RT Journal Article T1 Recommendations for the prevention of fragility fractures: a consensus from international experts and Ibero-American scientific societies A1 Sáez López, Pilar A1 Aldecoa Álvarez Santullano, César A1 Arboiro Pinel, Rosa A1 Baquero Úbeda, José Luis A1 Bastida Calvo, José Carlos A1 Baixaulí García, Francisco A1 Cassinello Ogea, Concepción A1 Condorhuamán Alvarado, Patricia Ysabel A1 Cortés Berdonces, María A1 Cuadra Llopart, Leonor A1 Fernández Martínez, Nuria A1 Giner García, Mercé A1 Micó Pérez, Rafael Manuel A1 Mur Molina, Blanca A1 Naranjo Hernández, Antonio A1 Neyro Bilbao, José Luis A1 Ojeda Thies, Cristina A1 Palacios Gil Antuñano, Santiago A1 Santiñá Vila, Manuel A1 Soto Bonel, José A1 Tarazona Santabalbina, Francisco José AB PurposeTo develop a multidisciplinary consensus outlining key recommendations to prevent fragility fractures and improve care through coordinated efforts across healthcare sectors.MethodsAn international group of experts, coordinated by the Spanish National Hip Fracture Registry (RNFC), engaged over 300 professionals and 31 scientific societies. Using a nominal group technique, the committee reviewed scientific evidence and collaboratively developed ten core recommendations. The consensus was refined through multiple telematic reviews and finalized at the 7th RNFC Annual Meeting in March 2024.ResultsThe consensus presents ten actionable recommendations: (1) inclusion of osteoporosis and fragility fractures in health policies, (2) early detection and management of frailty and falls, (3) implementation of clinical practice guidelines, (4) promotion of fracture registries and audits, (5) support for Orthogeriatric Units and Fracture Liaison Services (FLS), (6) adoption of a “Fragility Fracture Code,” (7) empowerment of Primary Care in fracture prevention, (8) increased patient association involvement, (9) public awareness campaigns, and (10) promotion of research including patient-reported outcomes.ConclusionsFragility fractures are a major public health issue with rising incidence, disability, and healthcare costs. This consensus offers unified, evidence-based guidance for policy makers, healthcare professionals, and patient organizations. Broad dissemination and implementation of these recommendations aim to reduce fracture rates and enhance patient outcomes through coordinated, multidisciplinary care. PB Springer Nature Link SN 1862-3514 YR 2025 FD 2025-06-12 LK https://hdl.handle.net/20.500.14352/124500 UL https://hdl.handle.net/20.500.14352/124500 LA eng NO Sáez-López, P., Aldecoa Álvarez-Santullano, C., Arboiro-Pinel, R. et al. Recommendations for the prevention of fragility fractures: a consensus from international experts and Ibero-American scientific societies. Arch Osteoporos 20, 76 (2025). https://doi.org/10.1007/s11657-025-01551-2 NO 2025 Acuerdos transformativos CRUE DS Docta Complutense RD 13 may 2026