Next Article in Journal
Mercury Exposure, Fish Consumption, and Perceived Risk among Pregnant Women in Coastal Florida
Previous Article in Journal
Influences of Built Environment with Hilly Terrain on Physical Activity in Dalian, China: An Analysis of Mediation by Perceptions and Moderation by Social Environment
Open AccessFeature PaperArticle

Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital

1
IRCCS Orthopedic Institute Galeazzi, Scientific Direction, 20161 Milan, Italy
2
IRCCS Orthopedic Institute Galeazzi, Endocrinology and Diabetology Service, 20161 Milan, Italy
3
Department of Biomedical, Surgical and Odontoiatric Services, University of Milan, 20122 Milan, Italy
4
Università Vita-Salute San Raffaele, Scientific Direction, 20132 Milan, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(24), 4902; https://doi.org/10.3390/ijerph16244902
Received: 12 November 2019 / Revised: 28 November 2019 / Accepted: 1 December 2019 / Published: 4 December 2019
Fragility fractures pose a serious threat to patient health, quality of life, and healthcare sustainability. In order to reduce their clinical, social, and economic burden, a Fracture Liaison Service (FLS) was introduced in a high volume orthopedic hospital in 2017. The purpose of this retrospective observational study is to describe the FLS protocol, introduce its preliminary outcomes, and provide an early evaluation in light of international guidelines and recommendations. All the performances suggested by the International Osteoporosis Foundation (IOF) are provided under the same institution by which a patient is admitted for surgery. Clinical indicators from patient history and administrative indicators from the hospital database have been used to estimate the spread of fragility fracture prevention and the degree of patient compliance to these programs. The research included 403 patients. Although, almost 1/3 were admitted for the second fragility fracture, only half received anti-osteoporotic treatment before it. The degree of prevention was even lower in the case of patients admitted for the first fragility fracture. The risk of being affected by a secondary fracture was seven times higher when patients did not attend any follow-up or diagnostic exam. In order to identify the main determinants of compliance with FLS and perform a cost-effectiveness analysis on a larger sample, it is fundamental to integrate data from different providers. View Full-Text
Keywords: fracture liaison service; value-based healthcare; osteoporosis prevention; capture the fracture; fragility fracture; endocrinology; sustainability fracture liaison service; value-based healthcare; osteoporosis prevention; capture the fracture; fragility fracture; endocrinology; sustainability
Show Figures

Figure 1

MDPI and ACS Style

Pennestrì, F.; Corbetta, S.; Favero, V.; Banfi, G. Fragility Fracture Prevention—Implementing a Fracture Liaison Service in a High Volume Orthopedic Hospital. Int. J. Environ. Res. Public Health 2019, 16, 4902.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop