Overdiagnosis of osteoporosis: fact or fallacy?

A comprehensive fracture prevention strategy in older adults: The European union geriatric medicine society (EUGMS) statement

“…Around 10% of falls result in a fracture (17,18) and 2% in a hip fracture (19). The efficacy of falls prevention interventions to reduce fractures is debated (13,14), in part because it depends on the fall risk profile of people and the type of intervention program (20,21).…”

“…Whereas there are well established definitions of osteoporosis (13,14), there is much current debate on what is the target population that may potentially benefit from treatments acting on bone metabolism (TABM) (13,14,(48)(49)(50)(51).…”

“…However, several licensed TABM have shown their ability to prevent major fractures in people (most often women) with a T-score ≤-2.5 at the spine or the hip (raloxifene has only been shown effective in preventing vertebral fractures) (14,61) or after a hip fracture (61). Relative risk reductions of spine and non-vertebral fractures by TABM in subjects with bone densitometry diagnosed osteoporosis are 40-60% and 20-40%, respectively (14,61). Number-Needed-to-Treat (NNT) to prevent a fracture is lower in people at high risk of fractures, and especially in those with prior fragility fractures (13,37,(61)(62)(63)(64)(65)(66)(67)(68)(69)(70)(71)(72)(73).…”

“…With the global growth of the older population, prevention of fractures has become an international public health priority (4,9,10). The most appropriate and cost-effective strategy to prevent major fractures in older people however remains a hotly debated topic (11)(12)(13)(14). In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society (EUGMS), in collaboration with the International Association of Gerontology and Geriatrics for the European Region (IAGG-ER), the European Union of Medical Specialists (EUMS), 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.…”

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

“…With the global growth of the older population, prevention of fractures has become an international public health priority [4,9,10]. The most appropriate and cost-effective strategy to prevent major fractures in older people, however, remains a hotly debated topic [11][12][13][14]. In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society (EUGMS), in collaboration with the International Association of Gerontology and Geriatrics for the European Region (IAGG-ER), the European Union of Medical Specialists (EUMS), and the International Osteoporosis FoundationEuropean Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, outlines its views on the main points in the current debate.…”