CTA

Global Call to Action on fragility fractures achieves unprecedented level of support

The global population is currently undergoing the greatest demographic shift in the history of humankind. A direct consequence of this “longevity miracle” – if left unchecked – will be an explosion in the incidence of chronic diseases afflicting older people. In the absence of systematic and system-wide interventions, this tsunami of need is poised to engulf health and social care systems throughout the world. Osteoporosis, falls and the fragility fractures that follow will be at the vanguard of this battle which is set to rage between quantity and quality of life.

By 2010, the global incidence of one of the most common and debilitating fragility fractures, hip fracture, was estimated to be 2.7 million cases per year. Conservative projections suggest that this will increase to 4.5 million cases per year by 2050. While all countries will be impacted, in absolute terms, Asia will bear the brunt of this growing burden of disease, with around half of hip fractures occurring in this region by the middle of the century. And the associated costs are staggering: in Europe in 2010, osteoporosis cost Euro 37 billion, while in the United States estimates for fracture costs for 2020 are US$22 billion.

If our health and social care systems are to withstand this assault, a robust strategy must be devised, and an army of health professionals amassed to deliver it. This strategy must transform how we currently treat and rehabilitate people who have sustained fragility fractures, in combination with preventing as many fractures from occurring as possible. The latter can be achieved in part by ensuring that health systems always respond to the first fracture to prevent second and subsequent fractures. In short, let the first fracture be the last.

A major step towards making this aspiration a reality has occurred in July 2018 with publication of a Global Call to Action to improve the care of people with fragility fractures. Endorsed by 81 leading organisations from around the world, covering the fields of medicine and nursing for older people, orthopaedic surgery, osteoporosis and metabolic bone disease, physiotherapy, rehabilitation medicine and rheumatology, the case for transformation of the following aspects of care has been made:

The surgical and medical care provided to a person hospitalised with a hip fracture, a painful fracture of the spine and other major fragility fractures.

Prevention of second and subsequent fractures for people who have sustained their first fragility fracture.

Rehabilitation of people whose ability to function is impaired by hip fractures and other major fragility fractures, to restore their mobility and independence.

Downloads

The Global Call to Action is included in a peer-reviewed publication in the journal Injury. Go to the following link to access the publication.

FFN has translated the Global Call to Action into the world’s major languages:

If you would like to offer your support to translate the Global Call to Action into other languages, please contact CtA@ff-network.org.

Add your organisation’s endorsement

If your organisation would like to join the 81 organisations that have endorsed the Global Call to Action please contact CtA@ff-network.org.

The Global Call to Action in the News