Fractures in Russia, Central Asia and Eastern Europe

Photo: Man in wheelchair

Report reveals tragic state of post-
fracture care in the region, predicts
huge increase in osteoporotic frac-
tures due to aging populations;
© panthermedia/Werner Nick

Osteoporosis is most common in the older population. Population projections for most countries in the region predict that by 2050 there will be a decrease of the total population, but a significant increase (up to 56 percent) in the percentage of people aged 50 and over. As a result, in the Russia Federation alone the number of people with osteoporosis is expected to increase by a third by 2050.

Despite the major public health burden of osteoporosis-related fractures, the disease suffers from severe under recognition. There are no formal hip or fragility fracture registries in most countries within the region and data on vertebral fractures, the most common osteoporotic fracture, are completely lacking. IOF President John Kanis stated, "It is clear from the key findings that governments need to support wide scale epidemiological studies to collect data on the incidence of osteoporotic fractures."

DXA technology is usually only accessible in main. In most countries, drug treatment for those at high risk of fracture is not, or is only partially, reimbursed - effectively making treatment unaffordable for the majority of citizens.

Low levels of calcium and vitamin D intake impact negatively on bone health. The average daily calcium intake in nearly all countries outlined in the report falls far below the FAO/WHO recommendations. In addition the majority of populations in the region suffer from severe vitamin D insufficiency. This not only affects fracture rates, but also causes rickets.

Although older people who sustain a hip fracture are at increased risk of death and suffer long term disability throughout the world, the report indicates that this problem is far more severe in the Russia Federation. Professor Olga Lesnyak, author of the report, called for action, "There is an urgent need for health care providers to improve post hip fracture surgical care, "she said. While in Western Europe most hip fracture patients receive operative treatment, in the Russian Federation there is an extremely low rate of surgical treatment.


MEDICA.de; Source: International Osteoporosis Foundation