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CSA Working Groups and Research Projects

Multinational Partnership Initiatives

Bone and Joint Decade 2000-2010 (BJD) Collaboration
IOF is working in partnership with BJD and other organizations on various projects. These include an assessment of the Global Economic and Healthcare Burden of Musculoskeletal Diseases, European Bone and Joint Health Strategies, developing a unified Musculoskeletal Undergraduate Educational Core Curriculum, and an Orthopaedic Surgeon's Osteoporosis Survey to determine how orthopaedic surgeons currently diagnose and manage fractures caused by osteoporosis. IOF provides osteoporosis expertise for all BJD projects and is providing financial support and project assistance for the Orthopaedic Surgeon's Osteoporosis Survey

European Bone and Joint Health Strategies
On 5th February 2001 the European Commission signed a two-year project to develop a European wide strategy to reduce the burden of bone and joint disorders. To support this project the Commission made funding of €360,000 available. This project is being undertaken together with the Bone and Joint Decade (BJD), European League Against Rheumatism (EULAR), European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and the International Osteoporosis Foundation (IOF). It will cover all aspects of musculoskeletal conditions, from prevention to rehabilitation, and will draw on expert knowledge and experience from all European Union member states. The project will be completed in May 2003 and will, it is hoped, lead to the implementation of health strategies, at national, regional, district and local levels that aim to reduce the impact of musculoskeletal conditions, including fractures caused by osteoporosis across the European Union. Initially there are two key stages to the project. The first is to produce a background resource document. This will contain information on the incidence and prevalence of musculoskeletal conditions, identify priority areas, describe the range of intervention options at all stages that are currently available and give targets for prevention. See publication: European Action Towards Better Musculoskeletal Health: A Public Health Strategy to Reduce the Burden of Musculoskeletal Conditions (PDF, 605 KB)

The second strategic stage is to develop practical and appropriate policy recommendations from the information gained from the first stage. It is important that any strategies identified to tackle priority areas can be implemented at national, regional, district and local level across the European Union. Recommendations should allow for a variety of local interpretations and be appropriate to the needs of the local population. In developing the policy recommendations patients' views and resource implications will also be assessed.

Global Economic and Healthcare Burden of Musculoskeletal Diseases
IOF provides expert input via numerous members of the Committee of Scientific Advisors including Cyrus Cooper, Olof Johnell, John Kanis, Paul Lips, Jean-Yves Reginster and René Rizzoli.

This global health needs assessment study aims to develop priorities and strategies to improve the health-related quality of life for those individuals with musculoskeletal conditions relevant to their geographic and socio-economic settings.

The Burden of Musculoskeletal Disorders is a World Health Organization publication and is currently in press.

IOF Consultation on WHO Technical Reports
This joint consultation with World Health Organization (WHO), EFFO and the (US) National Institute of Arthritis, Musculoskeletal and Skin Diseases marked the beginning of a productive collaboration which has led to numerous WHO Technical Reports. EFFO encouraged WHO to devote more attention to osteoporosis (a policy reinforced by IFSSD and IOF) which resulted in the creation of three WHO osteoporosis collaborating centres based in Geneva,Switzerland; Liege, Belgium and Sheffield, United Kingdom.

  • WHO Technical Report Series 921:
    Prevention and Management of Osteoporosis, Geneva 2003 (PDF, 2.9MB)
  • Report of the Joint World Health Organisation, European Foundation for Osteoporosis and Bone Disease and National Institute of Arthritis and Musculoskeletal and skin diseases Consultation on Osteoporosis (1989)
    World Health Organisation, Geneve NCD/OND/OSTEO/88.1.
  • World Health Organisation (1994)
    Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Technical Report Series, No 843, WHO, Geneva.
  • Kanis, JA, Melton, LJ, Christiansen, C, Johnston, C, Khaltaev, N (1994)
    The diagnosis of osteoporosis.
    Journal of Bone and Mineral Research 9, 1137-1141.
  • Groupo de Estudio de la OMS (1996)
    Evaluacion del riesgo de fractura y su appliccion en la deteccion de la osteoporosis postmenopensica.
    OMS Serie de Informes Tecnicos 843, Ginebra [Spanish].
  • Kanis, JA, DeVogelaer, JP, Gennari, C (1996)
    Guia practica para el empleo de las medidas de contiendo mineral oseo en la evaluacion del trataimento de la osteoporosis.
    Revista Espanola de Enfermedades Metabolicas Oseas 5, 178-181.
  • 1998: Guidelines for Pre-clinical Evaluation and Clinical Trials in Osteoporosis
  • 1999: Recommendations for Health Economics; Evaluations of Interventions in Osteoporosis

Orthopaedic Surgeon Osteoporosis Survey
In cooperation with the Bone & Joint Decade an orthopaedic surgeon osteoporosis survey was conducted in France, Germany, Italy, New Zealand, Spain and the UK with the assistance of the national orthopaedic associations during the second half of 2002. The survey, based on a US prototype, is designed to determine how orthopaedic surgeons currently manage patients with osteoporotic fractures. The survey results support the need to improve fragility fracture services and provides a helpful tool for the implementation of the World Orthopaedic Osteoporosis Organization (WOOO) recommendations for care to reduce the risk of future fractures. The survey findings are triggering many actions by orthopaedic associations at a national level to improve care of fragility fracture patients.

At a European level the survey and recommendations for care were presented at a 90- minute symposium during the EFORT (European Orthopaedic Association) 2003 in Helsinki. Click here for International Osteoporosis Survey Aggregated Findings, as presented by Dr Karsten Dreinhöfer, Bone & Joint Decade 2000-2010 and specific national results and recommendations for France, Germany, Italy, Spain and the UK. See press release issued on June 9, 2003

Additionally a review article on the practice of osteoporosis management will be submitted to the Journal of Bone and Joint Surgery – British version by June 2003.

It is hoped that the survey will be conducted in additional countries around the world.

Project co-ordinator for IOF: M. Anderson

Osteoporosis Clinical Practice Consensus Guidelines for Orthopaedic Surgeons
Further information and CD available here

Osteoporosis Education Programme to Improve the Recognition and Reporting of Vertebral Fractures by Radiologists
See Ongoing Projects

Thematic Network on Male Osteoporosis
The need for additional research on male osteoporosis led to the development of the Thematic Network on Male Osteoporosis in 1999. Partial funding was approved by the European Commission in 2001 and project started in 2002. This project, led by Dr.Jean-Marc Kaufman, aims to create an algorithm for assessing the 10-year absolute fracture risk in men, based on a combination of risk factors. The algorithm will be used, in a simplified form, for risk assessment in clinical practice. Participating countries currently include: Belgium, the Czech Republic, France, Germany, Italy, The Netherlands, Spain, Sweden, Switzerland and the United Kingdom.

CSA Working Groups, Research Projects and Publications
Ongoing projects
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