IQ driving QI: the Asia Pacific Consortium on Osteoporosis (APCO): an innovative and collaborative initiative to improve
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IQ driving QI: the Asia Pacific Consortium on Osteoporosis (APCO): an innovative and collaborative initiative to improve osteoporosis care in the Asia Pacific M. Chandran 1 & S.K. Bhadada 2 & P.R. Ebeling 3 & N.L. Gilchrist 4 & A.H. Khan 5 & P. Halbout 6 & S. Lekamwasam 7 & G. Lyubomirsky 8 & P.J. Mitchell 9 & T.V. Nguyen 10,11 & K.L. Tiu 12 & on behalf of the Asia Pacific Consortium on Osteoporosis Received: 15 April 2020 / Accepted: 4 June 2020 # The Author(s) 2020
Abstract Summary Asia Pacific Consortium on Osteoporosis (APCO) comprises of clinical experts from across the Asia Pacific region, uniting to develop solutions to problems facing osteoporosis management and care. The vision of APCO is to reduce the burden of osteoporosis and fragility fractures in the Asia Pacific region. Introduction The Asia Pacific (AP) region comprises 71 countries with vastly different healthcare systems. It is predicted that by 2050, more than half the world’s hip fractures will occur in this region. The Asia Pacific Consortium on Osteoporosis (APCO) was set up in May 2019 with the vision of reducing the burden of osteoporosis and fragility fractures in the AP region. Methods APCO has so far brought together 39 clinical experts from countries and regions across the AP to develop solutions to challenges facing osteoporosis management and fracture prevention in this highly populous region of the world. APCO aims to achieve its vision by engaging with relevant stakeholders including healthcare providers, policy makers and the public. The initial APCO project is to develop and implement a Framework of pan-AP minimum clinical standards for the screening, diagnosis and management of osteoporosis. Results and conclusions The Framework will serve as a platform upon which new national clinical guidelines can be developed or existing guidelines be revised, in a standardised fashion. The Framework will also facilitate benchmarking for provision of quality of care. It is hoped that the principles underlying the formation and functioning of APCO can be adopted by other regions and that every health care facility and progressively every country in the world can follow our aspirational path and progress towards best practice. Keywords Osteoporosis . Fragility fracture . Quality improvement . Clinical standards . Collaboration . Asia Pacific
A fragility fracture signals underlying osteoporosis, a condition that is greatly underdiagnosed and undertreated. The
burden of osteoporosis is expected to increase as populations age, and the number of individuals at risk of fragility fractures
* M. Chandran [email protected]
5
Aga Khan University, Karachi, Pakistan
6
International Osteoporosis Foundation, Nyon, Switzerland
7
University of Ruhuna, Matara, Sri Lanka
8
Osteoporosis Australia, Sydney, Australia
9
Synthesis Medical NZ Limited, Auckland, New Zealand
10
The Garvan Institute of Medical Research, Sydney, Australia
11
University of Technology, Sydney, Australia
12
Queen Elizabeth Hospital, Hong Kong, H
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