A comprehensive fracture prevention strategy in older adults: the European Union Geriatric Medicine Society (EUGMS) statement

H Blain^{1

2}, T Masud³, P Dargent-Molina⁴, F C Martin⁵, E Rosendahl⁶, N van der Velde⁷, J Bousquet⁸, A Benetos⁹, C Cooper^{10

11}, J A Kanis¹², J Y Reginster¹³, R Rizzoli¹⁴, B Cortet¹⁵, M Barbagallo¹⁶, K E Dreinhöfer^{17

18}, B Vellas¹⁹, S Maggi²⁰, T Strandberg^{21

22}; EUGMS Falls and Fracture Interest Group,; International Association of Gerontology and Geriatrics for the European Region (IAGG-ER),; European Union of Medical Specialists (EUMS),; Fragility Fracture Network (FFN),; European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO), and; International Osteoporosis Foundation (IOF)

Affiliations

¹ Department of Internal Medicine and Geriatrics, Montpellier University Hospital, EA 2991 Movement To Health, Euromov, MacVia-LR, EIP-AHA Reference Site, Montpellier University, Montpellier, France. h-blain@chu-montpellier.fr.
² Pôle de Gériatrie, Centre Antonin-Balmes, CHU de Montpellier, 39, Avenue Charles-Flahault, 34395, Montpellier Cedex 5, France. h-blain@chu-montpellier.fr.
³ Department of Geriatric Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
⁴ INSERM, U1153, ORCHARD Team, Centre of Research in Epidemiology and Statistics Sorbonne Paris Cité (CRESS), Paris Descartes University, Paris, France.
⁵ Department of Ageing and Health, Guy's and St Thomas' NHS Trust, London, UK.
⁶ Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
⁷ Geriatrics Department, Academisch Medisch Centrum Geriatrie, Amsterdam, The Netherlands.
⁸ Respiratory Diseases Department, Montpellier University Hospital, MacVia-LR, EIP-AHA Reference Site, Inserm U1018, Villejuif, France.
⁹ Department of Geriatrics, University Hospital of Nancy, Inserm, U1116, CIC-P 1433, Université de Lorraine, Nancy, France.
¹⁰ MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
¹¹ NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK.
¹² WHO Collaborative Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK.
¹³ Department of Public Health, Epidemiology and Health Economics, University of Liege, CHU Sart Tilman B23, 4000, Liège, Belgium.
¹⁴ Service of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
¹⁵ Hôpital Roger Salengro, Lille, France.
¹⁶ Geriatric Unit, University of Palermo, Palermo, Italy.
¹⁷ Department of Orthopedics and Traumatology Medical Park Berlin, Charité Universitätsmedizin, Berlin, Germany.
¹⁸ Department of Orthopedics and Traumatology, Medical Park Berlin, Berlin, Germany.
¹⁹ Gérontopôle, Institute of Ageing, University Hospital Toulouse, Toulouse, France.
²⁰ National Research Council, Aging Branch, Institute of Neuroscience, Padua, Italy.
²¹ University of Helsinki, and Helsinki University Central Hospital, Helsinki, Finland.
²² Center for Life Course Health Research, University of Oulu, Oulu, Finland.

PMID: 27299902
DOI: 10.1007/s40520-016-0588-4

A comprehensive fracture prevention strategy in older adults: the European Union Geriatric Medicine Society (EUGMS) statement

H Blain et al. Aging Clin Exp Res. 2016 Aug.

. 2016 Aug;28(4):797-803.

doi: 10.1007/s40520-016-0588-4. Epub 2016 Jun 14.

Authors

Affiliations

¹ Department of Internal Medicine and Geriatrics, Montpellier University Hospital, EA 2991 Movement To Health, Euromov, MacVia-LR, EIP-AHA Reference Site, Montpellier University, Montpellier, France. h-blain@chu-montpellier.fr.
² Pôle de Gériatrie, Centre Antonin-Balmes, CHU de Montpellier, 39, Avenue Charles-Flahault, 34395, Montpellier Cedex 5, France. h-blain@chu-montpellier.fr.
³ Department of Geriatric Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK.
⁴ INSERM, U1153, ORCHARD Team, Centre of Research in Epidemiology and Statistics Sorbonne Paris Cité (CRESS), Paris Descartes University, Paris, France.
⁵ Department of Ageing and Health, Guy's and St Thomas' NHS Trust, London, UK.
⁶ Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
⁷ Geriatrics Department, Academisch Medisch Centrum Geriatrie, Amsterdam, The Netherlands.
⁸ Respiratory Diseases Department, Montpellier University Hospital, MacVia-LR, EIP-AHA Reference Site, Inserm U1018, Villejuif, France.
⁹ Department of Geriatrics, University Hospital of Nancy, Inserm, U1116, CIC-P 1433, Université de Lorraine, Nancy, France.
¹⁰ MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
¹¹ NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK.
¹² WHO Collaborative Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK.
¹³ Department of Public Health, Epidemiology and Health Economics, University of Liege, CHU Sart Tilman B23, 4000, Liège, Belgium.
¹⁴ Service of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
¹⁵ Hôpital Roger Salengro, Lille, France.
¹⁶ Geriatric Unit, University of Palermo, Palermo, Italy.
¹⁷ Department of Orthopedics and Traumatology Medical Park Berlin, Charité Universitätsmedizin, Berlin, Germany.
¹⁸ Department of Orthopedics and Traumatology, Medical Park Berlin, Berlin, Germany.
¹⁹ Gérontopôle, Institute of Ageing, University Hospital Toulouse, Toulouse, France.
²⁰ National Research Council, Aging Branch, Institute of Neuroscience, Padua, Italy.
²¹ University of Helsinki, and Helsinki University Central Hospital, Helsinki, Finland.
²² Center for Life Course Health Research, University of Oulu, Oulu, Finland.

PMID: 27299902
DOI: 10.1007/s40520-016-0588-4

Abstract

Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society, in collaboration with the International Association of Gerontology and Geriatrics for the European Region, the European Union of Medical Specialists, and the International Osteoporosis Foundation-European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, outlines its views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people.

Keywords: Falls; Fragility fracture; Older people; Position statement; Prevention.

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A comprehensive fracture prevention strategy in older adults: the European Union Geriatric Medicine Society (EUGMS) statement

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A comprehensive fracture prevention strategy in older adults: the European Union Geriatric Medicine Society (EUGMS) statement

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Abstract

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