A global call to action to improve the care of people with fragility fractures.

Dreinhöfer KE, Mitchell PJ, Bégué T, Cooper C, Costa ML, Falaschi  P, Hertz K, Marsh D, Maggi S, Nana A, Palm H, Speerin R, Magaziner J; on behalf of: the Fragility Fracture Network (FFN); European Geriatric Medicine Society (EuGMS); European Federation of National Associations of Orthopaedics and Traumatology (EFORT); International Collaboration of Orthopaedic Nursing (ICON); International Geriatric Fracture Society (IGFS); International Osteoporosis Foundation (IOF).

The ageing of society is driving an enormous increase in fragility fracture incidence and imposing a massive burden on patients, their families, health systems and societies globally. Disrupting the status quo has therefore become an obligation and a necessity. Initiated by the Fragility Fracture Network (FFN) at a “Presidents’ Roundtable” during the 5th FFN Global Congress in 2016 several leading organisations agreed that a global multidisciplinary and multiprofessional collaboration, resulting in a Global Call to Action (CtA), would be the right step forward to improve the care of people presenting with fragility fractures. So far global and regional organisations in geriatrics/internal medicine, orthopaedics, osteoporosis/metabolic bone disease, rehabilitation and rheumatology were contacted as well as national organisations in five highly populated countries (Brazil, China, India, Japan and the United States), resulting in 81societies endorsing the CtA. We call for implementation of a systematic approach to fragility fracture care with the goal of restoring function and preventing subsequent fractures without further delay. There is an urgent need to improve: To address this fragility fracture crisis, the undersigned organisations pledge to intensify their efforts to improve the current management of all fragility fractures, prevent subsequent fractures, and strive to restore functional abilities and quality of life.

Injury. 2018 Aug;49(8):1393-1397.