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Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2018

Open Access 01-12-2018 | Consensus Statement

Consensus statement: osteoporosis prevention and treatment in Latin America—current structure and future directions

Authors: Ben-Hur Albergaria, Monique Chalem, Patricia Clark, Osvaldo Daniel Messina, Rosa Maria R. Pereira, Luis F. Vidal

Published in: Archives of Osteoporosis | Issue 1/2018

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Abstract

Background

Osteoporosis is a common disorder affecting populations worldwide. In Latin America, an aging population combined with limited health care resources result in osteoporosis quickly becoming a condition of considerable magnitude with disproportionate morbidity and mortality.

Aim

To review the current state of prevention, diagnosis, and treatment of osteoporosis in Latin America and to develop strategies and recommendations that may be adopted in the region, an expert panel of clinicians and scientists was assembled to develop a consensus statement outlining future directions.

Method

The panel conducted a comprehensive literature review of publications mainly related to osteoporosis in Latin America, and at an in-person meeting developed a consensus position to address the relevant issues.

Results

The epidemiology, burden, diagnosis, and treatment of osteoporosis in the region were discussed with particular attention to issues unique to the region. A series of recommendations were developed encompassing virtually all aspects of the disease, including improved public and health professional awareness, better diagnostic processes, improved access to care, and greater engagement by health policy makers, government, and a wide variety of private organizations.

Conclusions

The panel concluded that a comprehensive approach to osteoporosis prevention and treatment in Latin America is urgently needed.
Literature
1.
Reginster J-Y, Burlet N (2006) Osteoporosis: a still increasing prevalence. Bone 38:4–9CrossRef
2.
Cummings SR, Iii LJM (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767CrossRef
3.
Johnell O, Kanis JA (2006 Dec) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17(12):1726–1733CrossRef
4.
5.
Singer A, Exuzides A, Spangler L, O'Malley C, Colby C, Johnston K, Agodoa I, Baker J, Kagan R (2015 Jan) Burden of illness for osteoporotic fractures compared with other serious diseases among postmenopausal women in the United States. Mayo Clin Proc 90(1):53–62CrossRef
6.
7.
Cooper C, Campion G, Melton LJ III (1992) Hip fractures in the elderly: a world-wide projection. Osteoporos Int 2(6):285–289CrossRef
8.
Curtis J, Arora T, Matthews RS, Taylor A, Becker DJ (2010) Is withholding osteoporosis medication after fracture sometimes rational? A comparison of the risk for second fracture versus death. J Am Med Dir Assoc 11:584–591CrossRef
9.
10.
Riera-Espinoza G (2009) Epidemiology of osteoporosis in Latin America 2008. Salud Publica Mex 51 Supp:S52–S55CrossRef
11.
Johansson H, Clark P, Carlos F, Oden A, McCloskey E, Kanis J (2011) Increasing age-and sex-specific rates of hip fracture in Mexico: a survey of the Mexican institute of social security. Osteoporos Int 22(8):2359–2364CrossRef
12.
Morosano M, Masoni A, Sanchez A (2005) Incidence of hip fractures in the city of Rosario, Argentina. Osteoporos Int 16:1339–1344CrossRef
13.
Clark P, Cons-Molina F, Deleze M, Ragi S, Haddock L, Zanchetta JR, Jaller JJ, Palermo L, Talavera JO, Messina DO, Morales-Torres J, Salmeron J, Navarrete A, Suarez E, Pérez CM, Cummings SR (2009) The prevalence of radiographic vertebral fractures in Latin American countries: the Latin American vertebral osteoporosis study (LAVOS). Osteoporos Int 20(2):275–278CrossRef
14.
Pinheiro MM, Ciconelli RM, Martini LA, Ferraz MB (2009) Clinical risk factors for osteoporotic fractures in Brazilian women and men: the Brazilian osteoporosis study (BRAZOS). Osteoporos Int 20(3):399–408CrossRef
15.
Clark P, Deleze M, Cons Molina F, Ragi S (2003) The incidence of vertebral fractures in Mexican population. J Bone Miner Res 18:S244CrossRef
16.
Carlos F, Clark P, Galindo-Suárez RM, Chico-Barba LG (2013) Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico. Arch Osteoporos 8(1–2):1–9
17.
18.
Gehlbach SH, Bigelow C, Heimisdottir M, May S, Walker M, Kirkwood JR (2000) Recognition of vertebral fracture in a clinical setting. Osteoporos Int 11(7):577–582CrossRef
19.
Lopes JB, Fung LK, Cha CC, Gabriel GM, Takayama L, Figueiredo CP, Pereira RM (2012 Dec) The impact of asymptomatic vertebral fractures on quality of life in older community-dwelling women: the São Paulo Ageing & Health Study. Clinics (São Paulo) 67(12):1401–1406CrossRef
20.
21.
22.
Clark P, Tamayo JA, Cisneros F, Rivera FC, Valdés M (2013) Epidemiology of osteoporosis in Mexico. Present and future directions. Rev Investig Clin 65(2):183–191
23.
Gehlbach S, Saag KG, Adachi JD, Hooven FH, Flahive J, Boonen S, Chapurlat RD, Compston JE, Cooper C, Díez-Perez A, Greenspan SL, LaCroix AZ, Netelenbos JC, Pfeilschifter J, Rossini M, Roux C, Sambrook PN, Silverman S, Siris ES, Watts NB, Lindsay R (2012) Previous fractures at multiple sites increase the risk for subsequent fractures: the global longitudinal study of osteoporosis in women. J Bone Miner Res 27(3):645–653. https://​doi.​org/​10.​1002/​jbmr.​1476 CrossRefPubMedPubMedCentral
24.
25.
Center JR, Bliuc D, Nguyen TV, Eisman JA (2007) Risk of subsequent fracture after low-trauma fracture in men and women. JAMA 297:387–394CrossRef
26.
Rabenda V, Vanoverloop J, Fabri V, Mertens R, Sumkay F (2008) Low incidence of anti-osteoporosis treatment after hip fracture. J Bone Joint Surg Am 90:2142–2148CrossRef
27.
Greenspan SL, Wyman A, Hooven FH, Adami S, Gehlbach S, Anderson Jr FA, Boone S, Lacroix AZ, Lindsay R, Coen Netelenbos J, Pfeilschifter J, Silverman S, Siris ES, Watts NB (2012) Predictors of treatment with osteoporosis medications after recent fragility fractures in a multinational cohort of postmenopausal women. J Am Geriatr Soc 60:455–461CrossRef
28.
Stolnicki B, Oliveira LG (2016) For the first fracture to be the last. Rev Bras Ortop 51(2):121–126CrossRef
29.
Kanis JA, Gluer CC (2000) An update on the diagnosis and assessment of osteoporosis with densitometry. Committee of Scientific Advisors, international Osteoporosis Foundation. Osteoporos Int 11:192–202CrossRef
30.
Kanis JA et al (2010 Jun) Development and use of FRAX in osteoporosis. Osteoporos Int 21(Suppl 2):S407–S413CrossRef
31.
Schousboe JT, Shepherd JA, Bilezikian JP, Baim S (2013) Executive summary of the 2013 International Society for Clinical Densitometry Position Development Conference on bone densitometry. J Clin Densitom 16(4):455–466CrossRef
32.
33.
Huybrechts KF, Ishak KJ, Caro JJ (2006) Assessment of compliance with osteoporosis treatment and its consequences in a managed care population. Bone 38(6):922–928CrossRef
34.
Monteiro de Andrade LO, Filho AP, Solar O, Rigoli F, de Salazar LM, Serrate PC, Ribeiro KG, Koller TS, Cruz FN, Atun R (2015 Apr) Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries. Lancet 385(9975):1343–1351. https://​doi.​org/​10.​1016/​S0140-6736(14)61494-X CrossRef
35.
Bossert T, Larrañaga O, Ruíz-Meir F (2000) Decentralization of health systems in Latin America. Rev Panam Salud Publica 8:84–92CrossRef
36.
Morales-Torres J (2007) Strategies for the prevention and control of osteoporosis in developing countries. Clin Rheumatol 26:139–143CrossRef
37.
38.
Clark P, Lavielle P (2015) Risk perception and knowledge about osteoporosis: well informed but not aware? A cross-sectional study. J Community Health 40(2):245–250CrossRef
39.
40.
Compston J (2004) Action plan for the prevention of osteoporotic fractures in the European community. Osteoporos Int 15:259–262CrossRef
41.
Osteoporosis Australia (2017) A National Approach to Secondary Fracture Prevention in Australia – December 2017
42.
Ganda K, Puech M, Chen JS, Speerin R, Bleasel J, Center JR (2013) Models of care for the secondary prevention of osteoporotic fractures: a systematic review and meta-analysis. Osteoporos Int 24:393–406CrossRef
43.
Sale JE, Beaton D, Posen J, Elliot-Gibson V, Bogoch E (2011) Systematic review on interventions to improve osteoporosis investigation and treatment in fragility fracture patients. Osteoporos Int 22:2067–2082CrossRef
44.
Marsh D, Åkesson K, Beaton DE, Bogoch ER, Boonen S (2011) Coordinator-based systems for secondary prevention in fragility fracture patients. Osteoporos Int 22:2051–2065CrossRef
45.
Metadata
Title
Consensus statement: osteoporosis prevention and treatment in Latin America—current structure and future directions
Authors
Ben-Hur Albergaria
Monique Chalem
Patricia Clark
Osvaldo Daniel Messina
Rosa Maria R. Pereira
Luis F. Vidal
Publication date
01-12-2018
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2018
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-018-0505-x

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