Various sessions at the virtual WCO-IOF-ESCEO 2021 will provide guidance to help clinicians, orthopaedic surgeons and other medical specialists prioritize secondary fracture prevention, including through the implementation of post-fracture care programs.

Currently, only 20% of patients who sustain a fragility fracture are offered screening or treatment for osteoporosis. This treatment gap represents a missed opportunity to protect patients from a future of recurrent and often life-threatening fractures. 

The International Osteoporosis Foundation (IOF), through its landmark Capture the Fracture® initiative, has been a longstanding advocate of coordinated, multi-disciplinary models of post-fracture care for secondary fracture prevention. Commonly known as Fracture Liaison Services, such models of care are considered to be the single most important strategy to directly improve patient outcomes and reduce fracture-related healthcare costs worldwide. 

Given its importance, secondary fracture prevention and post-fracture care coordination programs will be among the key topics to be discussed during the virtual World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO 2021). The Congress, with more than 5000 delegates already registered to date, will be held from August 26 to 28, 2021. 

Congress Co-chairs, Professor Cyrus Cooper (IOF President) and Professor Jean-Yves Reginster (ESCEO President), have urged all healthcare specialists with an interest in osteoporosis and fracture prevention to take part:

“Among the many important topics to be covered in this year’s Congress, secondary fracture prevention is high on the agenda. We invite delegates to follow the wide range of dynamic sessions delivered by experts in post-fracture care, policy development, and Fracture Liaison Service implementation. Our hope is that with increased awareness and knowledge, healthcare systems worldwide will be better equipped to provide effective and systematic post-fracture care.” 

The following sessions are planned, and accessible on demand for a period of three months, to all delegates who register for the Congress:

Honorary Lecture

Where are the cracks? Understanding the needs in fragility fracture management
(live, Thursday Aug. 26, 16.50, channel 1)
Presented by Professor Kassim Javaid, NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK.

Meet-the-Expert sessions

Fracture Liaison Services (FLS) and fracture risk reduction 
(live, Saturday Aug. 28, 12:00, channel 1)

Professor Kassim Javaid, NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK, will lead this informative session. He will provide insights into the key components of an effective FLS, in which the patient pathway must include identification, investigation, treatment recommendation, and monitoring to ensure early initiation of treatment and longer-term adherence. He will also discuss the challenge of ensuring that a local FLS is sustainable and sufficiently funded to benefit patients, and present a new FLS benefit and budget impact model which can be applied at the national, regional or local hospital level to inform policy decision-making and plan services.

Lyosis® Software - A new way to manage FLS centers more efficiently and cost optimized
(live, Saturday August 28, 10:00 am CET - channel 2)

Werner Fehn, CEO of BoneMonitor, will present the detailed components of this new and globally available online software. Lyosis® will help FLS centers to more effectively track and monitor patients, for improved outcomes and optimized management of the FLS.


ESCEO-IOF-SICOT joint Symposium: Fracture Liaison Services in Orthopaedic Surgery
(pre-recorded session)

This joint symposium, with expert speakers Josie Delisle and Dr Julio Fernandes (Hôpital du Sacré-Coeur de Montréal, Quebec, Canada) and Kassim Javaid (NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK), will reflect on the successful collaboration between orthopaedic surgeons and FLS globally, provide guidance on how they can contribute to an FLS, discuss steps to getting FLSs sustainable, and share insights on how to create synergy between nurses, doctors, patients and their families in the FLS setting.

Non Sponsored Symposium: Fracture Liaison Services in Latin America: From Where and Where To
(pre-recorded session)

In this symposium, leading regional FLS experts will provide insights into the status of coordinated post-fracture care programs in Latin America. The following topics will be discussed: overview of FLSs in Latin America (speaker Bruno Muzzi Camargos, Densimater Medicina Especializada/Densitometry Unit, Hospital Mater Dei , Brazil), the situation of FLSs in Mexico (speaker Andrea Olascoaga Gómez de León, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico), how FLSs have impacted post-fracture outcomes in Colombia (speaker Adriana Medina Orjuela, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia) and FLSs in public and private systems in Brazil (speaker Bernardo Stolnicki, Hospital Federal de Ipanema, Rio de Janeiro, Brazil). 

Educational lecture 

Integrated Care Pathways for Bone Health: improving care around the world
(live, Saturday Aug 28, 1.10 pm CET, Channel 2)

In this educational lecture, Dr Mary Bussell (The Economist Intelligence Unit) will discuss the need for coordination across all stakeholder groups as a means to decrease the health and socioeconomic burden of poor bone health. Among the topics discussed will be the need to close the secondary fracture prevention gap, which has been highlighted as a priority for policymakers globally - to not only improve population health but to also provide cost savings to health systems. 

Oral presentations

Quality of life, resource use, and cost related to fragility fractures: development and evaluation of multidisciplinary post-fracture care pathways (OC23)  
Presenting author:  J. Talevski (University of Melbourne, Melbourne, Australia); Authors: K. Sanders, J. Watts, L. Busija, A. Beauchamp, G. Duque, F. Borgström, J. A. Kanis, A. Svedbom, A. Stuart, S. Brennan Olsen 
(live, Saturday Aug. 28, 12:30 CET – channel 1)

Presenting author Jason Talevski will discuss the findings of a new study which sought to identify multidisciplinary care pathways for individual fracture sites (hip, vertebrae, wrist, humerus) and to determine the costs and impact of these care pathways on health-related quality of life. The study aims to assist health care providers worldwide in allocating resources for fractures in more cost-effective ways.

Post-fracture care programmes start offsetting initial investment two years after their implementation: preliminary findings from a microsimulation model of benefit and budget impact (OP23 - P726)  
R. Pinedo-Villanueva, E. Burn, C. Cooper, M. K. Javaid, C. T. F. Partnership Study Group

Presenting author R. Pinedo-Villanueva (Associate Professor, University of Oxford, Oxford, UK) will discuss the preliminary findings of a microsimulation model to analyse the yearly incremental costs and quality-adjusted life years (QALYs) of a post-fracture care (PFC) coordination programme implementation in comparison to current practice in various countries.


About the World Congress on Osteoporosis, Osteoarthritis & Musculoskeletal Diseases (WCO-IOF-ESCEO)

Held jointly by IOF and ESCEO, the WCO-IOF-ESCEO annual congress is the world’s largest forum for the presentation of clinical research and new advances in the prevention and management of musculoskeletal disorders, including sarcopenia and frailty. WCO-IOF-ESCEO 2021 will be held as a virtual congress from August 26 to 28, 2021, with registrants having access on demand for three months following the congress. For complete information visit  #OsteoCongress

About IOF
The International Osteoporosis Foundation (IOF) is the world's largest nongovernmental organization dedicated to the prevention, diagnosis and treatment of osteoporosis and related musculoskeletal diseases. IOF members, including committees of scientific researchers as well as 268 patient, medical and research societies, work together to make fracture prevention and healthy mobility a worldwide heath care priority.  @iofbonehealth

The European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) is a non-profit organization, dedicated to a close interaction between clinical scientists dealing with rheumatic disorders, pharmaceutical industry developing new compounds in this field, regulators responsible for the registration of such drugs and health policy makers, to integrate the management of osteoporosis and osteoarthritis within the comprehensive perspective of health resources utilization. The objective of ESCEO is to provide practitioners with the latest clinical and economic information, allowing them to organize their daily practice, in an evidence-based medicine perspective, with a cost-conscious perception.   

About Capture the Fracture® 
Capture the Fracture® (CTF) is a multi-stakeholder initiative led by the International Osteoporosis Foundation (IOF). The initiative hopes to drive changes at local and international levels, so that secondary fracture prevention becomes a reality. Its aim is to set global best practices for Fracture Liaison Services (FLS), while serving as a benchmark tool to which clinics and hospitals can adhere and aspire to, and receive international recognition. The CTF program has a diverse set of tools that provides essential resources and documentation to drive quality improvement in FLS; CTF also offers mentorship programs that support development of FLS at the local level. Currently the CTF network includes 656 FLS in 49 countries worldwide.   #CaptureTheFracture