Survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association

• Main Authors: Lee, Joon Kiong, Mitchell, Paul James, Bin Ang, Seng, Mercado-Asis, Leilani Basa, Rey-Matias, Reynaldo, Li, Jianan, Flicker, Leon, Leung, Edward, Choon, David, Chandrasekaran, Sankara Kumar, Close, Jacqueline Clare Therese, Seymour, Hannah, Cooper, Cyrus, Halbout, Philippe, Blank, Robert Daniel, Zhao, Yanling, Malhotra, Rajesh, Unnanuntana, Aasis, Woo, Yew Lok, Noor, Zairin, Yang, Rong-Sen, Tabu, Irewin, Islam, Syed Shahidul, Chinoy, Muhammad Amin, Pande, Sonali, Thapa, Buland, Wong, Ronald Man Yeung, Pande, Ketan, Chan, Ding-Cheng (Derrick), Al, Asia Pacific Fragility Fracture, Frag, Asia Pacific Osteoporosis
• Format: Article
• Published: Springer London Ltd 2024
• Subjects: R Medicine
• Online Access: http://eprints.um.edu.my/45334/; https://doi.org/10.1007/s11657-024-01375-6
• Institution: Universiti Malaya

A survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association conducted in 2022 found considerable variation in care across the region. A Call to Action is proposed to improve acute care, rehabilitation and secondary fracture prevention across Asia Pacific. Purpose Fragility fractures impose a substantial burden on older people and their families, healthcare systems and national economies. The current incidence of hip and other fragility fractures across the Asia Pacific region is enormous and set to escalate rapidly in the coming decades. This publication describes findings of a survey of awareness and attitudes to the management of fragility fractures among the membership of the Asia Pacific Orthopaedic Association (APOA) conducted in 2022. Methods The survey was developed as a collaboration between the Asia Pacific Osteoporosis and Fragility Fracture Society and the Asia Pacific Fragility Fracture Alliance, and included questions relating to aspects of care upon presentation, during surgery and mobilisation, secondary fracture prevention, and access to specific services. Results In total, 521 APOA members completed the survey and marked variation in delivery of care was evident. Notable findings included: center dot Fifty-nine percent of respondents indicated that analgesia was routinely initiated in transit (by paramedics) or within 30 minutes of arrival in the Emergency Department. center dot One-quarter of respondents stated that more than 80% of their patients underwent surgery within 48 hours of admission.One-third of respondents considered non-hip, non-vertebral fractures to merit assessment of future fracture risk. center dot One-third of respondents reported the presence of an Orthogeriatric Service in their hospital, and less than a quarter reported the presence of a Fracture Liaison Service. center dot One-third of respondents reported the presence of an Orthogeriatric Service in their hospital, and less than a quarter reported the presence of a Fracture Liaison Service. Conclusion A Call to Action for all National Orthopaedic Associations affiliated with APOA is proposed to improve the care of fragility fracture patients across the region.