An evaluation of an enhanced fracture liaison service as the optimal model for secondary prevention of osteoporosis
Open Access
- 15 February 2011
- journal article
- Published by SAGE Publications in JRSM Open
- Vol. 2 (2), 1-6
- https://doi.org/10.1258/shorts.2010.010063
Abstract
Summary Objective To assess secondary preventative therapy among postmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur using two service delivery models. Design Practice in two fracture units was audited and compared using the NICE guidelines (TA 87) as an audit standard. Setting Two fracture units: one with a fracture liaison service and one without. Participants Postmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur. Main outcome measures Rate of anti-resorptive treatment and rate of enquiry into risk factors. Results There was a significantly higher rate of anti-resorptive treatment (90.5% compared to 60.9% with a difference of 29.6%, p < 0.001) and enquiry into risk factors (83% compared to 7%) in the unit with a fracture liaison service. Conclusions We propose that a hospital-based enhanced fracture liaison service may result in higher osteoporosis treatment rates among postmenopausal hospitalized hip fracture patients aged 75 years and over.Keywords
This publication has 10 references indexed in Scilit:
- Zoledronic Acid and Clinical Fractures and Mortality after Hip FractureNew England Journal of Medicine, 2007
- The Detection of Patients with ‘Fragility Fractures’ in Fracture Clinic – An Audit of Practice with Reference to Recent British Orthopaedic Association GuidelinesThe Annals of The Royal College of Surgeons of England, 2007
- Secondary Prevention of Fragility Fractures: Are We Following the Guidelines?The Annals of The Royal College of Surgeons of England, 2006
- Osteoporosis risk assessment and treatment intervention after hip or shoulder fracture: A comparison of two centres in the United KingdomInjury, 2005
- The current hospital costs of treating hip fracturesInjury, 2005
- Orthogeriatric Care in Patients with Fractures of the Proximal FemurPublished by Ovid Technologies (Wolters Kluwer Health) ,2004
- IX: Summary of Meta-Analyses of Therapies for Postmenopausal OsteoporosisEndocrine Reviews, 2002
- The cost of osteoporotic fractures in the UK: projections for 2000–2020Journal of Medical Economics, 2001
- Quality of life related to fear of falling and hip fracture in older women: a time trade off study Commentary: Older people's perspectives on life after hip fracturesBMJ, 2000
- What is the true mortality of hip fractures?Public Health, 1991