• Information, assessment & lifestyle advice
• refer to DXA scan, except patients with dementia, difficulties laying on the back or short life exp.
• Blood samples
• Sufficient intake of Vitamin D & calcium, combined with physical activity will be recommended with lifestyle advice (smoking & alcohol intake)
• Patients With Hip, Vertebral or two or more low-trauma fractures are recommended treated with anti-osteoporosis drug
• Other fractures, treatment recommended if FRAX score≥20% for major fracture & T-score≤-1.5
• Fracture patients with reduced kidney function will be treated with anti-RANKL
• Anti-osteoporosis drug prescribed by hospital physician
• Follow-up phone call after 3 months and visit to talk with coordinating nurse after 1 year
• Patients with spine or femoral neck T-scores≤-3.5, >2 severe vertebral fractures & those who suffer a second fracture while using anti-osteoporosis drug, will be referred for further examination and teriparatide treatment will be considered

Treatment as offered before intervention.

Incidence of fragility fractures per 10,000 person-years (distal forearm fractures, proximal humerus fractures and hip fractures)

Total number of deaths during four years after enrollment