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Fracture Liaison Service

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/27193285/delivering-a-quality-assured-fracture-liaison-service-in-a-uk-teaching-hospital-is-it-achievable
#15
K E Shipman, J Stammers, A Doyle, N Gittoes
UNLABELLED: To determine whether new national guidance on the specifications of a fracture liaison service are realistically deliverable, 1 year of data on the performance of such a service were audited. Audit targets were mostly met. This audit demonstrates that these standards are deliverable in a real world setting. INTRODUCTION: UK service specifications for a fracture liaison service (FLS) have been produced (National Osteoporosis Society, NOS) to promote effective commissioning and delivery of the highest quality care to patients with fragility fractures...
October 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27087403/secondary-fracture-prevention-needs-to-happen-in-the-country-too-the-first-two-and-a-half-years-of-the-coffs-fracture-prevention-clinic
#16
Sandy Fraser, Peter K K Wong
OBJECTIVE: To report the initial two and a half years' experience of one of the first Fracture Liaison Services in regional Australia. DESIGN: Case study. SETTING: Hospital Clinic, mid-north coast NSW. PARTICIPANTS: Patients aged ≥50 years with a fragility fracture identified at Coffs Harbour Health Campus July 2012 to December 2014. INTERVENTION: Patients were identified by a Fracture Liaison Coordinator (FLC) and seen in Fracture Prevention Clinic (FPC) by a rheumatologist...
April 18, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/26906974/high-prevalence-of-secondary-factors-for-bone-fragility-in-patients-with-a-recent-fracture-independently-of-bmd
#17
F Malgo, N M Appelman-Dijkstra, M F Termaat, H J L van der Heide, I B Schipper, T J Rabelink, N A T Hamdy
UNLABELLED: In this study, we demonstrate a high prevalence of secondary factors in patients with a recent fracture independently of bone mineral density (BMD). Our results suggest that patients with a recent fracture should be screened for secondary factors for bone fragility regardless of BMD values. INTRODUCTION: Secondary factors for bone fragility are common in patients with osteoporosis who have sustained a fracture. The majority of fragility fractures occurs, however, in patients with osteopenia, and it is not known whether secondary factors may contribute to fracture risk in these patients or in those with normal BMD...
2016: Archives of Osteoporosis
https://www.readbyqxmd.com/read/26899962/results-of-a-fracture-liaison-service-on-hip-fracture-patients-in-an-open-healthcare-system
#18
Felicia Cosman, Kathleen Nicpon, Jeri W Nieves
We assessed osteoporosis management in patients admitted for rehabilitation of acute hip fracture to an open system community hospital before and after institution of a fracture liaison service (FLS). Pre-FLS, we surveyed 60 patients 4-6 months after hip fracture. Subsequently, the FLS program performed routine consultations, and recommended lab, bone density testing (BMD) and osteoporosis medication. FLS program outcomes were assessed by survey in 75 patients after hip fracture. In the pre-FLS population, after hip fracture, 55 % changed calcium intake, 48 % changed vitamin D intake, and 35 % obtained a BMD...
February 22, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/26802076/clinical-effectiveness-of-orthogeriatric-and-fracture-liaison-service-models-of-care-for-hip-fracture-patients-population-based-longitudinal-study
#19
Samuel Hawley, M Kassim Javaid, Daniel Prieto-Alhambra, Janet Lippett, Sally Sheard, Nigel K Arden, Cyrus Cooper, Andrew Judge
OBJECTIVES: to evaluate orthogeriatric and nurse-led fracture liaison service (FLS) models of post-hip fracture care in terms of impact on mortality (30 days and 1 year) and second hip fracture (2 years). SETTING: Hospital Episode Statistics database linked to Office for National Statistics mortality records for 11 acute hospitals in a region of England. POPULATION: patients aged over 60 years admitted for a primary hip fracture from 2003 to 2013...
March 2016: Age and Ageing
https://www.readbyqxmd.com/read/26750746/proceedings-of-the-2015-santa-fe-bone-symposium-clinical-applications-of-scientific-advances-in-osteoporosis-and-metabolic-bone-disease
#20
E Michael Lewiecki, Roland Baron, John P Bilezikian, Robert E Gagel, Mary B Leonard, William D Leslie, Michael R McClung, Paul D Miller
The 2015 Santa Fe Bone Symposium was a venue for healthcare professionals and clinical researchers to present and discuss the clinical relevance of recent advances in the science of skeletal disorders, with a focus on osteoporosis and metabolic bone disease. Symposium topics included new developments in the translation of basic bone science to improved patient care, osteoporosis treatment duration, pediatric bone disease, update of fracture risk assessment, cancer treatment-related bone loss, fracture liaison services, a review of the most significant studies of the past year, and the use of telementoring with Bone Health Extension for Community Healthcare Outcomes, a force multiplier to improve the care of osteoporosis in underserved communities...
January 2016: Journal of Clinical Densitometry
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