Current Osteoporosis Reports

, Volume 11, Issue 4, pp 348–353 | Cite as

National Bone Health Alliance: An Innovative Public-Private Partnership Improving America’s Bone Health

  • David B. Lee
  • Mia Rochelle Lowden
  • Valerie Patmintra
  • Katie Stevenson
Quality of Care in Osteoporosis (SL Silverman, Section Editor)


The U.S. National Bone Health Alliance (NBHA) is a public-private partnership launched in 2010 that brings together its 56 partners from the government, nonprofit, and for-profit sectors to collectively promote bone health and prevent disease; improve bone disease diagnosis and treatment; and enhance bone research, surveillance, and evaluation. NBHA is driven to achieve its 20/20 vision to reduce fractures 20 % by the year 2020 through projects including 2Million2Many, an osteoporosis awareness campaign; Fracture Prevention CENTRAL, an online resource center providing support to sites interested in launching a secondary fracture prevention program; bone turnover marker standardization project; and working groups in rare bone disease and the clinical diagnosis of osteoporosis. NBHA provides a platform to coordinate messaging among individuals and organizations on subjects important to bone health; pool funding and efforts around shared priorities; and work together towards the goals and recommendations of the National Action Plan on Bone Health.


National Bone Health Alliance Osteoporosis Fractures Falls Bone health Bone breaks NBHA Bone disease Vitamin D Calcium DXA Densitometry Bone Fracture prevention central Rare bone disease DXA reimbursement Fracture liaison service Bone turnover Bone density test Secondary fracture prevention 


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    Carmona RH, Moritsugu KP, US Public Health Service, Department of Health and Human Services. The 2004 Bone Health and Osteoporosis: a report of the Surgeon General. Available at: Accessed July 18, 2013.
  2. 2.
    National Coalition for Osteoporosis and Other Bone Diseases. National Action Plan on Bone Health: recommendation from the Summit for a National Plan on Bone Health 2008; Available at: Accessed July 18, 2013.
  3. 3.
    Newman ED, Ayoub WT, Starkey RH, Diehl JM, Wood GC. Osteoporosis disease management in a rural health care population: hip fracture reduction and reduced costs in postmenopausal women after 5 years. Osteoporos Int. 2003;14(2):146–51.PubMedGoogle Scholar
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    Dell R, Greene D, Schelkun SR, Williams K. Osteoporosis disease management: the role of the orthopaedic surgeon. J Bone Joint Surg Am. 2008;90 Suppl 4:188–94.PubMedCrossRefGoogle Scholar
  5. 5.
    McLellan AR, Gallacher SJ, Fraser M, McQuillian C. The fracture liaison service: success of a program for the evaluation and management of patients with osteoporotic fracture. Osteoporos Int. 2003;14(12):1028–34.PubMedCrossRefGoogle Scholar
  6. 6.
    • McLellan AR, Wolowacz SE, Zimovetz EA, Beard SM, Lock S, McCrink L, et al. Fracture liaison services for the evaluation and management of patients with osteoporotic fracture: a cost-effectiveness evaluation based on data collected over 8 years of service provision. Osteoporos Int. 2011;22(7):2083–98. Provides financial cost savings and improvement in patient outcomes over 8 years from the West Glasgow, Scotland fracture liaison service.PubMedCrossRefGoogle Scholar
  7. 7.
    Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 2007;22(3):465–75.PubMedCrossRefGoogle Scholar
  8. 8.
    • Vasikaran S, Eastell R, Bruyere O, Foldes AJ, Garnero P, Griesmacher A, et al. Markers of bone turnover for the prediction of fracture risk and monitoring of osteoporosis treatment: a need for international reference standards. Osteoporos Int. 2011;22(2):391–420. Consensus on the bone turnover markers ripest for standardization (being utilized in the National Bone Health Alliance Bone Turnover Marker Standardization Project).PubMedCrossRefGoogle Scholar
  9. 9.
    •• Bauer D, Krege J, Lane N, Leary E, Libanati C, Miller P, et al. National Bone Health Alliance Bone Turnover Marker Project: current practices and the need for US harmonization, standardization, and common reference ranges. Osteoporos Int. 2012;23(10):2425–33. Elucidates the need for U.S. bone turnover marker harmonization, standardization, and common reference ranges and the defined project activities of the National Bone Health Alliance.PubMedCrossRefGoogle Scholar
  10. 10.
    •• Siris ES, Boonen S, Mitchell PJ, Bilezikian J, Silverman S. What's in a name? What constitutes the clinical diagnosis of osteoporosis? Osteoporos Int. 2012;23(8):2093–7. Provides the basis for the work of the National Bone Health Alliance Clinical Diagnosis of Osteoporosis Working Group.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • David B. Lee
    • 1
  • Mia Rochelle Lowden
    • 1
  • Valerie Patmintra
    • 1
  • Katie Stevenson
    • 1
  1. 1.National Bone Health AllianceWashingtonUSA

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