A global call to action to improve the care of people with fragility fractures
A global call to action to improve the care of people with fragility fractures
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DOI：
10.1016/j.injury.2018.06.032
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发表时间：
2018-08-01
影响因子：
2.5
通讯作者：
Magaziner, J.
中科院分区：
文献类型：
--
作者：
Dreinhoefer, K. E.;Mitchell, P. J.;Magaziner, J.
社会老龄化正在推动脆性骨折发生率大幅增加，并给全球患者、其家庭、卫生系统和社会带来巨大负担。因此，打破现状已成为一种义务和必要。由脆弱性断裂网络（FFN）在2016年第四届FFN全球大会期间举行的“总统圆桌会议”上发起，几个领先组织一致认为，全球多学科和多专业合作，导致全球行动呼吁（CtA），将是向前迈出的正确一步，以改善对脆弱性骨折患者的护理。到目前为止，已经联系了老年病/内科、骨科、骨质疏松/代谢性骨病、康复和风湿病学方面的全球和区域组织，以及五个人口稠密国家的国家组织（巴西、中国、印度、日本和美国），结果有81个学会认可了CTA。我们呼吁实施系统的方法来治疗脆弱性骨折，目标是恢复功能，立即防止随后的断裂。迫切需要改进：为髋部、临床椎骨和其他主要脆性骨折患者提供急性多学科护理在首次发生所有脆性骨折（包括年轻人和老年人）后进行快速二级预防，以防止未来再次发生骨折为因髋部和主要脆性骨折而功能受损的患者提供持续的急性后护理为解决这一脆性骨折危机，以下签名组织承诺加强努力，改善所有脆性骨折的当前管理，预防后续骨折，并努力恢复功能能力和生活质量。(C)2018由Elsevier Ltd.出版
The ageing of society is driving an enormous increase in fragility fracture incidence and imposing a massive burden on patients, their families, health systems and societies globally. Disrupting the status quo has therefore become an obligation and a necessity.Initiated by the Fragility Fracture Network (FFN) at a "Presidents' Roundtable" during the Sth FFN Global Congress in 2016 several leading organisations agreed that a global multidisciplinary and multiprofessional collaboration, resulting in a Global Call to Action (CtA), would be the right step forward to improve the care of people presenting with fragility fractures. So far global and regional organisations in geriatrics/internal medicine, orthopaedics, osteoporosis/metabolic bone disease, rehabilitation and rheumatology were contacted as well as national organisations in five highly populated countries (Brazil, China, India, Japan and the United States), resulting in 81 societies endorsing the CtA.We call for implementation of a systematic approach to fragility fracture care with the goal of restoring function and preventing subsequent fractures without further delay.There is an urgent need to improve:Acute multidisciplinary care for the person who suffers a hip, clinical vertebral and other major fragility fracturesRapid secondary prevention after first occurrence of all fragility fractures, including those in younger people as well as those in older persons, to prevent future fracturesOngoing post-acute care of people whose ability to function is impaired by hip and major fragility fracturesTo address this fragility fracture crisis, the undersigned organisations pledge to intensify their efforts to improve the current management of all fragility fractures, prevent subsequent fractures, and strive to restore functional abilities and quality of life. (C) 2018 Published by Elsevier Ltd.