Abstract
In view of the high imminent risk of having subsequent fractures after a fracture, early evaluation and treatment decisions to prevent subsequent fractures are advocated. After a hip fracture, the fracture liaison service (FLS) and orthogeriatric care are considered the most appropriate organisational approaches for secondary fracture prevention following a recent fracture.
Their introduction and implementation have been shown to increase evaluation and treatment of patients at high risk for subsequent fracture. Of real-world cohort studies, most, but not all studies, indicate a lower incidence of fracture and longer survival after treatment with nitrogen-containing bisphosphonates. (C) 2019 Elsevier Ltd. All rights reserved.
Original language | English |
---|---|
Pages (from-to) | 278-289 |
Number of pages | 12 |
Journal | Best Practice & Research in Clinical Rheumatology |
Volume | 33 |
Issue number | 2 |
DOIs | |
Publication status | Published - Apr 2019 |
Keywords
- Fracture liaison service
- Orthogeriatric care
- Implementation
- Fracture risk evaluation
- Secondary osteoporosis
- Secondary fracture prevention
- Cost/effectiveness
- IMPROVE OSTEOPOROSIS TREATMENT
- HIP FRACTURE
- VERTEBRAL FRACTURE
- COST-EFFECTIVENESS
- SUBSEQUENT FRACTURE
- FRAGILITY FRACTURE
- SECONDARY OSTEOPOROSIS
- PRACTICE FRAMEWORK
- SERVICE MODELS
- INCREASED RISK