Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.

2.50
Hdl Handle:
http://hdl.handle.net/10147/219014
Title:
Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.
Authors:
Ahmed, M; Durcan, L; O'Beirne, J; Quinlan, J; Pillay, I
Affiliation:
South Tipperary General Hospital, Western road, Clonmel, Co Tipperary.
Citation:
Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service. 2012, 105 (1):24, 26-7 Ir Med J
Journal:
Irish medical journal
Issue Date:
Jan-2012
URI:
http://hdl.handle.net/10147/219014
PubMed ID:
22397210
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/22397210
Abstract:
Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.
Item Type:
Article
Language:
en
Description:
Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.
MeSH:
Absorptiometry, Photon; Aged; Bone Density; Bone Density Conservation Agents; Cost-Benefit Analysis; Diet; Female; Humans; Ireland; Life Style; Male; Mass Screening; Middle Aged; Osteoporosis; Osteoporotic Fractures; Secondary Prevention
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorAhmed, Men_GB
dc.contributor.authorDurcan, Len_GB
dc.contributor.authorO'Beirne, Jen_GB
dc.contributor.authorQuinlan, Jen_GB
dc.contributor.authorPillay, Ien_GB
dc.date.accessioned2012-04-18T14:15:30Z-
dc.date.available2012-04-18T14:15:30Z-
dc.date.issued2012-01-
dc.identifier.citationFracture liaison service in a non-regional orthopaedic clinic--a cost-effective service. 2012, 105 (1):24, 26-7 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid22397210-
dc.identifier.urihttp://hdl.handle.net/10147/219014-
dc.descriptionFracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.en_GB
dc.description.abstractFracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/22397210en_GB
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.subject.meshAbsorptiometry, Photon-
dc.subject.meshAged-
dc.subject.meshBone Density-
dc.subject.meshBone Density Conservation Agents-
dc.subject.meshCost-Benefit Analysis-
dc.subject.meshDiet-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshLife Style-
dc.subject.meshMale-
dc.subject.meshMass Screening-
dc.subject.meshMiddle Aged-
dc.subject.meshOsteoporosis-
dc.subject.meshOsteoporotic Fractures-
dc.subject.meshSecondary Prevention-
dc.titleFracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.en_GB
dc.typeArticleen
dc.contributor.departmentSouth Tipperary General Hospital, Western road, Clonmel, Co Tipperary.en_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunsteren
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