Osteoporosis and post-fracture management in the primary care setting: a systematic review
Authors' conclusion
Osteoporosis management in primary care remains inadequate.
Study context
- Population
- Adults ≥ 50 years, osteoporosis and fragility fracture care (risk assessment, diagnosis, treatment, prevention) in primary care; studies 2005–202580 studies
- Outcome
- Osteoporosis and fragility fracture management in primary care
Methodological detailsqualitative, quantitative or mixed-methods studies, MMAT quality appraisal, two independent reviewers
- Qualitative, quantitative or mixed-methods studies
- MMAT quality appraisal
- Two independent reviewers
Pooled result
As reported in the abstract
- Clinician knowledge moderate, with gaps in guideline familiarity, fracture risk assessment and pharmacotherapy
- Osteoporosis and fragility fractures widely under-identified and undertreated: minimal screening and diagnostic testing, substantial undertreatment of guideline-eligible patients
- Interventions such as electronic decision-support and fracture liaison services consistently increased BMD testing and appropriate prescribing
- System-level barriers: limited consultation time, unclear responsibility allocation, fragmented communication between care settings
- Patient-level barriers: limited understanding of osteoporosis and concerns about medications
Original publication
Osteoporosis and post-fracture management in the primary care setting: a systematic review. Osteoporos Int. Published 22 July 2026. doi:10.
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