Review outlines best practice standards for coordinator-based fracture liaison services

August 27, 2013

An influential report published in the journal Osteoporosis International, recommends 13 best practice standards in the implementation of coordinator-based fracture liaison services (FLS). The report, 'Capture the Fracture: A Best Practice Framework and Global Campaign to Break the Fragility Fracture Cycle' (1), has been been shaped by input from leaders of established Fracture Liaison Services throughout the world and endorsed by the International Osteoporosis Foundation.

Coordinator-based FLS centre around a coordinator, often a nurse, who acts as a liaison between the patient, orthopaedist, radiologist and . Coordinator-based FLS have been shown to close the treatment gap, and are the optimal way for to identify and manage people at high risk of secondary fractures.

Addressing the treatment gap:

Fragility fractures due to osteoporosis are a major public health problem, resulting in enormous , disability, or premature death in . Up to 20% of patients die in the first year following hip fractures, and fewer than half of those who survive are able to regain their previous level of function. A patient who has had one fracture is at double the risk of suffering a second, possibly even more serious, fracture. However, as many as 80% of patients who present to a clinic with a fracture are not investigated for osteoporosis, the disease which is often the underlying cause of the fracture. This leaves the patient exposed to a very high risk of secondary fractures – and a future of pain, disability or possibly premature death.

Thirteen standards for best practice in FLS:

The authors of the 'Capture the Fracture' report provide detailed information on 13 key standards: Patient identification; Patient evaluation; Post fracture assessment timing; Vertebral fracture; Assessment guidelines; Secondary causes of osteoporosis; Falls prevention; Multifaceted health and lifestyle risk-factor assessment; Medication initiation; Medication review; Communication strategy; Long-term Management; Database.

Professor Cyrus Cooper, Chair of the IOF Committee of Scientific Advisors, stated, "If systematically identified and treated, patients who have suffered a first fracture stand a good chance of avoiding future debilitating fractures. Furthermore, for the health care system, fracture prevention results in significant cost savings. We hope that the Capture the Fracture best practice framework will assist clinics worldwide to implement effective FLS systems for secondary fracture prevention."

Explore further: Breaking the fracture cycle through effective and coordinated models of care

More information: The report, as well as other essential resources and documentation, are available on the Capture the Fracture initiative portal,

Related Stories

Osteoporosis costs EU countries 37 billion every year

April 17, 2013

A new report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations, is the first to describe in detail the epidemiology, burden, ...

Recommended for you

Monkeys in Asia harbor virus from humans, other species

November 19, 2015

When it comes to spreading viruses, bats are thought to be among the worst. Now a new study of nearly 900 nonhuman primates in Bangladesh and Cambodia shows that macaques harbor more diverse astroviruses, which can cause ...

One-step test for hepatitis C virus infection developed

November 14, 2015

UC Irvine Health researchers have developed a cost-effective one-step test that screens, detects and confirms hepatitis C virus (HCV) infections. Dr. Ke-Qin Hu, director of hepatology services, will present findings at the ...

Computer model reveals deadly route of Ebola outbreak

November 10, 2015

Using a novel statistical model, a research team led by Columbia University's Mailman School of Public Health mapped the spread of the 2014-2015 Ebola outbreak in Sierra Leone, providing the most detailed picture to date ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.