Calls to Action

A consensus has developed across the world on the pressing need for fragility fracture sufferers to receive the secondary preventive care that they need. Below are ‘calls to action’ from international groups and champions in several countries which demand widespread implementation of Fracture Liaison Services.


Capture the Fracture: A global campaign to break the fragility fracture cycle. Link
Åkesson K, Mitchell PJ; for the International Osteoporosis Foundation. 2012.

Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention.
Eisman JA, Bogoch ER, Dell R, Harrington JT, McKinney RE Jr, McLellan A, Mitchell PJ, Silverman S, Singleton R, Siris E; for the ASBMR Task Force on Secondary Fracture Prevention. J Bone Miner Res. 2012 Oct; 27(19):2039-2046.
PubMed ID 22836222

Breaking the fragility fracture cycle.
Cooper C, Mitchell P, Kanis JA. Osteoporos Int. 2011 Jul;22(7):2049-2050.
PubMed ID 21607806

Coordinator-based systems for secondary prevention in fragility fracture patients.
D. Marsh, K. Åkesson, D. E. Beaton, E. R. Bogoch, S. Boonen, M.-L. Brandi, A. R. McLellan, P. J. Mitchell, J. E. M. Sale, D. A. Wahl and the IOF CSA Fracture Working Group. Osteoporos Int. 2011 Jul;22(7):2051-2065.
PubMed ID 21607807


Osteoporosis challenges. Ebeling P, Davenport G, Evans S, Mitchell P. Aust Fam Physician. 2012 Apr;41(4):169. PubMed ID 22574349

No more excuses: fracture liaison services work and are cost-effective. Seibel MJ. Med J Aust. 2011 Nov 21;195(10):566-567. PubMed ID 22106994

Osteoporosis: it's time to 'mind the gap'. Ebeling PR. Intern Med J. 2007 Oct;37(10):672-673. PubMed ID 17894763

Osteoporosis: underrated, underdiagnosed and undertreated. Nguyen TV, Center JR, Eisman JA. Med J Aust. 2004 Mar 1;180(5 Suppl):S18-22. PubMed ID 14984358


Fragility Fractures - Make their First Break their Last. Schemitsch E. Canadian Orthopaedic Association/Association Canadienne d’Orthopédie Bulletin N° 96 Printemps / Spring 2012. Pages 5-6. Link

Osteoporosis: Towards a fracture free future. Osteoporosis Canada. Toronto 2011. Link

Recent trends in osteoporosis treatment after hip fracture: improving but wholly inadequate. Majumdar SR. J Rheumatol. 2008 Feb;35(2):190-192. PubMed ID 18260162


Secondary prevention of osteoporotic fractures: why not apply the evidence? Ferrari S. Swiss Med Wkly. 2008 Nov 15;138(45-46):656-657. PubMed ID 19043812

United Kingdom

Breaking Through: Building Better Falls and Fracture Services in England. Age UK and National Osteoporosis Society. Feb 2012. Link

Protecting fragile bones: A strategy to reduce the impact of osteoporosis and fragility fractures in England/Scotland/Wales/Northern Ireland. National Osteoporosis Society. May-Jun 2009. Link

United States of America

A call to action: developing and implementing a national action plan to improve bone health. Raisz LG, Elderkin AL, Schargorodski L, Hart T, Waldman C, King T, Noonan AS. Osteoporos Int. 2009 Nov;20(11):1805-1806. PubMed ID 19727906

Bridging the osteoporosis quality chasm. Curtis JR, Adachi JD, Saag KG. J Bone Miner Res. 2009 Jan;24(1):3-7. PubMed ID 19016597

Pins and plaster aren't enough: a call for the evaluation and treatment of patients with osteoporotic fractures. J Clin Endocrinol Metab. 2003 Aug;88(8):3482-3486. PubMed ID 12915621