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Osteoporosis International
Published in: Osteoporosis International 3/2011

01-08-2011 | Opinion Paper

Fracture Liaison Services: the UK experience

Author: P. J. Mitchell

Published in: Osteoporosis International | Special Issue 3/2011

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Abstract

Fracture Liaison Services (FLS) have been shown to deliver clinically and cost-effective osteoporosis care for patients presenting to hospital with fragility fractures. During the first decade of the new millennium, a consensus emerged in the UK on the need for universal access to FLS. This presentation described constructive interactions between policy makers, professional organizations, patients and their associations, and pharmaceutical manufacturers that led to the incorporation of FLS into national policy and guidance.
Footnotes
1
NICE is an independent organization responsible for developing clinical guidelines and providing national guidance on promoting good health and preventing and treating ill health.
 
Literature
1.
2.
3.
4.
Eastell R, Reid DM, Compston J et al (2001) Secondary prevention of osteoporosis: when should a non-vertebral fracture be a trigger for action? Q J Med 94(11):575–597
5.
Elliot-Gibson V, Bogoch ER, Jamal SA et al (2004) Practice patterns in the diagnosis and treatment of osteoporosis after a fragility fracture: a systematic review. Osteoporos Int 15(10):767–778PubMedCrossRef
6.
Giangregorio L, Papaioannou A, Cranney A et al (2006) Fragility fractures and the osteoporosis care gap: an international phenomenon. Semin Arthritis Rheum 35(5):293–305PubMedCrossRef
7.
British Orthopaedic Association (2003) Blue Book: the care of fragility fracture patients
8.
9.
10.
Gallagher JC, Melton LJ, Riggs BL et al (1980) Epidemiology of fractures of the proximal femur in Rochester, Minnesota. Clin Orthop Relat Res 150:163–171PubMed
11.
Port L, Center J, Briffa NK et al (2003) Osteoporotic fracture: missed opportunity for intervention. Osteoporos Int 14(9):780–784PubMedCrossRef
12.
13.
Edwards BJ, Bunta AD, Simonelli C et al (2007) Prior fractures are common in patients with subsequent hip fractures. Clin Orthop Relat Res 461:226–230PubMed
14.
Brankin E, Mitchell C, Munro R (2005) Closing the osteoporosis management gap in primary care: a secondary prevention of fracture programme. Curr Med Res Opin 21:425–482CrossRef
15.
16.
Nevitt MC, Cummings SR, Browner WS et al (1992) The accuracy of self-report of fractures in elderly women: evidence from a prospective study. Am J Epidemiol 135:490–499PubMed
17.
Hundrup YA, Hoidrup S, Obel EB et al (2004) The validity of self reported fractures among Danish female nurses: comparison with fractures registered in the Danish National Hospital Register. Scandanavian Journal of Public Health 32:136–143CrossRef
18.
Ivers RQ, Cumming RG, Mitchell P et al (2002) The accuracy of self-reported fractures in older people. J Clin Epidemiol 55:452–457PubMedCrossRef
19.
McLellan A, Gallacher S, Fraser M et al (2003) The fracture liaison service: success of a program for the evaluation and management of patients with osteoporotic fracture. Osteoporos Int 14(12):1028–1034PubMedCrossRef
20.
Gallacher SJ (2005) Setting up an osteoporosis fracture liaison service: background and potential outcomes. Best Pract Res Clin Rheumatol 19(6):1081–1094PubMedCrossRef
21.
National Institute for Health and Clinical Excellence (2004) Falls: the assessment and prevention of falls in older people. Clinical guideline 21. Available for download from: http://​www.​nice.​org.​uk/​CG21. Accessed 10 March 2011
22.
Langridge CR, McQuillian C, Watson WS et al (2007) Refracture following Fracture Liaison Service assessment illustrates the requirement for integrated falls and fracture services. Calcif Tissue Int 81(2):85–91PubMedCrossRef
23.
Dell R, Greene D, Schelkun SR et al (2008) Osteoporosis disease management: the role of the orthopaedic surgeon. Journal of Bone and Joint Surgery (Am) 90(Suppl 4):188–194CrossRef
24.
Majumdar SR, Lier DA, Rowe BH et al (2011) Cost-effectiveness of a multifaceted intervention to improve quality of osteoporosis care after wrist fracture. Osteoporosis Int 22(6):1799–1808CrossRef
25.
Majumdar SR, Lier DA, Beaupre LA et al (2009) Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial. Arch Intern Med 169(1):25–31PubMedCrossRef
26.
27.
Chami G, Jeys L, Freudmann M et al (2006) Are osteoporotic fractures being adequately investigated?: A questionnaire of GP & orthopaedic surgeons. BMC Fam Pract 7(1):7PubMedCrossRef
28.
29.
30.
Clinical Effectiveness and Evaluation Unit of the Royal College of Physicians, London (2006) National Audit of the Organization of Services for Falls and Bone Health for Older People
31.
32.
33.
34.
35.
36.
37.
38.
Jennings LA, Auerbach AD, Maselli J et al (2010) Missed opportunities for osteoporosis treatment in patients hospitalized for hip fracture. J Am Geriatr Soc 58(4):650–657PubMedCrossRef
39.
40.
41.
42.
Metadata
Title
Fracture Liaison Services: the UK experience
Author
P. J. Mitchell
Publication date
01-08-2011
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue Special Issue 3/2011
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-011-1702-2

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