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Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2022

01-12-2022 | Care | Review

Experience of a systematic approach to care and prevention of fragility fractures in New Zealand

Authors: Christine Ellen Gill, Paul James Mitchell, Jan Clark, Jillian Cornish, Peter Fergusson, Nigel Gilchrist, Lynne Hayman, Sue Hornblow, David Kim, Denise Mackenzie, Stella Milsom, Adrienne von Tunzelmann, Elizabeth Binns, Kim Fergusson, Stewart Fleming, Sarah Hurring, Rebbecca Lilley, Caroline Miller, Pierre Navarre, Andrea Pettett, Shankar Sankaran, Min Yee Seow, Jenny Sincock, Nicola Ward, Mark Wright, Jacqueline Clare Therese Close, Ian Andrew Harris, Elizabeth Armstrong, Jamie Hallen, Joanna Hikaka, Ngaire Kerse, Andrea Vujnovich, Kirtan Ganda, Markus Joachim Seibel, Thomas Jackson, Paul Kennedy, Kirsten Malpas, Leona Dann, Carl Shuker, Colleen Dunne, Philip Wood, Jay Magaziner, David Marsh, Irewin Tabu, Cyrus Cooper, Philippe Halbout, Muhammad Kassim Javaid, Kristina Åkesson, Anastasia Soulié Mlotek, Eric Brûlé-Champagne, Roger Harris

Published in: Archives of Osteoporosis | Issue 1/2022

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Abstract

Summary

This narrative review describes efforts to improve the care and prevention of fragility fractures in New Zealand from 2012 to 2022. This includes development of clinical standards and registries to benchmark provision of care, and public awareness campaigns to promote a life-course approach to bone health.

Purpose

This review describes the development and implementation of a systematic approach to care and prevention for New Zealanders with fragility fractures, and those at high risk of first fracture. Progression of existing initiatives and introduction of new initiatives are proposed for the period 2022 to 2030.

Methods

In 2012, Osteoporosis New Zealand developed and published a strategy with objectives relating to people who sustain hip and other fragility fractures, those at high risk of first fragility fracture or falls and all older people. The strategy also advocated formation of a national fragility fracture alliance to expedite change.

Results

In 2017, a previously informal national alliance was formalised under the Live Stronger for Longer programme, which includes stakeholder organisations from relevant sectors, including government, healthcare professionals, charities and the health system. Outputs of this alliance include development of Australian and New Zealand clinical guidelines, clinical standards and quality indicators and a bi-national registry that underpins efforts to improve hip fracture care. All 22 hospitals in New Zealand that operate on hip fracture patients currently submit data to the registry. An analogous approach is ongoing to improve secondary fracture prevention for people who sustain fragility fractures at other sites through nationwide access to Fracture Liaison Services.

Conclusion

Widespread participation in national registries is enabling benchmarking against clinical standards as a means to improve the care of hip and other fragility fractures in New Zealand. An ongoing quality improvement programme is focused on eliminating unwarranted variation in delivery of secondary fracture prevention.
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Metadata
Title
Experience of a systematic approach to care and prevention of fragility fractures in New Zealand
Authors
Christine Ellen Gill
Paul James Mitchell
Jan Clark
Jillian Cornish
Peter Fergusson
Nigel Gilchrist
Lynne Hayman
Sue Hornblow
David Kim
Denise Mackenzie
Stella Milsom
Adrienne von Tunzelmann
Elizabeth Binns
Kim Fergusson
Stewart Fleming
Sarah Hurring
Rebbecca Lilley
Caroline Miller
Pierre Navarre
Andrea Pettett
Shankar Sankaran
Min Yee Seow
Jenny Sincock
Nicola Ward
Mark Wright
Jacqueline Clare Therese Close
Ian Andrew Harris
Elizabeth Armstrong
Jamie Hallen
Joanna Hikaka
Ngaire Kerse
Andrea Vujnovich
Kirtan Ganda
Markus Joachim Seibel
Thomas Jackson
Paul Kennedy
Kirsten Malpas
Leona Dann
Carl Shuker
Colleen Dunne
Philip Wood
Jay Magaziner
David Marsh
Irewin Tabu
Cyrus Cooper
Philippe Halbout
Muhammad Kassim Javaid
Kristina Åkesson
Anastasia Soulié Mlotek
Eric Brûlé-Champagne
Roger Harris
Publication date
01-12-2022
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2022
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-022-01138-1

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