Incidence of subsequent fractures in the UK between 1990 and 2012 among individuals 50 years or older

Abstract

Patients suffering a fracture have a high incidence of a subsequent fracture. Our findings demonstrate the importance of fracture prevention in patients with a history of a fracture by adequate medical diagnosis and treatment.

The use of pulse-echo ultrasound in women with a recent non-vertebral fracture to identify those without osteoporosis and/or a subclinical vertebral fracture: a pilot study

“…This pilot study was performed in a small FLS group of women among 50 to 70 years of age, assuming that the prevalence of subclinical VFs was not very high in this group of women and that it therefore could be of additional value to perform screening with a peripheral device in this group of women. By doing so, the prevalence of osteoporosis was 40% and of one or more subclinical VFs 8%, which is similar to previous Dutch studies and also to a UK cohort [15,24,36].…”

“…Fast track diagnosis and treatment shortly after the index fracture could be efficacious regarding subsequent fracture risk reduction in any fracture patient > 50 years [13]. Because of the imminent subsequent fracture risk [14,15], it could be of added value to use a mobile peripheral screening imaging technique shortly after index fracture during fracture treatment procedures, on the one hand, to rule out patients with a "negative" screening test for having osteoporosis or prevalent subclinical VFs in order to reduce the number of DXA and VFA measurements and, on the other hand, to motivate, hence rule in, those with a "positive" screening test for further assessment at the FLS.…”

The Association of Oral Bisphosphonate Use With Mortality Risk Following a Major Osteoporotic Fracture in the United Kingdom: Population-Based Cohort Study

“…1 Occurrence of a hip fracture markedly increases the risk of subsequent fractures (relative risks of 2-7 compared with the general population). 2,3 This may increase mortality after fracture even more. 4 Approximately 33% of men and 22% of women suffering a hip fracture will die within 1 year, and 51% of men and of women sustaining an MOF will die within 5 years.…”

The global approach to rehabilitation following an osteoporotic fragility fracture: A review of the rehabilitation working group of the International Osteoporosis Foundation (IOF) committee of scientific advisors

“…Twenty percent of women who have a vertebral fracture will have another within a year, and the risk of death of those with a vertebral fracture is 2.7 times higher than those without [9]. Within the first year of a fragility fracture at any location, the risk of a future fracture is greater than double the risk for matched controls, and the risk remains higher for 10 years [10].…”