Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region
Issued Date
2022-12-01
Resource Type
ISSN
18623522
eISSN
18623514
Scopus ID
2-s2.0-85137008965
Pubmed ID
35987919
Journal Title
Archives of Osteoporosis
Volume
17
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Archives of Osteoporosis Vol.17 No.1 (2022)
Suggested Citation
Mitchell P.J., Ang S.B., Mercado-Asis L.B., Rey-Matias R., Chen W.S., Flicker L., Leung E., Choon D., Chandrasekaran S.K., Close J.C.T., Seymour H., Cooper C., Halbout P., Blank R.D., Zhao Y., Lim J.Y., Tabu I., Tian M., Unnanuntana A., Wong R.M.Y., Yamamoto N., Chan D.C., Lee J.K. Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region. Archives of Osteoporosis Vol.17 No.1 (2022). doi:10.1007/s11657-022-01153-2 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85270
Title
Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region
Author's Affiliation
Siriraj Hospital
NIHR Southampton Biomedical Research Centre
Fiona Stanley Hospital
National Institutes of Health, University of the Philippines Manila
Seoul National University Bundang Hospital
National Taiwan University Hospital
University of the Philippines Manila
St. Luke's Medical Center Quezon City
The University of Western Australia
University of Notre Dame Australia
Universiti Malaya
UNSW Sydney
University of Oxford
MRC Lifecourse Epidemiology Unit
Neuroscience Research Australia
Harbin Medical University
KK Women's And Children's Hospital
Medical College of Wisconsin
UNSW Medicine
Hong Kong Sanatorium and Hospital
Chinese University of Hong Kong
Garvan Institute of Medical Research
University of Oxford Medical Sciences Division
Asia-Oceanian Society of Physical and Rehabilitation Medicine
Virtual Network
Philippine Academy of Rehabilitation Medicine
International Society for Clinical Densitometry (ISCD)
Asia Pacific Orthopaedic Association
Synthesis Medical NZ Ltd
Beacon Hospital
Niigata Rehabilitation Hospital
International Osteoporosis Foundation
The Obstetrics and Gynecology Department of Beijing Hospital
NIHR Southampton Biomedical Research Centre
Fiona Stanley Hospital
National Institutes of Health, University of the Philippines Manila
Seoul National University Bundang Hospital
National Taiwan University Hospital
University of the Philippines Manila
St. Luke's Medical Center Quezon City
The University of Western Australia
University of Notre Dame Australia
Universiti Malaya
UNSW Sydney
University of Oxford
MRC Lifecourse Epidemiology Unit
Neuroscience Research Australia
Harbin Medical University
KK Women's And Children's Hospital
Medical College of Wisconsin
UNSW Medicine
Hong Kong Sanatorium and Hospital
Chinese University of Hong Kong
Garvan Institute of Medical Research
University of Oxford Medical Sciences Division
Asia-Oceanian Society of Physical and Rehabilitation Medicine
Virtual Network
Philippine Academy of Rehabilitation Medicine
International Society for Clinical Densitometry (ISCD)
Asia Pacific Orthopaedic Association
Synthesis Medical NZ Ltd
Beacon Hospital
Niigata Rehabilitation Hospital
International Osteoporosis Foundation
The Obstetrics and Gynecology Department of Beijing Hospital
Other Contributor(s)
Abstract
Summary: This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health improvement Road Maps to be implemented at scale during the United Nations ‘Decade of Healthy Ageing’. Purpose: This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvement initiatives intended to improve the care and prevention of fragility fractures across the Asia Pacific region. Methods: The review focuses on published studies, reports and quality improvement initiatives undertaken during the period July 2019 to May 2022. Results: Epidemiological studies conducted in countries and regions throughout Asia Pacific highlight the current and projected increasing burden of fragility fractures. Recent studies and reports document a persistent and pervasive post-fracture care gap among people who have sustained fragility fractures. Global initiatives developed by the Fragility Fracture Network and International Osteoporosis Foundation have gained significant momentum in the Asia Pacific region, despite the disruption caused by the COVID-pandemic. The Asia Pacific Fragility Fracture Alliance has developed educational resources including a Hip Fracture Registry Toolbox and a Primary Care Physician Education Toolkit. The Asia Pacific Osteoporosis and Fragility Fractures Society—a new section of the Asia Pacific Orthopaedic Association—is working to engage orthopaedic surgeons across the region in the care and prevention of fragility fractures. The Asia Pacific Consortium on Osteoporosis developed a framework to support national clinical guidelines development groups. Considerable activity at the national level is evident in many countries across the region. Conclusion: Development and implementation of national Road Maps informed by the findings of this review are urgently required to respond to the epidemiological emergency posed by fragility fractures during the United Nations ‘Decade of Healthy Ageing’.