Policy Change increases access to osteoporosis management in Japan

In April 2022 the Ministry of Health in Japan changed the policy to increase access to evidence-based care for fragility fracture care including increasing access to osteoporosis management for fragility fractures.

Additional information can be found by contacting FFN Japan at ffn.or.jp

Care pathway

Tabu I, Goh EL, Appelbe D, Parsons N, Lekamwasam S, Lee JK, Amphansap T, Pandey D, Costa M; FERMAT collaborators and the Global Fragility Fracture Network Hip Fracture Audit Special Interest Group. Service availability and readiness for hip fracture care in low- and middle-income countries in South and Southeast Asia. Bone Jt Open. 2023 Sep 5;4(9):676-681. doi: 10.1302/2633-1462.49.BJO-2023-0075.R1.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10477024/

The aim of this study was to describe the current pathways of care for patients with a fracture of the hip in five low- and middle-income countries in South Asia (Nepal and Sri Lanka) and Southeast Asia (Malaysia, Thailand, and the Philippines).

Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement

Click here for the infographic with the consensus statements.

https://www.hqontario.ca/evidence-to-improve-care/quality-standards/view-all-quality-standards/hip-fracture

Canada Guidelines

Post hip fracture orthogeriatric care—a Canadian position paper addressing challenges in care and strategies to meet quality indicators

https://pubmed.ncbi.nlm.nih.gov/37014390/

A position paper outlines the clinical care for hip fracture patients across the continuum of care from the emergency department to returning to the community, including secondary prevention.

Recommendations on screening for primary prevention of fragility fractures

https://pubmed.ncbi.nlm.nih.gov/37156553/

The Canadian Task Force on Preventive Health Care developed and published guideline that provides evidence-based recommendations on screening to prevent fragility fractures in community-dwelling individuals aged 40 years and older who are not currently on preventive pharmacotherapy.

https://www.aaos.org/quality/quality-programs/lower-extremity-programs/hip-fractures-in-the-elderly/

Bukata SV, Digiovanni BF, Friedman SM et al. A guide to improving the care of patients with fragility fractures. 2011.

https://pubmed.ncbi.nlm.nih.gov/23569668/

Health Care Professionals

 

Hip Fracture Clinical Care Standard 2023

The Australian Commission on Safety and Quality on Health Care has released updated Hip Fracture Clinical Standards 2023. The original Clinical Standards were launched in 2016 and have been measured using data collected in a registry. There are 7 updated Clinical Standards that address care at presentation to transition to the community.

Download the document here.

Recommendations on the post-acute management of the osteoporotic fracture - Patients with “very-high” Re-fracture risk

https://pubmed.ncbi.nlm.nih.gov/36262963/

The aim of this clinical guideline from Fragility Fracture Network Hong Kong SAR, is to provide evidence-based recommendations on the post-acute treatment of the osteoporotic fracture patient that presents for clinical care at the Fracture Liaison Service (FLS).

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