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Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital

Fragility fractures pose a serious threat to patient health, quality of life, and healthcare sustainability. In order to reduce their clinical, social, and economic burden, a Fracture Liaison Service (FLS) was introduced in a high volume orthopedic hospital in 2017. The purpose of this retrospective...

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Autores principales: Pennestrì, Federico, Corbetta, Sabrina, Favero, Vittoria, Banfi, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950760/
https://www.ncbi.nlm.nih.gov/pubmed/31817294
http://dx.doi.org/10.3390/ijerph16244902
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author Pennestrì, Federico
Corbetta, Sabrina
Favero, Vittoria
Banfi, Giuseppe
author_facet Pennestrì, Federico
Corbetta, Sabrina
Favero, Vittoria
Banfi, Giuseppe
author_sort Pennestrì, Federico
collection PubMed
description Fragility fractures pose a serious threat to patient health, quality of life, and healthcare sustainability. In order to reduce their clinical, social, and economic burden, a Fracture Liaison Service (FLS) was introduced in a high volume orthopedic hospital in 2017. The purpose of this retrospective observational study is to describe the FLS protocol, introduce its preliminary outcomes, and provide an early evaluation in light of international guidelines and recommendations. All the performances suggested by the International Osteoporosis Foundation (IOF) are provided under the same institution by which a patient is admitted for surgery. Clinical indicators from patient history and administrative indicators from the hospital database have been used to estimate the spread of fragility fracture prevention and the degree of patient compliance to these programs. The research included 403 patients. Although, almost 1/3 were admitted for the second fragility fracture, only half received anti-osteoporotic treatment before it. The degree of prevention was even lower in the case of patients admitted for the first fragility fracture. The risk of being affected by a secondary fracture was seven times higher when patients did not attend any follow-up or diagnostic exam. In order to identify the main determinants of compliance with FLS and perform a cost-effectiveness analysis on a larger sample, it is fundamental to integrate data from different providers.
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spelling pubmed-69507602020-01-16 Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital Pennestrì, Federico Corbetta, Sabrina Favero, Vittoria Banfi, Giuseppe Int J Environ Res Public Health Article Fragility fractures pose a serious threat to patient health, quality of life, and healthcare sustainability. In order to reduce their clinical, social, and economic burden, a Fracture Liaison Service (FLS) was introduced in a high volume orthopedic hospital in 2017. The purpose of this retrospective observational study is to describe the FLS protocol, introduce its preliminary outcomes, and provide an early evaluation in light of international guidelines and recommendations. All the performances suggested by the International Osteoporosis Foundation (IOF) are provided under the same institution by which a patient is admitted for surgery. Clinical indicators from patient history and administrative indicators from the hospital database have been used to estimate the spread of fragility fracture prevention and the degree of patient compliance to these programs. The research included 403 patients. Although, almost 1/3 were admitted for the second fragility fracture, only half received anti-osteoporotic treatment before it. The degree of prevention was even lower in the case of patients admitted for the first fragility fracture. The risk of being affected by a secondary fracture was seven times higher when patients did not attend any follow-up or diagnostic exam. In order to identify the main determinants of compliance with FLS and perform a cost-effectiveness analysis on a larger sample, it is fundamental to integrate data from different providers. MDPI 2019-12-04 2019-12 /pmc/articles/PMC6950760/ /pubmed/31817294 http://dx.doi.org/10.3390/ijerph16244902 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pennestrì, Federico
Corbetta, Sabrina
Favero, Vittoria
Banfi, Giuseppe
Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital
title Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital
title_full Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital
title_fullStr Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital
title_full_unstemmed Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital
title_short Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital
title_sort fragility fracture prevention—implementing a fracture liaison service in a high volume orthopedic hospital
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950760/
https://www.ncbi.nlm.nih.gov/pubmed/31817294
http://dx.doi.org/10.3390/ijerph16244902
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