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Quality improvement initiatives in fragility fracture care and prevention

Quality improvement initiatives in fragility fracture care and prevention
Quality improvement initiatives in fragility fracture care and prevention
PURPOSE OF REVIEW: This review sought to describe quality improvement initiatives in fragility fracture care and prevention.

RECENT FINDINGS: A major care gap persists throughout the world in the secondary prevention of fragility fractures. Systematic reviews have confirmed that the Fracture Liaison Service (FLS) model of care is associated with significant improvements in rates of bone mineral density testing, initiation of osteoporosis treatment and adherence with treatment for individuals who sustain fragility fractures. Further, these improvements in the processes of care resulted in significant reductions in refracture risk and lower post-fracture mortality. The primary challenge facing health systems now is to ensure that best practice is delivered effectively in the local healthcare setting. Publication of clinical standards for FLS at the organisational and patient level in combination with the establishment of national registries has provided a mechanism for FLS to benchmark and improve their performance. Major efforts are ongoing at the global, regional and national level to improve the acute care, rehabilitation and secondary prevention for individuals who sustain fragility fractures. Active participation in these initiatives has the potential to eliminate current care gaps in the coming decade.
510-520
Mitchell, Paul
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Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Fujita, Masaki
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Halbout, Philippe
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Akesson, Kristina E.
467438a5-e6ef-4046-8c1b-8fc102a50579
Costa, Matthew
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Dreinhöfer, Karsten
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Marsh, David
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Lee, J.K.
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Chan, D.C.
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Kassim Javaid, M.
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Mitchell, Paul
56b40648-9c11-455f-bf63-d06f59e91374
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Fujita, Masaki
715e3b1d-34ff-46ff-9340-1a337e48394d
Halbout, Philippe
a6bac6c8-e463-4c0d-bb75-389ad2b0b945
Akesson, Kristina E.
467438a5-e6ef-4046-8c1b-8fc102a50579
Costa, Matthew
81e0bebc-f0e7-4b0c-8461-370cb0881067
Dreinhöfer, Karsten
3ab1dd07-5a84-436f-ae1f-5a96b6edf274
Marsh, David
56573373-c7a1-43e4-bf3a-8b89859bd891
Lee, J.K.
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Chan, D.C.
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Kassim Javaid, M.
12781b29-34fa-4158-837b-daf452b8d4ed

Mitchell, Paul, Cooper, Cyrus, Fujita, Masaki, Halbout, Philippe, Akesson, Kristina E., Costa, Matthew, Dreinhöfer, Karsten, Marsh, David, Lee, J.K., Chan, D.C. and Kassim Javaid, M. (2019) Quality improvement initiatives in fragility fracture care and prevention. Current Osteoporosis Reports, 17 (6), 510-520. (doi:10.1007/s11914-019-00544-8).

Record type: Article

Abstract

PURPOSE OF REVIEW: This review sought to describe quality improvement initiatives in fragility fracture care and prevention.

RECENT FINDINGS: A major care gap persists throughout the world in the secondary prevention of fragility fractures. Systematic reviews have confirmed that the Fracture Liaison Service (FLS) model of care is associated with significant improvements in rates of bone mineral density testing, initiation of osteoporosis treatment and adherence with treatment for individuals who sustain fragility fractures. Further, these improvements in the processes of care resulted in significant reductions in refracture risk and lower post-fracture mortality. The primary challenge facing health systems now is to ensure that best practice is delivered effectively in the local healthcare setting. Publication of clinical standards for FLS at the organisational and patient level in combination with the establishment of national registries has provided a mechanism for FLS to benchmark and improve their performance. Major efforts are ongoing at the global, regional and national level to improve the acute care, rehabilitation and secondary prevention for individuals who sustain fragility fractures. Active participation in these initiatives has the potential to eliminate current care gaps in the coming decade.

Text
Curr Osteo Rep 2019 - v3.0 PJM 29-9-2019 Unlinked refs - Accepted Manuscript
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More information

Accepted/In Press date: 1 November 2019
e-pub ahead of print date: 16 November 2019
Published date: December 2019

Identifiers

Local EPrints ID: 435994
URI: http://eprints.soton.ac.uk/id/eprint/435994
PURE UUID: 4536d2f0-6672-405f-b600-ab4c392e35fd
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 26 Nov 2019 17:30
Last modified: 26 Nov 2021 05:17

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Contributors

Author: Paul Mitchell
Author: Cyrus Cooper ORCID iD
Author: Masaki Fujita
Author: Philippe Halbout
Author: Kristina E. Akesson
Author: Matthew Costa
Author: Karsten Dreinhöfer
Author: David Marsh
Author: J.K. Lee
Author: D.C. Chan
Author: M. Kassim Javaid

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