Direct medical costs from fragility fractures to the UK healthcare economy were estimated at £1.8 billion in 2000, with the potential to increase to £2.2 billion by 2025. It is therefore important for primary care clinicians to be aware of osteoporosis and the importance of prevention of fragility fractures.
If recent headlines are anything to go by, at-home genetic test kits provided by DNA testing companies like 23andme and Ancestry.com continue to be controversial. The biggest caution from organisations such as the Alzheimer’s Foundation of America was the life-changing and long-term implications of test results.
Osteoporosis is characterised by low bone mineral density and micro-architectural deterioration of bone leading to an increased risk of low-trauma fractures, associated morbidity and mortality. This article describes the advances in imaging of osteoporosis including opportunistic identification of low bone density and vertebral fractures.
Patients’ length of hospital stay greatly varies between NHS trusts. By reviewing and improving admission and discharge processes, trusts can improve the patient experience by reducing the number of days spent in hospital. In return, trusts can save bed days, thus increasing capacity and saving money.