Fracture Liaison Services: Program for coordinated secondary prevention of osteoporotic fractures

Czech version

Authors: Pikner Richard ^1,2,3; Němec Pavel ^4,5; Palička Vladimír ⁶; Švagr Martin ⁷; Hejduk Karel ^4,5; Šanca Ondřej ⁴; Budíková Babora ⁴; Ngo Ondřej ^4,5; Jarkovský Jiří ^4,5; Májek Ondřej ^4,5; Duba Jaroslav ⁸; Vachek Jan ⁹
Authors‘ workplace: Oddělení klinických laboratoří, pracoviště kostního metabolizmu, Klatovská nemocnice a. s., Klatovy ¹; Ústav klinické biochemie a hematologie LF UK a FN Plzeň ²; Katedra záchranářství, diagnostických oborů a veřejného zdravotnictví, Fakulta zdravotnických studií Západočeské, univerzity v Plzni ³; Národní screeningové centrum, Ústav zdravotnických informací a statistiky ČR, Brno ⁴; Institut biostatistiky a analýz LF MU, Brno ⁵; Osteocentrum, Ústav klinické biochemie a diagnostiky LF UK a FN Hradec Králové ⁶; Ortopedické oddělení, Klatovská nemocnice a. s., Klatovy ⁷; OAKS Consulting s. r. o., Praha ⁸; Interní oddělení, Klatovská nemocnice a. s., Klatovy ⁹
Published in: Clinical Osteology 2021; 26(3): 119-132
Category:

Overview

Fracture Liaison Service (FLS) as a tool for secondary prevention of osteoporotic fractures has been proven to increase effectivity of patients´ care after osteoporotic fracture. FLS in Klatovy Hospital increased 6 times number of DXA measurements and 4-times the number of treated patients within first 6 months of implementation. There have been started 2 FLS projects in the Czech Republic in 2021. National pilot multicentric study OSTEO with 10 active participating centers verifying implementation of FLS protocols in the Czech Republic. Next project is „Q–osteoporosis“. This is pilot project to improve quality of osteoporosis care by outpatient internists. They will get more reimbursement per patient if patient is treated according to the study protocol based on principle of Identify – Investigate – Intervene – Inform (4I) and FLS both in primary and secondary osteoporosis prevention. These projects and similar ones are only the way how to improve treatment a care gap that was 96 % in patients with proximal femoral fracture in the Czech Republic in 2016.

Keywords:

fracture liaison service – low trauma fracture – osteoporosis – secondary prevention

Sources

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Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology

Q-OSTEOPOROSIS: the comprehensive program for an assessment of healthcare quality at patients with risk of osteoporotic fractures

Pilot project FLS OSTEO – Secondary prevention of osteoporotic fractures in persons aged over 50 in the Czech Republic

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Article was published in

Clinical Osteology

2021 Issue 3