Article (Scientific journals)
The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations
Bahat, G.; Catikkas, N. M.; Yavuz, D. G. et al.
2021In Archives of Osteoporosis, 16 (1)
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Keywords :
Current situation; Improvement; Older; Osteoporosis; Turkey; Review; Turkey (republic)
Abstract :
[en] Purpose: The total number of older adults in Turkey is striking, amounting to around 8 million, and this translates into considerably higher numbers of cases of osteoporosis (OP) and fractures in older adults. In this article, we outlined the current situation of OP in older adults in Turkey and investigated the differences between Turkey and a representative developed European country (Belgium), in terms of the screening, diagnosis, and treatment of OP. Our intention in this regard was to identify areas in need of improvement and subsequently to make a clear call for action to address these issues. Methods: Herein, considering the steps related to the OP approach, we made a complete review of the studies conducted in Turkey and compared with the literature recommendations. Results: There is a need for a national osteoporotic fracture registry; measures should be taken to improve the screening and treatment of OP in older males, such as educational activities; technicians involved in dual-energy X-ray absorptiometry (DXA) scanning should undergo routine periodic training; all DXA centers should identify center-specific least significant change values; all older adults should be considered for routine lateral dorsolumbar X-ray imaging for the screening of vertebral fractures while ordering DXA scans; the inclusion of vertebral fracture assessment (VFA) software in DXA assessments should be considered; screening using a fracture risk assessment tool (FRAX) algorithm that is specific to Turkey should be integrated; the fortification of foods with vitamin D is required; the high fracture risk by country-specific FRAX algorithm and the presence of falls/high fall risk should be integrated in reimbursement terms; and finally, more “fracture liaison services” should be established. Conclusion: We suggest that the practical consideration of our suggestions will provide considerable support to the efforts for combating with the adverse consequences of OP in society. This approach can be subsequently modeled for other populations to improve the management of OP globally. © 2021, International Osteoporosis Foundation and National Osteoporosis Foundation.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Bahat, G.;  Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, Istanbul, 34093, Turkey
Catikkas, N. M.;  Division of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, Istanbul, 34093, Turkey
Yavuz, D. G.;  Division of Endocrinology and Metabolism, Department of Internal Medicine, Marmara Medical School, Marmara University, Istanbul, Turkey
Borman, P.;  Department of Physical Medicine and Rehabilitation, Hacettepe Medical School, Hacettepe University, Ankara, Turkey
Guzel, R.;  Department of Physical Medicine and Rehabilitation, Cukurova Medical School, Cukurova University, Adana, Turkey
Reginster, Jean-Yves  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Language :
English
Title :
The current situation in the approach to osteoporosis in older adults in Turkey: areas in need of improvement with a model for other populations
Publication date :
2021
Journal title :
Archives of Osteoporosis
ISSN :
1862-3522
eISSN :
1862-3514
Publisher :
Springer Science and Business Media Deutschland GmbH
Volume :
16
Issue :
1
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 09 February 2022

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