| Theme | Perspective of Osteoporosis Liaison Service in Japan | |
|---|---|---|
| Title | Taking measures to lighten the medical and economic burden of osteoporosis -- the need for an enhanced utilization of the Osteoporosis Liaison Services | |
| Publish Date | 2018/03 | |
| Author | Hiroaki Ohta | International University of Health and Welfare / Women's Medical Center, Sanno Medical Center |
| [ Summary ] | Given the accelerated rate of population aging and the ever-increasing proportion of elderly individuals aged ≥75 years, reduction of osteoporosis-associated fractures has become a pressing issue in Japan. Implementing measures to lighten the medical and economic burden of osteoporosis-associated fractures entails accurate diagnosis of fractures in individuals with fractures, as well as appropriate pharmacological intervention. This also involves establishing a framework for evaluating individuals for fracture risks based on the Osteoporosis Liaison Service (OLS) tool "OLS-7" currently being developed by the Japan Osteoporosis Society, as well as launching the OLS as a nationwide circular liaison service using an osteoporosis liaison diary. Reportedly, 25 % of affected individuals are currently being treated for osteoporosis, and a reduction of 4,000 proximal femoral fractures with pharmacotherapy among patients aged 70 to 90 years is estimated to result in medical cost savings equivalent to approximately 25 billion yen. Thus, an enhanced utilization of the OLS and long-term protection against osteoporosis are required not only to ensure long-term bone health but also to avoid primary fractures often referred to as "bone attacks" and secondary fractures, thereby allowing and facilitating late-life independence among elderly individuals. |
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