Evidence Summary
What is an Evidence Summary?
Key messages from scientific research that's ready to be acted on
Got It, Hide this10 recommendations describe how health care providers should work together to care for adults 50 years of age or older with fragility fractures and to prevent future fractures
Lems WF, Dreinhofer KE, Bischoff-Ferrari H, et al. EULAR/EFORT recommendations for management of patients older than 50 years with a fragility fracture and prevention of subsequent fractures. Ann Rheum Dis. 2016 Dec 22. Epub ahead of print.
Guideline question
In adults 50 years of age or older with fragility fractures, what are the recommendations from the European League Against Rheumatism (EULAR) and the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) for preventing future fractures?
Background
A fragility fracture is a fracture (broken bone) that results from a fall from a low height (standing height or less). A fragility fracture is often a sign that the bones are fragile, usually due to osteoporosis (a disease that causes a breakdown of bone tissue).
People older than 50 years who have fragility fractures generally need health care from more than one medical specialty, including surgeons, rheumatologists and bone specialists, general practitioners, and rehab specialists. These specialists need to work closely together.
How the review was done
The researchers agreed on the 10 most important questions for treating people with fragility fractures and preventing future fractures. They did a systematic review, searching for studies related to those 10 questions. A group of experts participated in an in-depth process that involved repeatedly reviewing the results of the systematic review, formulating and revising recommendations, assessing agreement of recommendations, incorporating feedback from experts outside the group, and evaluating the strength of each recommendation.
What the researchers found
The 10 recommendations from the group are shown in the Table below.
Conclusion
10 recommendations describe how health care providers from different specialties should work together to care for adults 50 years of age or older with fragility fractures and to prevent future fractures.
Recommendations for people 50 years of age or older with fragility fractures
| Recommendations |
| Doctors from different specialties should manage treatment of fragility fractures to ensure people have
|
| Doctors who specialize in treatment of elderly people (e.g., geriatricians) should be involved in care, especially for elderly people with hip fractures. |
| Treatment of fractures requires balancing the risks and benefits of different options for surgery and other treatments. |
| All people should be carefully assessed for their risk for future fractures. |
| Assessment of risk for future fractures includes:
|
| One health care professional should be responsible for:
|
| Rehabilitation should include:
|
| People should be taught about their illness, risk factors for fractures, and treatments. |
| Non-drug treatments are important for preventing future fractures in people at high risk, and include:
|
| Drugs that are known to reduce risk of vertebral, nonvertebral, and hip fractures should be used. Tolerance and adherence to drugs should be monitored by doctors. |
Related Topics
Glossary
Aspects making a condition more likely.
A comprehensive evaluation of the available research evidence on a particular topic.
Related Evidence Summaries
-
Nutritional strategies can improve body composition in underweight and overweight older adults
JBI Database of Systematic Reviews and Implementation Reports (2016) -
Exercise alone, and in combination with different fall prevention strategies may lower the risk of falls leading to injuries in older adults 65 and over
JAMA: Journal of the American Medical Association (2017) -
Innovative hip and knee replacement devices do not improve function more than conventional devices and may increase need for revision surgery
BMJ (2014)
Related Web Resources
-
Preventing Blood Clots After Hip or Knee Replacement Surgery or Surgery for a Broken Hip: A Review of the Research for Adults
OHRIThis patient decision aid helps adults considering or planning to have a total hip or knee replacement surgery or surgery for a broken hip decide on the best method for preventing blood clots after surgery. It facilitates the process by outlining and comparing the benefits, risks and side effects of each treatment option. -
Healthy Bones: A Decision Aid for Women After Menopause
OHRIThis patient decision aid helps women who have gone through menopause and may have osteoporosis decide on methods to keep your bones healthy. It facilitates the process by outlining and comparing the choices such as medicine, menopausal hormone therapy (MHT), and exercise. -
Osteoporosis
Informed Health OnlineAge, sex, calcium and vitamin D deficiencies, family history, drinking alcohol, and smoking are a few risk factors for the development of osteoporosis. Help prevent osteoporosis by consuming a diet rich in calcium, regularly exercising, getting enough vitamin D, and not smoking.
Register for free access to all Professional content
RegisterOur Content
About
Support for the Portal is largely provided by the Labarge Optimal Aging Initiative. AGE-WELL is a contributing partner. Help us to continue to provide direct and easy access to evidence-based information on health and social conditions to help you stay healthy, active and engaged as you grow older. .
