Targeting the Fragility Fracture Prevention Message

Abstract

Abstract Background: The impact of fragility fractures on human suffering is underappreciated. Fragility fractures increase mortality and the risk of recurrent fracture. Notwithstanding these facts, only a minority of patients suffering osteoporotic fractures receive fracture preventing therapy. Education about the burden of disease and the benefits of prompt treatment are important means to increase the treatment rate. We propose that the focus of the educational message should be varied for distinct audiences. Method: We searched existing literature to determine perceptions about the importance of treating fractures and osteoporosis among the following groups: the general population, primary care physicians, specialist physicians, hospital administrators, and government health officials. Result: Extensive data focusing on patients and primary care physicians exist about barriers to treatment initiation. In these groups, lack of perceived treatment benefit is a widespread, common finding. To address this gap, we have produced a primary care education toolkit, patient booklet and education directory as Asia Pacific Fragility Fracture Alliance (APFFA)-sponsored initiatives. Data are more limited for specialist physicians, hospital administrators, and government officials. Health economic arguments have been found to be persuasive among policy makers. Conclusion: Information about the importance of treating fragility fractures and osteoporosis is far more abundant with reference to patients and primary care providers than to specialty physicians, hospital administrators, and government officials. Understanding the state of knowledge and belief is an essential first step in developing educational materials that address the concerns and misperceptions of each key constituency. Existing data suggest that patients will be more receptive to materials emphasising independence and quality of life, while policy makers will be more receptive to materials highlighting the burden of disease.