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A global call to action to improve the care of people with fragility fractures

机译：全球呼吁采取行动，改善脆弱性骨折的人的照顾

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The ageing of society is driving an enormous increase in fragility fracture incidence and imposing a massive burden on patients, their families, health systems and societies globally. Disrupting the status quo has therefore become an obligation and a necessity.Initiated by the Fragility Fracture Network (FFN) at a “Presidents' Roundtable” during the 5thFFN Global Congress in 2016 several leading organisations agreed that a global multidisciplinary and multiprofessional collaboration, resulting in a Global Call to Action (CtA), would be the right step forward to improve the care of people presenting with fragility fractures. So far global and regional organisations in geriatrics/internal medicine, orthopaedics, osteoporosis/metabolic bone disease, rehabilitation and rheumatology were contacted as well as national organisations in five highly populated countries (Brazil, China, India, Japan and the United States), resulting in 81societies endorsing the CtA.We call for implementation of a systematic approach to fragility fracture care with the goal of restoring function and preventing subsequent fractures without further delay.There is an urgent need to improve:?Acute multidisciplinary care for the person who suffers a hip, clinical vertebral and other major fragility fractures?Rapid secondary prevention after first occurrence of all fragility fractures, including those in younger people as well as those in older persons, to prevent future fractures?Ongoing post-acute care of people whose ability to function is impaired by hip and major fragility fracturesTo address this fragility fracture crisis, the undersigned organisations pledge to intensify their efforts to improve the current management of all fragility fractures, prevent subsequent fractures, and strive to restore functional abilities and quality of life.
机译：社会老龄化正在推动脆弱性骨折发病率的巨大增加，并对全球患者，家庭，卫生系统和社会造成大规模负担。因此，扰乱现状已成为义务和必要性。由脆弱的骨折网络（FFN）在2016年的5届全球大会期间的“总统”圆桌会议“，若干领先的组织同意全球多学科和多项专业协作，导致全球呼吁采取行动（CTA），将是改善脆弱性骨折的人的照顾的正确步骤。到目前为止，联系了Geriqtrics /内科，骨科，骨质疏松症/代谢骨病，康复和风湿病的全球和区域组织，以及五个高度人口稠密国家（巴西，中国，印度，日本和美国）的国家组织。在81个核实中，致电CTA.WE呼吁实施系统的脆弱性裂缝护理，目的是恢复功能并防止随后的裂缝而无需进一步推迟。迫切需要改进：？对患有困扰的人急性多学科护理臀部，临床椎体和其他主要脆弱性骨折？首次出现所有脆弱性骨折后的快速二次预防，包括年龄较小的人以及老年人那些人，以防止未来的骨折？正在进行的急性护理能力的能力由臀部和主要脆弱性骨折障碍损害这种脆弱性裂缝危机，强调被点燃的组织承诺要加强他们的努力，以改善所有脆性骨折的目前管理，防止随后的骨折，努力恢复功能能力和生活质量。

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