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Quality Improvement Initiatives in Fragility Fracture Care and Prevention

Mitchell, Paul J. ; Cooper, Cyrus ; Fujita, Masaki ; Halbout, Philippe ; Åkesson, Kristina LU ; Costa, Matthew ; Dreinhöfer, Karsten E. ; Marsh, David R. ; Lee, Joon Kiong and Chan, Ding Cheng (Derrick) , et al. (2019) In Current Osteoporosis Reports 17(6). p.510-520
Abstract

Purpose of Review: This review sought to describe quality improvement initiatives in fragility fracture care and prevention. Recent Findings: A major care gap persists throughout the world in the secondary prevention of fragility fractures. Systematic reviews have confirmed that the Fracture Liaison Service (FLS) model of care is associated with significant improvements in rates of bone mineral density testing, initiation of osteoporosis treatment and adherence with treatment for individuals who sustain fragility fractures. Further, these improvements in the processes of care resulted in significant reductions in refracture risk and lower post-fracture mortality. The primary challenge facing health systems now is to ensure that best... (More)

Purpose of Review: This review sought to describe quality improvement initiatives in fragility fracture care and prevention. Recent Findings: A major care gap persists throughout the world in the secondary prevention of fragility fractures. Systematic reviews have confirmed that the Fracture Liaison Service (FLS) model of care is associated with significant improvements in rates of bone mineral density testing, initiation of osteoporosis treatment and adherence with treatment for individuals who sustain fragility fractures. Further, these improvements in the processes of care resulted in significant reductions in refracture risk and lower post-fracture mortality. The primary challenge facing health systems now is to ensure that best practice is delivered effectively in the local healthcare setting. Publication of clinical standards for FLS at the organisational and patient level in combination with the establishment of national registries has provided a mechanism for FLS to benchmark and improve their performance. Summary: Major efforts are ongoing at the global, regional and national level to improve the acute care, rehabilitation and secondary prevention for individuals who sustain fragility fractures. Active participation in these initiatives has the potential to eliminate current care gaps in the coming decade.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
American Society for Bone and Mineral Research, Asia Pacific Fragility Fracture Alliance, Capture the Fracture, Fracture Liaison Service, Fracture prevention policy, Fragility fracture, Fragility Fracture Network, International Osteoporosis Foundation, Orthogeriatric Services, Osteoporosis, Secondary fracture prevention, Systems-based approach
in
Current Osteoporosis Reports
volume
17
issue
6
pages
11 pages
publisher
Current Science, Inc.
external identifiers
  • pmid:31734907
  • scopus:85077577377
ISSN
1544-1873
DOI
10.1007/s11914-019-00544-8
language
English
LU publication?
yes
id
c72e0697-b2b2-49c1-8c62-844bb4f85073
date added to LUP
2020-01-27 14:59:25
date last changed
2024-04-17 03:00:03
@article{c72e0697-b2b2-49c1-8c62-844bb4f85073,
  abstract     = {{<p>Purpose of Review: This review sought to describe quality improvement initiatives in fragility fracture care and prevention. Recent Findings: A major care gap persists throughout the world in the secondary prevention of fragility fractures. Systematic reviews have confirmed that the Fracture Liaison Service (FLS) model of care is associated with significant improvements in rates of bone mineral density testing, initiation of osteoporosis treatment and adherence with treatment for individuals who sustain fragility fractures. Further, these improvements in the processes of care resulted in significant reductions in refracture risk and lower post-fracture mortality. The primary challenge facing health systems now is to ensure that best practice is delivered effectively in the local healthcare setting. Publication of clinical standards for FLS at the organisational and patient level in combination with the establishment of national registries has provided a mechanism for FLS to benchmark and improve their performance. Summary: Major efforts are ongoing at the global, regional and national level to improve the acute care, rehabilitation and secondary prevention for individuals who sustain fragility fractures. Active participation in these initiatives has the potential to eliminate current care gaps in the coming decade.</p>}},
  author       = {{Mitchell, Paul J. and Cooper, Cyrus and Fujita, Masaki and Halbout, Philippe and Åkesson, Kristina and Costa, Matthew and Dreinhöfer, Karsten E. and Marsh, David R. and Lee, Joon Kiong and Chan, Ding Cheng (Derrick) and Javaid, M. Kassim}},
  issn         = {{1544-1873}},
  keywords     = {{American Society for Bone and Mineral Research; Asia Pacific Fragility Fracture Alliance; Capture the Fracture; Fracture Liaison Service; Fracture prevention policy; Fragility fracture; Fragility Fracture Network; International Osteoporosis Foundation; Orthogeriatric Services; Osteoporosis; Secondary fracture prevention; Systems-based approach}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{510--520}},
  publisher    = {{Current Science, Inc.}},
  series       = {{Current Osteoporosis Reports}},
  title        = {{Quality Improvement Initiatives in Fragility Fracture Care and Prevention}},
  url          = {{http://dx.doi.org/10.1007/s11914-019-00544-8}},
  doi          = {{10.1007/s11914-019-00544-8}},
  volume       = {{17}},
  year         = {{2019}},
}