Summary

This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health improvement Road Maps to be implemented at scale during the United Nations ‘Decade of Healthy Ageing’.

Purpose

This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvement initiatives intended to improve the care and prevention of fragility fractures across the Asia Pacific region.

Methods

The review focuses on published studies, reports and quality improvement initiatives undertaken during the period July 2019 to May 2022.

Results

Epidemiological studies conducted in countries and regions throughout Asia Pacific highlight the current and projected increasing burden of fragility fractures. Recent studies and reports document a persistent and pervasive post-fracture care gap among people who have sustained fragility fractures. Global initiatives developed by the Fragility Fracture Network and International Osteoporosis Foundation have gained significant momentum in the Asia Pacific region, despite the disruption caused by the COVID-pandemic. The Asia Pacific Fragility Fracture Alliance has developed educational resources including a Hip Fracture Registry Toolbox and a Primary Care Physician Education Toolkit. The Asia Pacific Osteoporosis and Fragility Fractures Society—a new section of the Asia Pacific Orthopaedic Association—is working to engage orthopaedic surgeons across the region in the care and prevention of fragility fractures. The Asia Pacific Consortium on Osteoporosis developed a framework to support national clinical guidelines development groups. Considerable activity at the national level is evident in many countries across the region.

Conclusion

Development and implementation of national Road Maps informed by the findings of this review are urgently required to respond to the epidemiological emergency posed by fragility fractures during the United Nations ‘Decade of Healthy Ageing’.

中文翻译：

---

亚太地区脆性骨折护理和预防质量改进举措

概括

这篇叙述性综述总结了自 2019 年年中以来亚太地区脆性骨折护理和预防方面的持续挑战和进展。所采取的方法可为制定国家骨骼健康改善路线图提供信息，以便在联合国“健康老龄化十年”期间大规模实施。

目的

这篇叙述性综述总结了最近的研究，这些研究描述了脆性骨折的负担、当前的护理差距以及旨在改善亚太地区脆性骨折护理和预防的质量改进计划。

方法

审查的重点是 2019 年 7 月至 2022 年 5 月期间已发表的研究、报告和质量改进举措。

结果

在整个亚太地区的国家和地区进行的流行病学研究强调了当前和预计会增加的脆性骨折负担。最近的研究和报告记录了持续性脆性骨折患者中持续存在且普遍存在的骨折后护理差距。尽管 COVID 大流行造成了破坏，但由脆性骨折网络和国际骨质疏松症基金会制定的全球倡议在亚太地区获得了巨大的发展势头。亚太地区脆性骨折联盟开发了教育资源，包括髋部骨折登记工具箱和初级保健医师教育工具包。亚太骨质疏松症和脆性骨折学会——亚太骨科协会的一个新分会——正在努力让该地区的骨科医生参与到脆性骨折的护理和预防中。亚太骨质疏松症协会制定了一个框架来支持国家临床指南制定小组。该地区许多国家在国家层面开展了大量活动。

结论

迫切需要根据本次审查的结果制定和实施国家路线图，以应对联合国“健康老龄化十年”期间脆性骨折造成的流行病学紧急情况。