How Many Individuals at High Fracture Risk Are on the Average GP’s List?

One in two women and one in five men over the age of 50 will have a fracture. Using national data, a GP with an average list size of 1,779 patients will have between 50 and 60 patients with a previously recorded fracture and six patients per GP will sustain a new osteoporosis-related fracture each year. This illustrates that delivery of secondary fracture preventive care is very achievable. Estimates of patients at high risk of fragility fracture compared with those currently on treatment are provided below to put management strategies into context.

GP's average list size 1,779
Postmenopausal women 326
Patients with osteoporosis 100
Patients with a history of fragility fracture(s) >50 years of age 50-60
Patients currently taking bisphosphonates 20-30
Patients with a new fragility fracture at any skeletal site each year 5-6
Patients with a new hip fracture each year 2