Hospital, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dimai</LastName>
<ForeName>H P</ForeName>
<Initials>HP</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ferrari</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Service of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hadji</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Department of Bone Oncology, Endocrinology and Reproductive Medicine, Krankenhaus Nordwest, Frankfurt, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Harvey</LastName>
<ForeName>N C</ForeName>
<Initials>NC</Initials>
<AffiliationInfo>
<Affiliation>MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kraenzlin</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Endonet, Endocrine Clinic and Laboratory, Basel, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kurth</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Orthopaedic Surgery and Osteology, Klinikum Frankfurt, Frankfurt, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Mayor Teaching Hospital, Charitè Medical School, Berlin, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>McCloskey</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>MRC and Arthritis Research UK Centre for Integrated Research in Musculoskeletal Ageing, Mellanby Centre for Bone Research, University of Sheffield, Sheffield, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Minisola</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine and Medical Disciplines, "Sapienza" Università di Roma, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Thomas</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>INSERM U1059, Laboratoire Biologie Intégrée du Tissu Osseux, Rheumatology Department, CHU Saint-Etienne, Université de Lyon, Saint-Etienne, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Reginster</LastName>
<ForeName>J-Y</ForeName>
<Initials>JY</Initials>
<AffiliationInfo>
<Affiliation>Department of Public Health, Epidemiology and Health Economics, University of Liège, Liège, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<CollectiveName>European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO)</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y">
<Grant>
<GrantID>MC_U147585819</GrantID>
<Agency>Medical Research Council</Agency>
<Country>United Kingdom</Country>
</Grant>
<Grant>
<GrantID>MC_UP_A620_1014</GrantID>
<Agency>Medical Research Council</Agency>
<Country>United Kingdom</Country>
</Grant>
<Grant>
<GrantID>MC_UU_12011/1</GrantID>
<Agency>Medical Research Council</Agency>
<Country>United Kingdom</Country>
</Grant>
</GrantList>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2017</Year>
<Month>04</Month>
<Day>27</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>Osteoporos Int</MedlineTA>
<NlmUniqueID>9100105</NlmUniqueID>
<ISSNLinking>0937-941X</ISSNLinking>
</MedlineJournalInfo>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Fracture risk</Keyword>
<Keyword MajorTopicYN="N">Healthcare burden</Keyword>
<Keyword MajorTopicYN="N">Management</Keyword>
<Keyword MajorTopicYN="N">Osteoporosis</Keyword>
<Keyword MajorTopicYN="N">Secondary prevention</Keyword>
<Keyword MajorTopicYN="N">Treatment gap</Keyword>
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<li>Allemagne</li>
<li>Arabie saoudite</li>
<li>Autriche</li>
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<country name="Arabie saoudite">
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<name sortKey="Kurth, A" sort="Kurth, A" uniqKey="Kurth A" first="A" last="Kurth">A. Kurth</name>
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<name sortKey="Reginster, J Y" sort="Reginster, J Y" uniqKey="Reginster J" first="J-Y" last="Reginster">J-Y Reginster</name>
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