Evidence map›Paper›PMID 40504279›Full record

ArticleArchives of osteoporosis2025

Recommendations for the prevention of fragility fractures: a consensus from international experts and Ibero-American scientific societies.

Pilar Sáez-López, César Aldecoa Álvarez-Santullano, Rosa Arboiro-Pinel, José Luis Baquero Úbeda, José Carlos Bastida Calvo, Francisco Baixaulí García, Concepción Cassinello Ogea, Patricia Ysabel Condorhuamán Alvarado, María Cortés Berdonces, Leonor Cuadra Llopart and 11 more

Abstract readConsensus Statement
In one paragraph

Article in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Misstated prevalence in fragility-fracture consensus: need for peer-reviewed national data.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Pilar Sáez-LópezHospital La Paz Research Institute (IdiPAZ), Madrid, Spain.ORCID 0000-0002-9467-7746
César Aldecoa Álvarez-SantullanoDepartment of Anesthetics and Reanimation, Rio Hortega University Hospital, Valladolid, Spain.ORCID 0000-0001-8789-5959
Rosa Arboiro-PinelDepartment of Internal Medicine, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0002-1078-3745
José Luis Baquero ÚbedaInternational Relations and Access, OAFI, Madrid, Spain.ORCID 0000-0001-5755-6980
José Carlos Bastida CalvoNational Group on Osteoarticular Disease and Osteoporosis, Sociedad Española De Médicos Generales y de Familia (SEMG), Madrid, Spain.ORCID 0009-0000-6189-1853
Francisco Baixaulí GarcíaSECOT - Sociedad Española de Cirugía Ortopédica y Traumatología, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID 0000-0001-6170-8078
Concepción Cassinello OgeaDepartment of Anesthesiology, Reanimation and Pain Treatment, Hospital Universitario Infanta Sofía, Madrid, Spain.ORCID 0000-0002-9234-2846
Patricia Ysabel Condorhuamán AlvaradoDepartment of Geriatrics, Hospital Universitario La Paz, Hospital La Paz Research Institute (IdiPAZ), Madrid, Spain.ORCID 0000-0001-7964-3567
María Cortés BerdoncesDepartment of Endocrinology, Hospital Universitario Ruber Juan Bravo, Madrid, Spain.ORCID 0000-0003-2568-4157
Leonor Cuadra LlopartDepartment of Geriatrics, Hospital Universitario de Terrassa, Consorci Sanitari de Terrassa, Barcelona, Spain.ORCID 0000-0002-9787-4876
Nuria Fernández MartínezDepartment of Geriatrics, Hospital Universitario de Toledo, Toledo, Spain.ORCID 0009-0002-2343-8964
Mercé Giner GarcíaSociedad Española de Investigación Ósea y del Metabolismo Mineral (SEIOMM), Bone Metabolism Unit, Internal Medicine Clinical Management Unit, Virgen Macarena University Hospital, Seville, Spain.ORCID 0000-0002-8285-0767
Rafael Manuel Micó PérezSEMERGEN Foundation, Madrid, Spain.ORCID 0000-0002-2575-1236
Blanca Mur MolinaDepartment of Physical Medicine and Rehabilitation, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID 0000-0003-4007-4576
Antonio Naranjo HernándezDepartment of Rheumatology, Hospital Universitario de Gran Canaria Dr. Negrin, Las Palmas de Gran Canaria, Spain.ORCID 0000-0002-2013-6664
José Luis Neyro BilbaoAcademy of Medical Sciencesof , Bilbao, Spain.ORCID 0000-0003-4345-7089
Cristina Ojeda-ThiesDepartment of Traumatology and Orthopaedic Surgery, 12 de Octubre University Hospital, Avenida de Córdoba S/N, 28041, Madrid, Spain. cojeda01@ucm.es.ORCID 0000-0001-7052-1491
Santiago Palacios Gil AntuñanoClínica Palacios Salud de La Mujer, Madrid, Spain.ORCID 0000-0003-2229-1200
Manuel Santiñá VilaInstitut de Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain.ORCID 0000-0002-1161-162X
José Soto BonelFundación Instituto San José, Madrid, Spain.ORCID 0000-0002-9340-2820
Francisco José Tarazona-SantabalbinaGeriatric Medicine Department, Hospital Universitario de La Ribera, Alzira, Spain.ORCID 0000-0003-4000-1684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop a multidisciplinary consensus outlining key recommendations to prevent fragility fractures and improve care through coordinated efforts across healthcare sectors.

methodsAn international group of experts, coordinated by the Spanish National Hip Fracture Registry (RNFC), engaged over 300 professionals and 31 scientific societies. Using a nominal group technique, the committee reviewed scientific evidence and collaboratively developed ten core recommendations. The consensus was refined through multiple telematic reviews and finalized at the 7th RNFC Annual Meeting in March 2024.

resultsThe consensus presents ten actionable recommendations: (1) inclusion of osteoporosis and fragility fractures in health policies, (2) early detection and management of frailty and falls, (3) implementation of clinical practice guidelines, (4) promotion of fracture registries and audits, (5) support for Orthogeriatric Units and Fracture Liaison Services (FLS), (6) adoption of a "Fragility Fracture Code," (7) empowerment of Primary Care in fracture prevention, (8) increased patient association involvement, (9) public awareness campaigns, and (10) promotion of research including patient-reported outcomes.

conclusionsFragility fractures are a major public health issue with rising incidence, disability, and healthcare costs. This consensus offers unified, evidence-based guidance for policy makers, healthcare professionals, and patient organizations. Broad dissemination and implementation of these recommendations aim to reduce fracture rates and enhance patient outcomes through coordinated, multidisciplinary care.

Indexed as

Osteoporotic FracturesAccidental FallsHealth PolicyHip FracturesHumansOsteoporosisSocieties, ScientificConsensus statementFragility fractureOsteoporosisStakeholder

Identifiers

PMID40504279
PMCPMC12162770

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.