Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.
Affiliation
South Tipperary General Hospital, Western road, Clonmel, Co Tipperary.Issue Date
2012-01MeSH
Absorptiometry, PhotonAged
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
Metadata
Show full item recordCitation
Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service. 2012, 105 (1):24, 26-7 Ir Med JJournal
Irish medical journalPubMed ID
22397210Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/22397210Abstract
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
ArticleLanguage
enISSN
0332-3102Collections
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