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Current Osteoporosis Reports

, Volume 10, Issue 1, pp 22–27 | Cite as

Secondary Fracture Prevention

  • Robert A. Adler
Current Therapeutics (SL Silverman, Section Editor)

Abstract

Osteoporosis causes no symptoms until there is a fracture. Although screening for osteoporosis is recommended for some populations, patients may present with a fragility fracture. Such patients are at high risk for subsequent fractures. Despite this high risk and the presence of generally safe and effective osteoporosis therapy, only a minority of low trauma fracture patients have evaluation and treatment of underlying osteoporosis. A brief summary of the evaluation and medical treatment of the post-fracture patient is provided. Several institutions, integrated health systems, and countries have instituted programs to identify, evaluate, and treat fragility fracture patients. Such programs have had variable success. This article describes some of the programs that work, their cost-effectiveness, and the applicability to the generally non-integrated US health care system. It is clear that better management of the post-fracture patient (and other high-risk patients) will lead to fewer fractures, decreased morbidity and mortality, and long-term cost savings.

Keywords

Osteoporosis Fracture Secondary prevention Dual energy x-ray absorptiometry Bisphosphonates 

Notes

Disclosure

Conflicts of interest: R.A. Adler: has been a consultant for Eli Lilly; and has received grant support from Genentech, Novartis, Merck, Amgen, and Eli Lilly.

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Copyright information

© Springer 2012

Authors and Affiliations

  1. 1.Endocrinology and Metabolism Section, McGuire Veterans Affairs Medical CenterRichmondUSA
  2. 2.Departments of Internal Medicine and of Epidemiology and Community HealthVirginia Commonwealth University School of MedicineRichmondUSA

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