An evaluation of Fracture Liaison Services in the detection and management of osteoporotic fragility fractures: A narrative review

Eccles, Elizabeth; Thompson, John D.; Roddam, Hazel

doi:10.1016/j.radi.2018.05.003

Cited by 7 publications

(9 citation statements)

References 28 publications

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“…FLS is not a quick fix [6]. However, most of its challenges are likely to be overcome by gradual experimentation and assessment, which the present research aims to support.…”

Section: Discussionmentioning

confidence: 90%

“…In the United States, 10.2 million people are affected by osteoporosis and 43.4 million by low bone mass, equaling a quarter of the whole adult population [4]. The impact is similar in Canada, Europe, and Asia [5][6][7]. In Italy, 90.000 hip fractures affect 50-years old patients each year [8].…”

Section: Introductionmentioning

confidence: 99%

“…The social and medical costs of fragility fractures to the UK healthcare economy were estimated at £1.8 billion in 2000, with a potential increase to £2.2 billion. Hip fractures are the most significant type of fragility fracture because of the human impact and the need for long-term institutional care, and associated high medical costs [6]. In Italy, the direct hospitalization costs for the treatment of patients with fragility fractures over the age of 65 were almost 400 € million in 2002, with a 15% increase in the following three years [11].…”

Section: Introductionmentioning

confidence: 99%

“…The IOF created a Best Practice framework to standardize and support its spread (Capture the Fracture), introducing a FLS algorithm which can be adapted to the organizational needs and resources of the local provider, healthcare system, and workforce composition [18]. With a considerable increase in protocols, which have been recently published in the literature, original evidence from empirical data is still recommended by systematic and narrative reviews [6,7,19].…”

Section: Introductionmentioning

confidence: 99%

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Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital

Pennestrì

Corbetta

Favero

et al. 2019

IJERPH

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Fragility fractures pose a serious threat to patient health, quality of life, and healthcare sustainability. In order to reduce their clinical, social, and economic burden, a Fracture Liaison Service (FLS) was introduced in a high volume orthopedic hospital in 2017. The purpose of this retrospective observational study is to describe the FLS protocol, introduce its preliminary outcomes, and provide an early evaluation in light of international guidelines and recommendations. All the performances suggested by the International Osteoporosis Foundation (IOF) are provided under the same institution by which a patient is admitted for surgery. Clinical indicators from patient history and administrative indicators from the hospital database have been used to estimate the spread of fragility fracture prevention and the degree of patient compliance to these programs. The research included 403 patients. Although, almost 1/3 were admitted for the second fragility fracture, only half received anti-osteoporotic treatment before it. The degree of prevention was even lower in the case of patients admitted for the first fragility fracture. The risk of being affected by a secondary fracture was seven times higher when patients did not attend any follow-up or diagnostic exam. In order to identify the main determinants of compliance with FLS and perform a cost-effectiveness analysis on a larger sample, it is fundamental to integrate data from different providers.

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“…FLS is not a quick fix [6]. However, most of its challenges are likely to be overcome by gradual experimentation and assessment, which the present research aims to support.…”

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital

Pennestrì

Corbetta

Favero

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…Fragility fractures bear a substantial risk of subsequent secondary fractures. Worldwide respected secondary prevention models such as Fracture Liaison Services are based on the idea of intense screening in the groups with the highest fragility fracture risk (which includes BMD and more recently also vertebral fracture assessment -VFA) [26].…”

Section: Discussionmentioning

confidence: 99%

Utility of fragility fracture prediction tools in a group of postmenopausal women

Amarowicz¹,

Krawczyk²,

Kumorek³

2021

Reumatologia

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Objectives: Fractures are a common complication of osteoporosis. The main aim of our study was to assess the relation between fractures identified as low energy fractures (fragility), bone mineral density (BMD), trabecular bone score (TBS), and handgrip in a group of postmenopausal women. An additional aim was to determine the relation between fragility fractures and age, height loss, and falls (reported in the last 12 months and 5 years). Material and methods: The study was conducted in a group of 120 (mean age 69 years; 59-81, SD 5.3) postmenopausal patients who were referred to the Medical Centre for an osteoporosis screening appointment by their general practitioner. All patients were interviewed (with a questionnaire containing questions on fracture risk factors and highest height), had their anthropometric measures taken (current height and weight) as well as TBS analysis following their DXA (dual-energy X-ray absorptiometry) scan and handgrip measure. Results: Sixty patients from the study group had a history of fractures (with a total of 92 fractures), of whom 39 women (76 fractures) were identified as those with a low-energy fracture. Fragility fractures were more likely to be reported in older patients (Me 71 vs. 68 years, p < 0.05). Differences observed between TBS, handgrip and BMD in reference to fragility fractures were not statistically significant. Analysis showed significant correlations between BMD (neck and L1-L4) and TBS fracture risk categories. Falls reported in the last 5 years and height loss were factors which correlated with fragility fractures (p < 0.05). Conclusions: Risk of fragility fractures increases with age. Bone mineral density is insufficient as a fracture risk assessment tool. Information on falls and height loss may provide additional data on fracture risk assessment.

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Radiology reporting of osteoporotic vertebral fragility fractures on computed tomography studies: results of a UK national audit

Howlett¹,

Drinkwater²,

Mahmood³

et al. 2020

Eur Radiol

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An evaluation of Fracture Liaison Services in the detection and management of osteoporotic fragility fractures: A narrative review

Cited by 7 publications

References 28 publications

Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital

Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital

Utility of fragility fracture prediction tools in a group of postmenopausal women

Radiology reporting of osteoporotic vertebral fragility fractures on computed tomography studies: results of a UK national audit

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