Consensus on best practice standards for Fracture Liaison Service in the Asia-Pacific region

Chan, Ding Cheng; Chang, Lo‐Yu; Åkesson, Kristina; Mitchell, P. J.; Ch, Chen; Lewiecki, E. Michael; Lee, Joon Kiong; Lau, Tang Ching; Songpatanasilp, Thawee; Lee, Kin Bong; Kim, Kwang Joon; Chen, Jung Fu; Huang, Kuo Yuan; Gau, Yih Lan; Chang, Yin Fan; Ebeling, Peter R.; Xia, Weibo; Yu, Wei; Suzuki, Atsushi; Hew, Fen Lee; Mercado-Asis, Leilani B.; Chung, Yoon Sok; Tsai, Keh–Sung; Lin, Gau Tyan; Yang, Rong‐Sen; Wu, Chih Hsing

doi:10.1007/s11657-018-0463-3

Cited by 17 publications

(16 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At both experts around the AP region and representative from IOF were invited. The original thirteen standards of BPF were reviewed and some minor modifications to better accommodate the unique AP population [ 13 ].…”

Section: The Development Of Fls Network In Taiwanmentioning

confidence: 99%

The development of Taiwan Fracture Liaison Service network

Chang

Tsai

Peng

et al. 2018

Osteoporosis and Sarcopenia

Self Cite

View full text Add to dashboard Cite

Osteoporosis and its associated fragility fractures are becoming a severe burden in the healthcare system globally. In the Asian-Pacific (AP) region, the rapidly increasing in aging population is the main reason accounting for the burden. Moreover, the paucity of quality care for osteoporosis continues to be an ongoing challenge. The Fracture Liaison Service (FLS) is a program promoted by International Osteoporosis Foundation (IOF) with a goal to improve quality of postfracture care and prevention of secondary fractures. In this review article, we would like to introduce the Taiwan FLS network. The first 2 programs were initiated in 2014 at the National Taiwan University Hospital and its affiliated Bei-Hu branch. Since then, the Taiwan FLS program has continued to grow exponentially. Through FLS workshops promoted by the Taiwanese Osteoporosis Association (TOA), program mentors have been able to share their valuable knowledge and clinical experience in order to promote establishments of additional programs. With 22 FLS sites including 11 successfully accredited on the best practice map, Taiwan remains as one of the highest FLS coverage countries in the AP region, and was also granted the IOF Best Secondary Fracture Prevention Promotion award in 2017. Despite challenges faced by the TOA, we strive to promote more FLS sites in Taiwan with a main goal of ameliorating further health burden in managing osteoporotic patients.

show abstract

Section: The Development Of Fls Network In Taiwanmentioning

confidence: 99%

The development of Taiwan Fracture Liaison Service network

Chang

Tsai

Peng

et al. 2018

Osteoporosis and Sarcopenia

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, in Spain, the use of bone densitometry (Dual energy X-ray absorciometry) for fracture risk assessment is limited [8]. Moreover, despite the availability of medications proven to reduce the risk of further fractures [9], fewer than 20% of individuals who sustain a fragility fracture receive such therapies within the first year following the fracture [10,11]. This results in a pervasive worldwide treatment and strategy gap for secondary fracture prevention [11,12].…”

Section: Introductionmentioning

confidence: 99%

Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care

et al. 2020

View full text Add to dashboard Cite

The coordination of Fracture Liaison Services (FLS) with Primary Care (PC) is necessary for the continuity of care of patients with fragility fractures. This study proposes a Best Practice Framework (BPF) and performance indicators for the implementation and follow-up of FLS-PC coordination in clinical practice in Spain. Purpose To develop a BPF for the coordination of FLS with PC in Spain and to improve the continuity of care for patients with fragility fractures. Methods A Steering Committee selected experts from seven Spanish FLS and related PC doctors and nurses to participate in a best practice workshop. Selection criteria were an active FLS with an identified champion and prior contact with PC centres linked to the hospital. The main aim of the workshop was to review current FLS practices in Spain and their integration with PC. A BPF document with processes, tools, roles, and metrics was then generated. Results Spanish FLS consists of a multidisciplinary team of physicians/nurses but with low participation of other professionals and PC staff. Evaluation and treatment strategies are widely variable. Four desired standards were agreed upon: (1) Effective channels for FLS-PC communication; (2) minimum contents of an FLS clinical report and its delivery to PC; (3) adherence monitoring 3 months after FLS baseline visit; and (4) follow-up by PC. Proposed key performance indicators are (a) number of FLS-PC communications, including consensus protocols; (b) confirmation FLS report received by PC; (c) medical/nursing PC appointment after FLS report received; and (d) number of training sessions in PC. Conclusions The BPF provides a comprehensive approach for FLS-PC coordination in Spain, to promote the continuity of care in patients with fragility fractures and improve secondary prevention. The implementation of BPF recommendations and performance indicator tracking will benchmark best FLS practices in the future.

show abstract

“…From these results, four studies related to the management of fragility fractures in Hong Kong were included. [12][13][14][15] The remaining studies were unrelated and excluded. The key pitfalls in the current management of patients with fragility fractures in Hong Kong are the lack of FLS (10%-25% in public hospitals), low prescription rates for osteoporosis on discharge (23% of hip fracture cases), inadequate referral rates for rehabilitation (22% of hip fracture cases), and low follow-up attendance (35.1% of hip fracture cases at 1 year).…”

Section: Pitfalls In Hong Kong's Current Fragility Fracture Managementmentioning

confidence: 99%

“…28 The recent FLS consensus meeting in the Asia-Pacific Region endorsed by the IOF, the Asian Federation of Osteoporosis Societies, and the Asia Pacific Osteoporosis Foundation reinforced that there is still a wide gap in terms of fragility fractures and secondary prevention. 12 Therefore, it is essential to establish FLS in Hong Kong (Fig). One essential element is a dedicated coordinator, often a nurse, 29 who provides proactive recruitment of patients aged ≥50 years with new fragility fractures or vertebral fractures.…”

Section: Creating a Model For Fracture Liaison Services In Hong Kongmentioning

confidence: 99%

Secondary prevention of fragility fractures: instrumental role of a fracture liaison service to tackle the risk of imminent fracture

et al. 2019

View full text Add to dashboard Cite

The occurrence of fragility fractures is strongly associated with significant morbidity and mortality. Effective recommendations should be set to treat these patients punctually for secondary prevention of fractures and ultimately decrease healthcare costs. The key pitfalls in the current management for patients with fragility fractures are the lack of fracture liaison services, low prescription rates for osteoporosis, inadequate referral for rehabilitation, and low follow-up attendance leading to poor compliance with treatment. Most imminent fractures occur within the first 2 years, and it is therefore important to raise the awareness of fracture risk and provide fracture liaison services to improve management. Fracture liaison services are coordinated and have been shown to be costeffective. These services allow prompt identification of patients with fragility fractures. This leads to appropriate investigations of their bone health and fall risk. Information about and interventions for

show abstract

Consensus on best practice standards for Fracture Liaison Service in the Asia-Pacific region

Abstract: The consensus on the 13 BPF standards reviewed in this meeting was that they were generally applicable and required only a few advanced clarifications to increase the quality of FLSs in the region.

Cited by 17 publications

References 7 publications

The development of Taiwan Fracture Liaison Service network

The development of Taiwan Fracture Liaison Service network

Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care

Secondary prevention of fragility fractures: instrumental role of a fracture liaison service to tackle the risk of imminent fracture

Contact Info

Product

Resources

About