Coordinator-based systems for secondary prevention in fragility fracture patients
(2011) In Osteoporosis International 22(7). p.2051-2065- Abstract
- The underlying causes of incident fractures-bone fragility and the tendency to fall-remain under-diagnosed and under-treated. This care gap in secondary prevention must be addressed to minimise both the debilitating consequences of subsequent fractures for patients and the associated economic burden to healthcare systems. Clinical systems aimed at ensuring appropriate management of patients following fracture have been developed around the world. A systematic review of the literature showed that 65% of systems reported include a dedicated coordinator who acts as the link between the orthopaedic team, the osteoporosis and falls services, the patient and the primary care physician. Coordinator-based systems facilitate bone mineral density... (More)
- The underlying causes of incident fractures-bone fragility and the tendency to fall-remain under-diagnosed and under-treated. This care gap in secondary prevention must be addressed to minimise both the debilitating consequences of subsequent fractures for patients and the associated economic burden to healthcare systems. Clinical systems aimed at ensuring appropriate management of patients following fracture have been developed around the world. A systematic review of the literature showed that 65% of systems reported include a dedicated coordinator who acts as the link between the orthopaedic team, the osteoporosis and falls services, the patient and the primary care physician. Coordinator-based systems facilitate bone mineral density testing, osteoporosis education and care in patients following a fragility fracture and have been shown to be cost-saving. Other success factors included a fracture registry and a database to monitor the care provided to the fracture patient. Implementation of such a system requires an audit of existing arrangements, creation of a network of healthcare professionals with clearly defined roles and the identification of a 'medical champion' to lead the project. A business case is needed to acquire the necessary funding. Incremental, achievable targets should be identified. Clinical pathways should be supported by evidence-based recommendations from national or regional guidelines. Endorsement of the proposed model within national healthcare policies and advocacy programmes can achieve alignment of the objectives of policy makers, professionals and patients. Successful transformation of care relies upon consensus amongst all participants in the multi-disciplinary team that cares for fragility fracture patients. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1985233
- author
- Marsh, D. ; Åkesson, Kristina LU ; Beaton, D. E. ; Bogoch, E. R. ; Boonen, S. ; Brandi, M. -L. ; McLellan, A. R. ; Mitchell, P. J. ; Sale, J. E. M. and Wahl, D. A.
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Clinical systems, FLS, Fracture prevention, IOF, Osteoporosis, Osteoporotic fracture
- in
- Osteoporosis International
- volume
- 22
- issue
- 7
- pages
- 2051 - 2065
- publisher
- Springer
- external identifiers
-
- wos:000291227700002
- scopus:79959990095
- pmid:21607807
- ISSN
- 1433-2965
- DOI
- 10.1007/s00198-011-1642-x
- language
- English
- LU publication?
- yes
- id
- f8fc7a4b-1e7a-41d2-88fc-44583eef6069 (old id 1985233)
- date added to LUP
- 2016-04-01 14:20:08
- date last changed
- 2022-04-22 02:40:17
@article{f8fc7a4b-1e7a-41d2-88fc-44583eef6069,
abstract = {{The underlying causes of incident fractures-bone fragility and the tendency to fall-remain under-diagnosed and under-treated. This care gap in secondary prevention must be addressed to minimise both the debilitating consequences of subsequent fractures for patients and the associated economic burden to healthcare systems. Clinical systems aimed at ensuring appropriate management of patients following fracture have been developed around the world. A systematic review of the literature showed that 65% of systems reported include a dedicated coordinator who acts as the link between the orthopaedic team, the osteoporosis and falls services, the patient and the primary care physician. Coordinator-based systems facilitate bone mineral density testing, osteoporosis education and care in patients following a fragility fracture and have been shown to be cost-saving. Other success factors included a fracture registry and a database to monitor the care provided to the fracture patient. Implementation of such a system requires an audit of existing arrangements, creation of a network of healthcare professionals with clearly defined roles and the identification of a 'medical champion' to lead the project. A business case is needed to acquire the necessary funding. Incremental, achievable targets should be identified. Clinical pathways should be supported by evidence-based recommendations from national or regional guidelines. Endorsement of the proposed model within national healthcare policies and advocacy programmes can achieve alignment of the objectives of policy makers, professionals and patients. Successful transformation of care relies upon consensus amongst all participants in the multi-disciplinary team that cares for fragility fracture patients.}},
author = {{Marsh, D. and Åkesson, Kristina and Beaton, D. E. and Bogoch, E. R. and Boonen, S. and Brandi, M. -L. and McLellan, A. R. and Mitchell, P. J. and Sale, J. E. M. and Wahl, D. A.}},
issn = {{1433-2965}},
keywords = {{Clinical systems; FLS; Fracture prevention; IOF; Osteoporosis; Osteoporotic fracture}},
language = {{eng}},
number = {{7}},
pages = {{2051--2065}},
publisher = {{Springer}},
series = {{Osteoporosis International}},
title = {{Coordinator-based systems for secondary prevention in fragility fracture patients}},
url = {{http://dx.doi.org/10.1007/s00198-011-1642-x}},
doi = {{10.1007/s00198-011-1642-x}},
volume = {{22}},
year = {{2011}},
}