Fracture Liaison Service: pilot project in FH Královské Vinohrady
Authors:
Kučerová Tereza 1; Suchoťko Vasyl 2; Malá Julia 1; Sotorník Richard 1; Švec Jan 3; Kirchhofová Kateřina 3; Skála-Rosenbaum Jiří 3; Brunerová Ludmila 1
Authors‘ workplace:
Interní klinika 3. LF UK a FN Královské Vinohrady, Praha
1; Interní oddělení Nemocnice Rudolfa a Stefanie Benešov, a. s., nemocnice Středočeského kraje, Benešov
2; Ortopedicko-traumatologická klinika 3. LF UK a FN Královské Vinohrady, Praha
3
Published in:
Clinical Osteology 2023; 28(1-2): 6-10
Category:
Overview
Fracture Liaison Service (FLS) represents an effective tool for patients after low-energy fracture who are at high risk of other fractures. FLS increases the rate of diagnosis and therapy of osteoporosis, decreases fracture rate and mortality and seems to be cost-effective. The vast majority of patients in Czechia (approx. 90 %) after osteoporotic fracture remains untreated. The aim of our project was to organize local FLS in Faculty Hospital Královské Vinohrady (FNKV) and assess its feasibility and efficacy. Patients treated at Orthopedic clinic FNKV with the fracture of distal forearm or proximal humerus, classified as low-energy fracture, were sent to osteologic examination. In the pilot period of 9 months, out of 403 patients with these types of fractures, 65 (16,1 %) were sent to bone specialist. Only one third arrived at the visit but the vast majority of them (81 %) started antiosteoporotic treatment. FLS in FNKV is feasible, pilot data is very promising, however, the optimization remains challenging.
Keywords:
antiosteoporotic treatment – Fracture Liaison Service (FLS) – low-energy fracture
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 TraumatologyArticle was published in
Clinical Osteology
2023 Issue 1-2
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