Fracture liaison services: improving outcomes for patients with osteoporosis

Samuel Walters,1 Tanvir Khan,2 Terence Ong,3,4 Opinder Sahota3 1East Midlands Major Trauma Centre, Queens Medical Centre, Nottingham University Hospitals NHS Trust, 2Department of Orthopaedics, Trauma and Sports Medicine, University of Nottingham, 3Department for Healthcare of Older People, Queens...

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Autores principales:	Walters S, Khan T, Ong T, Sahota O
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Fracture liaison service fractures fall osteoporosis aged Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5fb19972ac1e4ac4bf1dd4bf638038e8
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spelling	oai:doaj.org-article:5fb19972ac1e4ac4bf1dd4bf638038e82021-12-02T06:17:23ZFracture liaison services: improving outcomes for patients with osteoporosis1178-1998https://doaj.org/article/5fb19972ac1e4ac4bf1dd4bf638038e82017-01-01T00:00:00Zhttps://www.dovepress.com/fracture-liaison-services-improving-outcomes-for-patients-with-osteopo-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Samuel Walters,1 Tanvir Khan,2 Terence Ong,3,4 Opinder Sahota3 1East Midlands Major Trauma Centre, Queens Medical Centre, Nottingham University Hospitals NHS Trust, 2Department of Orthopaedics, Trauma and Sports Medicine, University of Nottingham, 3Department for Healthcare of Older People, Queens Medical Centre, Nottingham University Hospitals NHS Trust, 4Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK Abstract: Fragility fractures are sentinels of osteoporosis, and as such all patients with low-trauma fractures should be considered for further investigation for osteoporosis and, if confirmed, started on osteoporosis medication. Fracture liaison services (FLSs) with varying models of care are in place to take responsibility for this investigative and treatment process. This review aims to describe outcomes for patients with osteoporotic fragility fractures as part of FLSs. The most intensive service that includes identification, assessment and treatment of patients appears to deliver the best outcomes. This FLS model is associated with reduction in re-fracture risk (hazard ratio [HR] 0.18–0.67 over 2–4 years), reduced mortality (HR 0.65 over 2 years), increased assessment of bone mineral density (relative risk [RR] 2–3), increased treatment initiation (RR 1.5–4.25) and adherence to treatment (65%–88% at 1 year) and is cost-effective. In response to this evidence, key organizations and stakeholders have published guidance and framework to ensure that best practice in FLSs is delivered. Keywords: fracture liaison service, fractures, fall, osteoporosis, agedWalters SKhan TOng TSahota ODove Medical PressarticleFracture liaison servicefracturesfallosteoporosisagedGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 117-127 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Fracture liaison service fractures fall osteoporosis aged Geriatrics RC952-954.6
spellingShingle	Fracture liaison service fractures fall osteoporosis aged Geriatrics RC952-954.6 Walters S Khan T Ong T Sahota O Fracture liaison services: improving outcomes for patients with osteoporosis
description	Samuel Walters,1 Tanvir Khan,2 Terence Ong,3,4 Opinder Sahota3 1East Midlands Major Trauma Centre, Queens Medical Centre, Nottingham University Hospitals NHS Trust, 2Department of Orthopaedics, Trauma and Sports Medicine, University of Nottingham, 3Department for Healthcare of Older People, Queens Medical Centre, Nottingham University Hospitals NHS Trust, 4Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK Abstract: Fragility fractures are sentinels of osteoporosis, and as such all patients with low-trauma fractures should be considered for further investigation for osteoporosis and, if confirmed, started on osteoporosis medication. Fracture liaison services (FLSs) with varying models of care are in place to take responsibility for this investigative and treatment process. This review aims to describe outcomes for patients with osteoporotic fragility fractures as part of FLSs. The most intensive service that includes identification, assessment and treatment of patients appears to deliver the best outcomes. This FLS model is associated with reduction in re-fracture risk (hazard ratio [HR] 0.18–0.67 over 2–4 years), reduced mortality (HR 0.65 over 2 years), increased assessment of bone mineral density (relative risk [RR] 2–3), increased treatment initiation (RR 1.5–4.25) and adherence to treatment (65%–88% at 1 year) and is cost-effective. In response to this evidence, key organizations and stakeholders have published guidance and framework to ensure that best practice in FLSs is delivered. Keywords: fracture liaison service, fractures, fall, osteoporosis, aged
format	article
author	Walters S Khan T Ong T Sahota O
author_facet	Walters S Khan T Ong T Sahota O
author_sort	Walters S
title	Fracture liaison services: improving outcomes for patients with osteoporosis
title_short	Fracture liaison services: improving outcomes for patients with osteoporosis
title_full	Fracture liaison services: improving outcomes for patients with osteoporosis
title_fullStr	Fracture liaison services: improving outcomes for patients with osteoporosis
title_full_unstemmed	Fracture liaison services: improving outcomes for patients with osteoporosis
title_sort	fracture liaison services: improving outcomes for patients with osteoporosis
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/5fb19972ac1e4ac4bf1dd4bf638038e8
work_keys_str_mv	AT walterss fractureliaisonservicesimprovingoutcomesforpatientswithosteoporosis AT khant fractureliaisonservicesimprovingoutcomesforpatientswithosteoporosis AT ongt fractureliaisonservicesimprovingoutcomesforpatientswithosteoporosis AT sahotao fractureliaisonservicesimprovingoutcomesforpatientswithosteoporosis
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Fracture liaison services: improving outcomes for patients with osteoporosis

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