Shifting the focus in fracture prevention from osteoporosis to falls

Järvinen, Teppo L. N., Sievänen, Harri, Khan, Karim M., Heinonen, Ari and Kannus, Pekka (2008) Shifting the focus in fracture prevention from osteoporosis to falls. British Medical Journal, 336 7636: 124-126. doi:10.1136/bmj.39428.470752.AD

Author Järvinen, Teppo L. N.
Sievänen, Harri
Khan, Karim M.
Heinonen, Ari
Kannus, Pekka
Title Shifting the focus in fracture prevention from osteoporosis to falls
Journal name British Medical Journal
ISSN 0959-8146
Publication date 2008-01
Sub-type Other
DOI 10.1136/bmj.39428.470752.AD
Volume 336
Issue 7636
Start page 124
End page 126
Total pages 3
Place of publication London, United Kingdom
Publisher British Medical Association
Language eng
Subject 1103 Clinical Sciences
Abstract Fractures are a rapidly growing problem among older people. Hip fractures alone cost over $20bn (£10bn; €13bn) in the United States in 1997.1 Any intervention that may reduce the risk of fracture at either the individual or population level therefore warrants critical appraisal. The mainstay of current strategies to prevent fractures is to screen for osteoporosis by bone densitometry and then treat people with low bone density with antiresorptive or other bone-specific drugs.2-4 However, the strongest single risk factor for fracture is falling and not osteoporosis.5 6 Despite this fact, few general practitioners will have assessed the risk of falling among their elderly patients or even know how to do it.7 Risk of falling is also completely overlooked in many important publications on preventing fractures.4 We argue that a change of approach is needed.
Keyword Bone densitometry
Bone mineral density (BMD)
Elderly patients
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ
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Created: Tue, 23 Mar 2010, 09:04:58 EST by Ms May Balasaize on behalf of Faculty Of Health Sciences