Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?

Han, Yong; Ha, Yong Chan; Lim, Jae‐Young

doi:10.11005/jbm.2019.26.4.207

Cited by 16 publications

(13 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[35] KSBMR has developed a coordinator training program, conducted educational symposia, and offered training sessions every year since 2018. [36] 3.3.2. Funding.…”

Section: Organization 331 Models Of Carementioning

confidence: 99%

Fragility Fracture Systems: International Perspectives - Asia & Australia

Tarrant

Kim

Matsushita

et al. 2022

OTA International: The Open Access Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

Background: The incidence and burden of fragility fractures have reached the level where comprehensive systematic care is warranted to optimize the care of these patients. Hip fractures are the most frequently lethal and independence level changing fragility fractures, responsible for 30-day mortality comparable to high-energy trauma patients with injury severity scores over 12. It is a reasonable expectation that countries have a hip fracture treating system of care in place for this high-risk population. This review explores the systems of care from the Asia-Pacific Perspective.Methods: From the International Orthopaedic Trauma Association's member societies, nations from the Asia-Pacific Region were requested to contribute with an overview of their fragility fracture management systems. The content or the review was standardized by a template of headings, which each country endeavored to cover.Results: Australia, Japan, and South Korea contributed voluntarily from the 5 member countries of the region. Each country has made considerable efforts and achievements with diverse approaches to standardize and improve the care of fragility fractures, particularly hip fractures. Beyond the individual nations' efforts there is also an existing Asia-Pacific Collaborative. The data collection and in some counties the existence of a registry is promising; funding and recognition of the problem among competing health care budget priorities are common.Conclusions: Our review covers some of the countries with strongest economy and highest health care standards. The lack of a universal robust system for hip fracture care is apparent. The data collection from registry initiations is expected to drive system development further in these countries and hopefully fast track the development in other countries within the most populous geographical region of the Earth.

show abstract

“…[35] KSBMR has developed a coordinator training program, conducted educational symposia, and offered training sessions every year since 2018. [36] 3.3.2. Funding.…”

Section: Organization 331 Models Of Carementioning

confidence: 99%

Fragility Fracture Systems: International Perspectives - Asia & Australia

Tarrant

Kim

Matsushita

et al. 2022

OTA International: The Open Access Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

show abstract

“…A multicentre observational trial to investigate the effect of FLS on awareness of osteoporosis and its treatment improvement has been conducted in 11 regional hospitals across the country. Cha et al reported current efforts to establish FLS in Korea and highlighted implementation challenges, such as the lack of awareness regarding the importance of this system and the lack of support by healthcare systems and health policies [ 97 ].…”

Section: Global Regional National and Local Quality Improvement Initi...mentioning

confidence: 99%

Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region

Mitchell

Ang²,

Mercado-Asis³

et al. 2022

Arch Osteoporos

Self Cite

View full text Add to dashboard Cite

Summary This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health improvement Road Maps to be implemented at scale during the United Nations ‘Decade of Healthy Ageing’. Purpose This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvement initiatives intended to improve the care and prevention of fragility fractures across the Asia Pacific region. Methods The review focuses on published studies, reports and quality improvement initiatives undertaken during the period July 2019 to May 2022. Results Epidemiological studies conducted in countries and regions throughout Asia Pacific highlight the current and projected increasing burden of fragility fractures. Recent studies and reports document a persistent and pervasive post-fracture care gap among people who have sustained fragility fractures. Global initiatives developed by the Fragility Fracture Network and International Osteoporosis Foundation have gained significant momentum in the Asia Pacific region, despite the disruption caused by the COVID-pandemic. The Asia Pacific Fragility Fracture Alliance has developed educational resources including a Hip Fracture Registry Toolbox and a Primary Care Physician Education Toolkit. The Asia Pacific Osteoporosis and Fragility Fractures Society—a new section of the Asia Pacific Orthopaedic Association—is working to engage orthopaedic surgeons across the region in the care and prevention of fragility fractures. The Asia Pacific Consortium on Osteoporosis developed a framework to support national clinical guidelines development groups. Considerable activity at the national level is evident in many countries across the region. Conclusion Development and implementation of national Road Maps informed by the findings of this review are urgently required to respond to the epidemiological emergency posed by fragility fractures during the United Nations ‘Decade of Healthy Ageing’.

show abstract

“…In South Korea, hip fracture registry programs have been operating since 2014, and FLS since 2016. The emphasis on early detection and treatment of osteoporosis in Korea by the National Health Examination (NHE) has resulted in a doubling of aBMD examinations for women aged 54 years and 65 years old since 2018 [ 71 ].…”

Section: Geographical Variations In Case-finding Strategiesmentioning

confidence: 99%

Osteoporosis case ascertainment strategies in European and Asian countries: a comparative review

Burden

Tanaka

et al. 2020

Osteoporos Int

Self Cite

View full text Add to dashboard Cite

While many clinical guidelines recommend screening for osteoporosis for early detection and treatment, there is great diversity in the case-finding strategies globally. We sought to compare case-finding strategies, focusing on the approaches used in European and Asian countries. This article provides an overview of the current case-finding strategies in the UK, Germany (including Austria and German-speaking regions of Switzerland), China, Japan, and Korea. We conducted a review of current treatment guidelines in each country and included expert opinions from key opinion leaders. Most countries define osteoporosis among patients with a radiographically identified fracture of the hip or the vertebrae. However, for other types of fractures, or in the absence of a fracture, varying combinations of risk-factor assessment and areal bone mineral density (aBMD) assessed by dual X-ray absorptiometry are used to define osteoporosis cases. A T-score ≤ − 2.5 is accepted to identify osteoporosis in the absence of a fracture; however, not all countries accept DXA alone as the sole criteria. Additionally, the critera for requiring clinical risk factors in addition to aBMD differ across countries. In most Asian countries, aBMD scanning is only provided beyond a particular age threshold. However, all guidelines recommend fracture risk assessment in younger ages if risk factors are present. Our review identified that strategies for case-finding differ regionally, particularly among patients without a fracture. More homogenized ways of identifying osteoporosis cases are needed, in both the Eastern and the Western countries, to improve osteoporosis case-finding before a fracture occurs. Case-finding in osteoporosis is essential to initiate treatment and minimize fracture risk. We identified differences in case-finding strategies between Eastern and Western countries. In the absence of a diagnosed fracture, varying combinations of risk factors and bone density measurements are used. Standardized case-finding strategies may help improve treatment rates.

show abstract

Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?

Cited by 16 publications

References 28 publications

Fragility Fracture Systems: International Perspectives - Asia & Australia

Fragility Fracture Systems: International Perspectives - Asia & Australia

Quality improvement initiatives in the care and prevention of fragility fractures in the Asia Pacific region

Osteoporosis case ascertainment strategies in European and Asian countries: a comparative review

Contact Info

Product

Resources

About