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01-12-2020 | Bisphosphonate | Letter to the Editor

GP perceptions on improving a secondary care–based Fracture Liaison Service (FLS)

Authors: F. Crawford-Manning, K. Gould, N. Dale, C. Dowson, Z. Paskins

Published in: Osteoporosis International | Issue 12/2020

Excerpt

Sir, evidence has highlighted a care gap between evidence-based recommendations and actual clinical practice for post-fracture management [1]. Fracture Liaison Service (FLS) implementation is a cost and clinically effective approach in decreasing the risk of secondary fracture and associated mortality [2, 3]. However, national audit data of FLS performance still shows poor uptake of osteoporosis drugs 1 year after FLS assessment [4]. We aimed to seek GP views on how a secondary care FLS (with an FLS coordinator who undertakes all aspects of assessment and management, including follow-up, apart from issuing prescriptions) could be improved. …

Feldstein AC, Nichols GA, Elmer PJ, Smith DH, Aickin M, Herson M (2003) Older women with fractures: patients falling through the cracks of guideline-recommended osteoporosis screening and treatment. JBJS. 85(12):2294–2302CrossRef

Akesson K, Marsh D, Mitchell PJ et al (2013) Capture the fracture: a best practice framework and global campaign to break the fragility fracture cycle. Osteoporos Int. 24(8):2135–2152. https://doi.org/10.1007/s00198-013-2348-zCrossRefPubMedPubMedCentral

Nakayama A, Major G, Holliday E, Attia J, Bogduk N (2016) Evidence of effectiveness of a fracture liaison service to reduce the re-fracture rate. Osteoporos Int 27(3):873–879. https://doi.org/10.1007/s00198-015-3443-0CrossRefPubMed

Fracture liaison service database annual report. Royal College of Physicians. 2020.

Title: GP perceptions on improving a secondary care–based Fracture Liaison Service (FLS)
Authors: F. Crawford-Manning
K. Gould
N. Dale
C. Dowson
Z. Paskins
Publication date: 01-12-2020
Publisher: Springer London
Keywords: Bisphosphonate
Care
Published in: Osteoporosis International / Issue 12/2020
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-020-05648-x

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