An evaluation of Fracture Liaison Services in the detection and management of osteoporotic fragility fractures: A narrative review

Abstract

Objectives: To evaluate the current evidence for whether Fracture Liaison Services are being utilised effectively in the UK to aid in the prevention of fragility fractures.

Key findings: Radiological under-reporting and non-standardised assessment of fragility fractures still persist, with low numbers of patients undergoing a risk assessment and treatment for secondary prevention of fracture. In order to improve care for these patients, the reporting of vertebral fractures must be improved and standardised in order to identify patients at increased risk of secondary fragility fractures. Fracture Liaison Services determine the need for anti-resorptive therapy for the prevention of future fragility fractures. Targeted treatment of at-risk patient groups has been shown to reduce the risk of further fracture.

Conclusion: Fracture Liaison Services have been shown to be cost effective, while reducing the risk of secondary fractures, but they are not currently offered by all NHS providers.

Keywords: Fracture Liaison Service; Fragility fracture; Osteoporosis; Vertebral fracture.