Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?
- PMID: 31832386
- PMCID: PMC6901692
- DOI: 10.11005/jbm.2019.26.4.207
Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?
Abstract
The elderly population growth rate is extremely high in Korean society, and life expectancy is close to 85 years old for women and 80 for men as of people born in 2015. The future hip fracture prediction model of Korea shows that the elderly hip fracture rate will increase by 1.4 times by 2025, which will impose a serious socioeconomic burden on Korean society and become a key issue of public health management. The fracture liaison service (FLS) is defined adequate treatment and services for patients over 50 years old with fragility fractures, enabling systematic identification and decreasing the risk of subsequent osteoporotic fractures. In Korean society, the introduction of FLS, which is verified not only in the socioeconomic aspects but also in the treatment of patients, is thought to be essential. However, the challenges that need to be addressed in order to implement FLS include the lack of awareness regarding the necessity of this system, the lack of healthcare systems, and inadequate policies. In the future, further studies on the FLS and its clinical and socioeconomic effects for the Korean medical system will be necessary.
Keywords: Hip fractures; Osteoporotic fractures; Secondary prevention.
Copyright © 2019 The Korean Society for Bone and Mineral Research.
Conflict of interest statement
Conflict of interest: No potential conflict of interest relevant to this article was reported.
References
-
- Cha YH, Ha YC, Park HJ, et al. Relationship of chronic obstructive pulmonary disease severity with early and late mortality in elderly patients with hip fracture. Injury. 2019;50:1529–1533. - PubMed
-
- Yonekura H, Ide K, Onishi Y, et al. Preoperative echocardiography for patients with hip fractures undergoing surgery: A retrospective cohort study using a nationwide database. Anesth Analg. 2019;128:213–220. - PubMed
-
- Omari A, Madsen CM, Lauritzen JB, et al. Comorbidity and mortality after hip fracture in nineteen thousand six hundred and eighty two patients aged eighteen to sixty five years in Denmark from 1996 to 2012. Int Orthop. 2019;43:2621–2627. - PubMed
-
- Cha YH, Ha YC, Yoo JI, et al. Effect of causes of surgical delay on early and late mortality in patients with proximal hip fracture. Arch Orthop Trauma Surg. 2017;137:625–630. - PubMed
-
- Abrahamsen B, van Staa T, Ariely R, et al. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009;20:1633–1650. - PubMed
