A project to reduce clinical vertebral fractures and proximal femoral fractures in collaboration with the municipal administration

Abstract

 In Kure City, Hiroshima Prefecture, a program was developed for preventing progression of osteoporosis to the severe stage and has been implemented in cooperation with the medical association, dental association, pharmaceutical association, and the city office since fiscal 2017. At the same time, a collaborative network for preventing osteonecrosis of the jaw was also started. The incidence rate of osteonecrosis of the jaw caused by bisphosphonates and denosumab used in the treatment of osteoporosis was about 0.1%. Both incidence rates of clinical vertebral fractures and proximal femur fractures were found to have decreased in fiscal 2021 as compared with fiscal 2017.