People with chronic disease often have impaired bone health and their increased risk of fragility fracture is often under-appreciated. Recognition, screening and appropriate management of bone health should form part of the routine management of patients with chronic disease.
- One in two people in Australia have a chronic disease and one in five have multiple chronic diseases.
- Patients with chronic disease often have impaired bone health and are at increased risk of fragility fracture.
- Chronic conditions such as coeliac disease, inflammatory bowel disease, diabetes mellitus, chronic kidney disease and chronic liver disease are associated with increased risk of fragility fracture.
- Recognising the importance of bone health in people with chronic disease and screening for secondary causes of bone loss should form part of routine management.
- Optimal care is best undertaken in a multidisciplinary setting.