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Fracture Liaison Service

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https://www.readbyqxmd.com/read/28093017/the-bone-health-team
#1
Phillip T Lawrence, Marissa P Grotzke, Yanina Rosenblum, Richard E Nelson, Joanne LaFleur, Karla L Miller, Junjie Ma, Grant W Cannon
BACKGROUND: Significant improvements in secondary prevention of osteoporotic fractures have been noted with fracture liaison services. However, similar models for the primary prevention of such fractures have not been reported. OBJECTIVE: To determine the impact of a Bone Health Team (BHT) on osteoporosis screening and treatment rates in U.S. veterans in primary care practices. DESIGN: Historical cohort study of a primary care-based intervention of a BHT from February 2013 to February 2015...
January 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28004297/evaluation-of-the-first-fracture-liaison-service-in-the-greek-healthcare-setting
#2
Polyzois Makras, Maria Panagoulia, Andriana Mari, Stavroula Rizou, George P Lyritis
: We evaluated the first implementation of FLS in the Greek healthcare setting, at the 251 Hellenic Air Force and VA General Hospital of Athens. Participation rate was moderate (54.5%) and needs improvement; osteoporosis medication was either suggested or reviewed in 74 out of the 116 patients recruited. PURPOSE: The purpose of this study was to evaluate the first implementation of a fracture liaison service (FLS) in Greece, at the 251 Hellenic Air Force and VA General Hospital, Athens...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/27971878/one-year-patient-reported-persistence-to-antiresorptive-treatment-in-a-fracture-liaison-service-the-lucky-bone%C3%A2-program
#3
A Senay, J Delisle, J Raynauld, A Banica, Y Troyanov, P Beaumont, M Giroux, A Jodoin, Y Laflamme, S Leduc, J MacThiong, M Malo, G Maurais, H Nguyen, S Parent, P Ranger, D Rouleau, S Perreault, J C Fernandes
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27971858/cost-effectiveness-evaluation-of-fracture-liaison-services-for-the-management-of-osteoporosis-in-sweden
#4
E Jonsson, F Borgström, O Ström
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27971423/assessment-of-ctx-1-bone-biomarker-as-an-indicator-of-antiresorptive-therapy-efficacy-and-of-persistence-in-a-fracture-liaison-service
#5
M Bellemare, A Senay, J Delisle, A Banica, P Beaumont, M Giroux, A Jodoin, Y Laflamme, S Leduc, J MacThiong, M Malo, G Maurais, H Nguyen, S Parent, P Ranger, D Rouleau, Y Troyanov, S Perreault, J C Fernandes
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27956452/osteoporosis-advances-in-risk-assessment-and-management
#6
Juliet Compston
In the past three decades, there have been major advances in our understanding of bone biology and these have been -accompanied by a significant improvement in the management of osteoporosis. Fracture risk prediction algorithms using -clinical risk factors, with or without measurement of bone mineral density, have enabled more accurate targeting of treatment and a range of cost-effective pharmacological interventions is available to reduce fracture risk. Despite these advances, a number of challenges remain...
December 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/27886945/implementation-of-models-of-care-for-secondary-osteoporotic-fracture-prevention-and-orthogeriatric-models-of-care-for-osteoporotic-hip-fracture
#7
REVIEW
Paul Mitchell, Kristina Åkesson, Manju Chandran, Cyrus Cooper, Kirtan Ganda, Muriel Schneider
As the world's population ages, the prevalence of osteoporosis and its resultant fragility fractures is set to increase dramatically. This chapter focuses on current frameworks and major initiatives related to the implementation of fracture liaison services (FLS) and orthogeriatrics services (OGS), Models of Care designed to reliably implement secondary fracture prevention measures for individuals presenting to health services with fragility fractures. The current evidence base regarding the impact and effectiveness of FLS and OGS is also considered...
June 2016: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/27857238/implementation-of-fracture-liaison-service-in-a-new-zealand-public-hospital-waitemata-district-health-board-experience
#8
David Kim, Denise Mackenzie, Rick Cutfield
AIM: To analyse the performance of a Fracture Liaison Service (FLS) at Waitemata District Health Board (WDHB), and to detail how systematic secondary fracture prevention can be delivered in a secondary healthcare setting in New Zealand. METHOD: Clinical details of patients supervised by the WDHB FLS during the calendar year 2014 were reviewed and analysed. Additional information including treatment compliance and re-fracture rates were sought a year after initial intervention...
November 18, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27849385/fracture-liaison-services-multidisciplinary-approaches-to-secondary-fracture-prevention
#9
Patricia Mejia Osuna, Mary D Ruppe, Laila S Tabatabai
CONTEXT: A well-recognized gap exists between evidence-based recommendations for post-fracture care and actual clinical practice, demonstrated by the high percentage of fragility fracture patients who are neither diagnosed nor treated for osteoporosis. Our purpose is to review fracture liaison service (FLS) models and to evaluate national and international experiences in secondary fracture prevention. EVIDENCE ACQUISITION: We performed a systematic search of publication databases (MEDLINE, SCOPUS) and included randomized controlled trials, meta-analyses and review articles using the following keywords: Fracture liaison services, Secondary prevention of fracture, Post-fracture health care gap and Fragility fractures...
November 16, 2016: Endocrine Practice
https://www.readbyqxmd.com/read/27826645/surgery-alters-parameters-of-vitamin-d-status-and-other-laboratory-results
#10
N Binkley, D Coursin, D Krueger, P Iglar, J Heiner, R Illgen, M Squire, J Lappe, P Watson, K Hogan
: Fracture liaison services often perform laboratory testing, but these results may be altered by surgery. In 40 hip arthroplasty patients, many laboratory parameters of bone health relevance were reduced by 8-22% on the first post-operative day. Laboratory results obtained in the immediate post-surgery interval do not reliably ascertain baseline status. INTRODUCTION: As secondary causes of osteoporosis are common, fracture liaison services often perform laboratory testing in the immediate post-fracture interval...
November 8, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27824387/fler-utreddes-f%C3%A3-r-osteoporos-efter-inf%C3%A3-rande-av-frakturkedja
#11
Michael Lovric, Eva Ribom-Bornefalk
The aim of this retrospective study was to review the effect of a fracture liaison service (FLS) in terms of assessment and treatment of osteoporosis. An FLS is a model of care for improving the secondary preventive care of these patients. An FLS was started at Halland Hospital Halmstad in October 2013. In this study we evaluated the effect of the FLS on the follow up of patients with wrist fractures. In total 126 patients were included, equally divided in two groups before and after the implementation of the FLS...
November 1, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27773370/improvement-in-osteoporosis-detection-in-a-fracture-liaison-service-with-integration-of-a-geriatric-hip-fracture-care-program
#12
Amrut Borade, Harish Kempegowda, Akhil Tawari, Michael Suk, Daniel S Horwitz
INTRODUCTION: Care gaps have been identified in the treatment of osteoporosis after the occurrence of a fragility hip fracture. HiROC (High Risk Osteoporosis Clinic) is a fracture liaison service implemented at our institution. In ProvenCare geriatric hip fracture care program at our institution pre-set orders for the inpatient HiROC consults were prescribed. We hypothesized that there will be a significant increase in the rate of enrollment of patients in the HiROC program after the integration of the pre-set orders...
December 2016: Injury
https://www.readbyqxmd.com/read/27699441/economic-evaluation-of-osteoporosis-liaison-service-for-secondary-fracture-prevention-in-postmenopausal-osteoporosis-patients-with-previous-hip-fracture-in-japan
#13
K Moriwaki, S Noto
: A model-based cost-effectiveness analysis was performed to evaluate the cost-effectiveness of secondary fracture prevention by osteoporosis liaison service (OLS) relative to no therapy in patients with osteoporosis and a history of hip fracture. Secondary fracture prevention by OLS is cost-effective in Japanese women with osteoporosis who have suffered a hip fracture. INTRODUCTION: The purpose of this study was to estimate, from the perspective of Japan's healthcare system, the cost-effectiveness of secondary fracture prevention by OLS relative to no therapy in patients with osteoporosis and a history of hip fracture...
October 4, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27697401/high-prevalence-of-dementia-in-women-with-osteoporosis
#14
Adamah Amouzougan, Ludovic Lafaie, Hubert Marotte, Delphine Dẻnariẻ, Philippe Collet, Béatrice Pallot-Prades, Thierry Thomas
INTRODUCTION: Alzheimer's disease or other Dementias (ADD) and postmenopausal osteoporosis are two major public health problems with a huge impact on mortality. Here, we examined the prevalence of ADD in postmenopausal women with osteoporosis, monitored within a dedicated fracture liaison service. METHODS: We conducted a cross-sectional observational study in a population of 2041 women, visiting the university hospital of Saint-Etienne for a peripheral fragility fracture...
September 30, 2016: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/27632945/cost-effectiveness-of-orthogeriatric-and-fracture-liaison-service-models-of-care-for-hip-fracture-patients-a-population-based-study
#15
Jose Leal, Alastair M Gray, Samuel Hawley, Daniel Prieto-Alhambra, Antonella Delmestri, Nigel K Arden, Cyrus Cooper, M Kassim Javaid, Andrew Judge
Fracture liaison services are recommended as a model of best practice for organizing patient care and secondary fracture prevention for hip fracture patients, although variation exists in how such services are structured. There is considerable uncertainty as to which model is most cost-effective and should therefore be mandated. This study evaluated the cost- effectiveness of orthogeriatric (OG)- and nurse-led fracture liaison service (FLS) models of post-hip fracture care compared with usual care. Analyses were conducted from a health care and personal social services payer perspective, using a Markov model to estimate the lifetime impact of the models of care...
September 16, 2016: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/27458065/value-of-a-coordinated-management-of-osteoporosis-via-fracture-liaison-service-for-the-treatment-of-orthogeriatric-patients
#16
D Schray, C Neuerburg, J Stein, M Gosch, M Schieker, W Böcker, C Kammerlander
INTRODUCTION: The prevalence of osteoporosis in female patients over 75 years of age is 59.2 %. In Germany ~6.3-7.8 million patients are affected by osteoporosis. In 77 % of german patients osteoporosis is not treated adequately. Even after fragility fractures only 16-21 % of female patients and 3 % of male patients are supplied with a specific osteoporosis therapy. Establishing a Fracture Liaison Services (FLS) is a possible addition to co-management for an efficient treatment of osteoporosis in orthogeriatric patients...
October 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27368699/the-impact-of-a-standardized-order-set-for-the-management-of-non-hip-fragility-fractures-in-a-fracture-liaison-service
#17
A Senay, J Delisle, M Giroux, G Y Laflamme, S Leduc, M Malo, H Nguyen, P Ranger, J C Fernandes
: We analysed the impact of a standardized order set empowering staff nurses to independently manage a Fracture Liaison Service over a 9-month period. Nurses identified between 30 and 70 % of non-hip fragility fractures to the unit in charge of management over time. The latter managed 58 % of referred patients. INTRODUCTION: The main goal of this study was to evaluate the impact of a standardized order set empowering nurses to independently manage a fracture liaison service (FLS)...
December 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27299902/a-comprehensive-fracture-prevention-strategy-in-older-adults-the-european-union-geriatric-medicine-society-eugms-statement
#18
H Blain, T Masud, P Dargent-Molina, F C Martin, E Rosendahl, N van der Velde, J Bousquet, A Benetos, C Cooper, J A Kanis, J Y Reginster, R Rizzoli, B Cortet, M Barbagallo, K E Dreinhöfer, B Vellas, S Maggi, T Strandberg
Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society, in collaboration with the International Association of Gerontology and Geriatrics for the European Region, the European Union of Medical Specialists, and the International Osteoporosis Foundation-European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, outlines its views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people...
August 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27273355/a-comprehensive-fracture-prevention-strategy-in-older-adults-the-european-union-geriatric-medicine-society-eugms-statement
#19
H Blain, T Masud, P Dargent-Molina, F C Martin, E Rosendahl, N van der Velde, J Bousquet, A Benetos, C Cooper, J A Kanis, J Y Reginster, R Rizzoli, B Cortet, M Barbagallo, K E Dreinhöfer, B Vellas, S Maggi, T Strandberg
Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society (EUGMS), in collaboration with the International Association of Gerontology and Geriatrics for the European Region (IAGG-ER), the European Union of Medical Specialists (EUMS), the International Osteoporosis Foundation - European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, outlines its views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27230521/effectiveness-of-a-minimal-resource-fracture-liaison-service
#20
K F Axelsson, R Jacobsson, D Lund, M Lorentzon
PURPOSE: The purpose of this study was to investigate if a 2-year intervention with a minimal resource fracture liaison service (FLS) was associated with increased investigation and medical treatment and if treatment was related to reduced re-fracture risk. METHODS: The FLS started in 2013 using existing secretaries (without an FLS coordinator) at the emergency department and orthopaedic wards to identify risk patients. All patients older than 50 years of age with a fractured hip, vertebra, shoulder, wrist or pelvis were followed during 2013-2014 (n = 2713) and compared with their historic counterparts in 2011-2012 (n = 2616) at the same hospital...
May 26, 2016: Osteoporosis International
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