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. 2011 Feb 10;2(2):8.
doi: 10.1258/shorts.2010.010063.

An evaluation of an enhanced fracture liaison service as the optimal model for secondary prevention of osteoporosis

Ir Wallace  1 , F Callachand, J Elliott, Pv Gardiner
Affiliations

An evaluation of an enhanced fracture liaison service as the optimal model for secondary prevention of osteoporosis

Ir Wallace et al. JRSM Short Rep. .

Abstract

Objective: To assess secondary preventative therapy among postmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur using two service delivery models.

Design: Practice in two fracture units was audited and compared using the NICE guidelines (TA 87) as an audit standard.

Setting: TWO FRACTURE UNITS: one with a fracture liaison service and one without.

Participants: Postmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur.

Main outcome measures: Rate of anti-resorptive treatment and rate of enquiry into risk factors.

Results: There was a significantly higher rate of anti-resorptive treatment (90.5% compared to 60.9% with a difference of 29.6%, p < 0.001) and enquiry into risk factors (83% compared to 7%) in the unit with a fracture liaison service.

Conclusions: We propose that a hospital-based enhanced fracture liaison service may result in higher osteoporosis treatment rates among postmenopausal hospitalized hip fracture patients aged 75 years and over.

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Figures

Figure 1
Figure 1
Distribution of fracture neck of femur by age at both sites
Figure 2
Figure 2
Absolute frequency of treatment modality for each site
Figure 3
Figure 3
Percentage of patients from site A and site B who were prescribed anti-resorptive treatment
Figure 4
Figure 4
Percentage of patients at each site in whom an enquiry into possible risk factors for osteoporosis was document
See this image and copyright information in PMC

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