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

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."

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

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Recorded Ebola deaths top 7,000

13 hours ago

The worst Ebola outbreak on record has now killed more than 7,000 people, with many of the latest deaths reported in Sierra Leone, the World Health Organization said as United Nations Secretary-General Ban ...

Liberia holds Senate vote amid Ebola fears (Update)

17 hours ago

Health workers manned polling stations across Liberia on Saturday as voters cast their ballots in a twice-delayed Senate election that has been criticized for its potential to spread the deadly Ebola disease.

Evidence-based recs issued for systemic care in psoriasis

Dec 19, 2014

(HealthDay)—For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy ...

Bacteria in caramel apples kills at least four in US

Dec 19, 2014

A listeria outbreak believed to originate from commercially packaged caramel apples has killed at least four people in the United States and sickened 28 people since November, officials said Friday.

Steroid-based treatment may answer needs of pediatric EoE patients

Dec 19, 2014

A new formulation of oral budesonide suspension, a steroid-based treatment, is safe and effective in treating pediatric patients with eosinophilic esophagitis (EoE), according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal ...

User comments

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.