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Fracture Liaison Service

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https://www.readbyqxmd.com/read/29063214/geisinger-high-risk-osteoporosis-clinic-hiroc-2013-2015-fls-performance-analysis
#1
P Dunn, D Webb, T P Olenginski
Geisinger Health System (GHS) high-risk osteoporosis clinic (HiROC), which treats patients with low-trauma, fragility fractures, reports their 2013-2015 performance measures in secondary fracture prevention. This fracture liaison service (FLS) pathway treats 75% of high-risk, drug eligible patients, compared to 13.8% in GHS primary care. This performance points to the need for more FLS programs throughout the world. INTRODUCTION: The purpose of this study is to analyze and report ongoing performance measures in outpatient and inpatient high-risk osteoporosis clinic (HiROC) program designed for patients with low-trauma, fragility fractures...
October 23, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/29058226/clinical-guidelines-for-the-prevention-and-treatment-of-osteoporosis-summary-statements-and-recommendations-from-the-italian-society-for-orthopaedics-and-traumatology
#2
Umberto Tarantino, Giovanni Iolascon, Luisella Cianferotti, Laura Masi, Gemma Marcucci, Francesca Giusti, Francesca Marini, Simone Parri, Maurizio Feola, Cecilia Rao, Eleonora Piccirilli, Emanuela Basilici Zanetti, Noemi Cittadini, Rosaria Alvaro, Antimo Moretti, Dario Calafiore, Giuseppe Toro, Francesca Gimigliano, Giuseppina Resmini, Maria Luisa Brandi
BACKGROUND: The Italian Society for Orthopaedics and Traumatology conceived this guidance-which is primarily addressed to Italian orthopedic surgeons, but should also prove useful to other bone specialists and to general practitioners-in order to improve the diagnosis, prevention, and treatment of osteoporosis and its consequences. MATERIALS AND METHODS: Literature reviews by a multidisciplinary team. RESULTS: The following topics are covered: the role of instrumental, metabolic, and genetic evaluations in the diagnosis of osteoporosis; appraisal of the risk of fracture and thresholds for intervention; general strategies for the prevention and treatment of osteoporosis (primary and secondary prevention); the pharmacologic treatment of osteoporosis; the setting and implementation of fracture liaison services for tertiary prevention...
October 20, 2017: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29054991/the-influence-of-bone-mineral-density-and-cortical-index-on-the-complexity-of-fractures-of-the-proximal-humerus
#3
J W A M den Teuling, B S Pauwels, L Janssen, C E Wyers, H M J Janzing, J P W van den Bergh, J W Morrenhof
OBJECTIVES: The goal of this study is to investigate the relation between indicators of osteoporosis (i.e., bone mineral density (BMD), and Cortical Index (CI)) and the complexity of a fracture of the proximal humerus as a result of a low-energy trauma. METHODS: A retrospective chart review of 168 patients (mean age 67.2 years, range 51 to 88.7) with a fracture of the proximal humerus between 2007 and 2011, whose BMD was assessed at the Fracture Liaison Service with Dual Energy X-ray Absorptiometry (DXA) measurements of the hip, femoral neck (FN) and/or lumbar spine (LS), and whose CI and complexity of fracture were assessed on plain anteroposterior radiographs of the proximal humerus...
October 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/28965215/danish-national-cross-sectional-observational-study-on-the-prevalence-of-prior-major-osteoporotic-fractures-in-adults-presenting-with-hip-fracture-limitations-and-scope-for-fracture-liaison-services-in-prevention-of-hip-fracture
#4
A Frederiksen, B Abrahamsen, P B Johansen, H A Sørensen
Fracture liaison services prevent hip fractures by identifying other osteoporotic fractures that generally debut at a younger age. However, this study showed that a minority of hip fracture patients are already known to the health services through having had prior osteoporotic fractures. Identification of vertebral fractures in particular is lacking. INTRODUCTION: The purpose of this study was to examine the prevalence of prior major osteoporotic fractures (MOF) in the prior 10 years preceding hip fracture in order to provide information about the potential for prevention of hip fractures by fracture liaison services (FLS)...
September 30, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28929307/fracture-liaison-service-report-on-the-first-successful-experience-from-the-middle-east
#5
Falah Bachour, Maroun Rizkallah, Amer Sebaaly, Angelique Barakat, Hiba Razzouk, Rawad El Hage, Riad Nasr, Mirvat El Khoury, Ghassan Maalouf
This study aims to assess for the first time in the Middle East, the clinical benefits of an FLS model established in a hospital in Beirut, Lebanon. It shows a significant 54% relative risk reduction in re-fracture incidence, confirming the patient-oriented benefit of diffusing this system in the Middle East region. PURPOSE/INTRODUCTION: Few hospitals in Lebanon applied Fracture Liaison Service (FLS) program. A type A FLS is established at Bellevue hospital in Beirut in July 2013. This study aims to assess its clinical benefits and efficacy...
September 19, 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28919380/establishing-a-hospital-based-fracture-liaison-service-to-prevent-secondary-insufficiency-fractures
#6
REVIEW
Shahryar Noordin, Salim Allana, Bassam A Masri
Insufficiency fracture care requires more than surgery to ensure rapid and strong union with diminished chance of future fractures. The FLS program provides an opportunity to treat osteoporosis from a public health perspective rather than leaving this to the whims of individual physicians. This is achieved by providing a seamless integration of care by health care providers, nursing staff and administration. The FLS can be adapted to any model of care including academic health systems. FLS provides a holistic approach to identify patients as well as to provide evidence-based interventions to prevent subsequent fractures...
September 12, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28912393/-cost-effectiveness-of-implementing-osteoporosis-liaison-service-program
#7
Kensuke Moriwaki
Facing with swelling medical expenses, bringing a viewpoint of cost-effectiveness to disease management of osteoporosis has become important. Previous economic evaluations from the UK and the USA have reported that implementing a Fracture Liaison Service program reduces refracture rates and results in healthcare cost-savings. In recent years, a model-based cost-effectiveness analysis has been performed in Japan and reported Secondary fracture prevention by Osteoporosis Liaison Service program is cost-effective in Japanese women with osteoporosis who have suffered a hip fracture...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912392/-refracture-prevention-and-rehabilitation
#8
Hiroaki Fujita
Osteoporosis Liaison Service(OLS)is not only the fracture prevention of the onset, and the refracture prevention holds important positioning. For OLS activity in the hospitals of the fracture risk by FRAX grasp it, and it is important to evaluate the fall risk. What an interval, a motor function including the lower limbs muscular strength evaluate in a fall risk evaluation and TUG and walking speed temporarily for a fall risk evaluation for, the eye opening single leg right time to leave is desirable. It is a problem that an evaluation and treatment for osteoporosis are insufficient by recent DPC induction...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912390/-osteoporosis-liaison-service-and-multi-medical-staff-cooperation
#9
Satoshi Ikeda
A place of the activity of Osteoporosis Liaison Service (OLS) is classified into the in-hospital and the out-hospital. "Kotsu-Kotsu approach" is performed in our hospital for fracture inpatients as OLS. "Kotsu-Kotsu approach" can be able to performed the various and comprehensive assessment for the patients by multi medical staff, especially Osteoporosis managers. The construction of the cooperation with other facilities is propelled for activity of out-hospital. Ministry of Health, Labour and Welfare impel to establish community-based integrated care systems...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912389/-osteoporosis-liaison-service-and-medication-instruction
#10
Fujiko Miyahara
The goals of the osteoporosis liaison service are to prevent the disease more effectively, to diagnose it properly and to provide a higher quality treatment for it as well as to increase healthy life- span and to minimize the gap in health status by offering raising awareness activities. Pharmacist can play an important role in achieving both of goals. "The family pharmacist system", which was introduced by the Pharmaceuticals and Medical Devices Law(Yakkiho)in 2016, is expected to contribute to achieve the former goal while "Health supporting pharmacy" is expected to strive for the latter goal...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912388/-osteoporosis-liaison-service-and-nutrition-counseling-and-education
#11
Noriko Tsukahara
Nutritional counseling as part of the Osteoporosis Liaison Service(OLS)should provide active nutritional counseling and lifestyle guidance by referring to the detailed methods for conducting "nutritional status assessments", an item of OLS-7, a detailed activity outcome measure of the OLS. After conducting adequate nutritional assessments, the goals for each stage of behavior change should be established, aiming to set roughly one goal for a specified period of time and increasing the goals once improvements have been made...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912387/-osteoporosis-liaison-service-and-exercise-regimens-based-on-locomotive-syndrome
#12
Hideaki Ishibashi
The purpose of Osteoporosis Liaison Service(OLS)is primary and secondary prevention of osteoporosis and fragility fracture by multiple medical occupations. Exercise instruction and exercise intervention are important factors in OLS. Exercise has effects of increasing bone density and preventing falls. In OLS, it is also necessary to disseminate knowledge on osteoporosis and fractures to the public. Main measures against locomotive syndrome(LS), meaning weakening of ambulatory ability, are exercise and nutrition, and the LS prevention campaign is thought to lead to prevention of falls...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912386/-implementation-of-fracture-liaison-service-for-a-secondary-prevention-of-fragility-fracture
#13
Noriaki Yamamoto
Secondary fracture prevention in aged people is most important issue for the reduction of fragility fractures. Implemetation of fractuire liaison service play a key role to achieve secondary fracture prevention with continuous and comprehensive care for fracture patients. Fracture Liaison Service are spread in world-wide, and demonstrated the effects for fracture incidence and economical aspects.
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912385/-primary-fracture-prevention-through-the-osteoporosis-liaison-service
#14
Shinichi Nakatoh
It is difficult to prevent primary fragility fractures because the subjects have not yet experienced a fracture. The offers of the community Osteoporosis Liaison Service are important for primary prevention of fragility fractures. The prevention, education, enlightenment, and the offer of osteoporosis examinations are included in this service. It is necessary to deliver the prevention services and osteoporosis education according to the age of the subjects. Hence, for young people, it is effective to include in school education that getting high peak bone mass is important, and for the middle-aged population, it is necessary to include education on the maintenance of bone quantity and the impact on risk factors such as smoking and excessive alcohol consumption...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28912384/-fracture-liaison-service-and-osteoporosis-liaison-service
#15
Hiroshi Hagino
Fracture Liaison Service(FLS)was initiated in the late 1990s in Europe then afterwards spread to North America and Australia. The aim of FLS is to prevent secondary fractures after fragility fractures. Because of its usefulness it has become a global success through proof of its high efficacy and cost-effectiveness. The Japan Osteoporosis Society(JOS)initiated Osteoporosis Liaison Service(OLS)in Japan. FLS and OLS have the same aim-to prevent secondary fractures; however, OSL also aims to prevent primary fractures in clinics and the community...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28870623/development-of-fracture-liaison-services-what-have-we-learned
#16
Kate E Shipman, Alison Doyle, Hilary Arden, Tim Jones, Neil J Gittoes
Due to dramatic improvements in life expectancy we are seeing a rapidly growing population of older people. Increasing frailty and susceptibility to fragility fractures are becoming pressing issues for both the individuals that suffer them as well as society, through pressures on health and social care budgets. The success of fracture liaison services, co-ordinated programmes enhancing the management of the fracture, osteoporosis, frailty and falls risk, is undisputed. To achieve optimal outcomes, however, it is important to have a standardisation of design, scope and structure of the service...
September 1, 2017: Injury
https://www.readbyqxmd.com/read/28842721/value-and-potential-limitations-of-vertebral-fracture-assessment-vfa-compared-to-conventional-spine-radiography-experience-from-a-fracture-liaison-service-fls-and-a-meta-analysis
#17
F Malgo, N A T Hamdy, C H J M Ticheler, F Smit, H M Kroon, T J Rabelink, O M Dekkers, N M Appelman-Dijkstra
We evaluated the value of VFA in the identification of vertebral fractures using a retrospective study and a meta-analysis. Performance of VFA was adequate in the meta-analysis although this was not demonstrated in our centre. We recommend checking the performance of VFA tools before exclusively relying on this tool. INTRODUCTION: Vertebral fractures are traditionally diagnosed using conventional radiographs of the spine. Vertebral fracture assessment (VFA) has been advocated as an alternative tool in the diagnosis of these fractures...
August 25, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28842362/determinants-of-short-term-fracture-risk-in-patients-with-a-recent-history-of-low-trauma-non-vertebral-fracture
#18
Aude Deloumeau, Anna Moltó, Christian Roux, Karine Briot
Low-trauma fractures tend to cluster in time, and subsequent fractures have a role in increased morbidity and mortality in osteoporotic patients. The aim of this study was to identify the risk factors of short-term subsequent non-vertebral fracture (NVF). Patients were included from the Fracture Liaison Service (FLS) which provides assessment for osteoporosis to all in-hospital patients admitted for a low-trauma NVF in the Orthopaedics department. Location and date of occurrence of previous fractures, risk factors for osteoporosis and falls were collected...
August 24, 2017: Bone
https://www.readbyqxmd.com/read/28812252/secondary-fracture-prevention-in-hip-fracture-patients-requires-cooperation-from-general-practitioners
#19
Jan Vaculík, Jan J Stepan, Pavel Dungl, Marek Majerníček, Alexander Čelko, Valér Džupa
Despite individual recommendations on osteoporosis management in patients after hip fracture surgery, addressed by orthopedic surgeons to Czech general practitioners, the patients remained undiagnosed and untreated because of provider-level barriers to post-fracture secondary prevention. PURPOSE: The goal of the study was to assess whether an individual recommendation on osteoporosis treatment addressed to a hip fracture patient's GP would lead to better osteoporosis management. METHODS: Two groups of patients who suffered hip fractures and were treated at the Orthopedic Department were evaluated...
May 18, 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28748385/effect-of-implementation-of-guidelines-on-assessment-and-diagnosis-of-vertebral-fractures-in-patients-older-than-50%C3%A2-years-with-a-recent-non-vertebral-fracture
#20
R Y van der Velde, S P G Bours, C E Wyers, W F Lems, P P M M Geusens, J P W van den Bergh
We evaluated the impact of a new Dutch guideline on systematic implementation of densitometric Vertebral Fracture Assessment (VFA) in patients with a recent non-vertebral fracture. Systematic implementation resulted in a significant increase of VFA, diagnosis of vertebral fractures (VFs), and percentage of patients eligible for treatment. INTRODUCTION: VFs are underdiagnosed although they are important predictors of fracture risk, independent of age and bone mineral density (BMD). The Dutch guideline on osteoporosis and fracture prevention recommends VFA in all patients aged >50 years with a recent non-VF...
July 26, 2017: Osteoporosis International
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