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01-12-2017 | Original Article

Fracture liaison service: report on the first successful experience from the Middle East

Authors: Falah Bachour, Maroun Rizkallah, Amer Sebaaly, Angelique Barakat, Hiba Razzouk, Rawad el Hage, Riad Nasr, Mirvat el Khoury, Ghassan Maalouf

Published in: Archives of Osteoporosis | Issue 1/2017

Abstract

Summary

This study aims to assess for the first time in the Middle East, the clinical benefits of an FLS model established in a hospital in Beirut, Lebanon. It shows a significant 54% relative risk reduction in re-fracture incidence, confirming the patient-oriented benefit of diffusing this system in the Middle East region.

Purpose/introduction

Few hospitals in Lebanon applied Fracture Liaison Service (FLS) program. A type A FLS is established at Bellevue hospital in Beirut in July 2013. This study aims to assess its clinical benefits and efficacy.

Methods

Patients aged 50 years and above presenting to our hospital with minimal trauma fracture from July 2012 till June 2014 are enrolled. These are divided into two groups, before (group A) and after (group B) FLS implementation. Both groups are compared for re-fracture incidence, bone health assessment; osteoporosis treatment maintenance, and death in a 2-year follow-up.

Results

Nighty-eight patient composing group B are compared to 100 patients in the group A. Around 65% of patients in the FLS group underwent Dexa osteodensitometry following their fracture compared to 28% in the comparator group (p < 0.001). About 54% of patients in group B maintained osteoporosis treatment compared to 26% in group A (p < 0.001). Sixteen percent of patients died in the FLS study group compared to 16% of patients in the comparator group (p = 0.950). A second fracture, happened in 8.2% of patients in the FLS study group compared to 18% of the patients in the comparator group p = 0.004. Number needed to treat reached 10.2 patients.

Conclusions

The statistical analysis results go with the overwhelming evidence concerning FLS importance in promoting bone health assessment and osteoporosis treatment in fracture patients. It also confirms the clinical value and the patient-oriented benefit of an implementation of such a system.

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Title: Fracture liaison service: report on the first successful experience from the Middle East
Authors: Falah Bachour
Maroun Rizkallah
Amer Sebaaly
Angelique Barakat
Hiba Razzouk
Rawad el Hage
Riad Nasr
Mirvat el Khoury
Ghassan Maalouf
Publication date: 01-12-2017
Publisher: Springer London
Published in: Archives of Osteoporosis / Issue 1/2017
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-017-0372-x

At a glance: The STEP trials

Springer Medicine

Fracture liaison service: report on the first successful experience from the Middle East

Abstract

Summary

Purpose/introduction

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Summary

Purpose/introduction

Methods

Results

Conclusions

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