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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 languageEnglish
Pages (from-to)278-289
Number of pages12
JournalBest Practice & Research in Clinical Rheumatology
Volume33
Issue number2
DOIs
Publication statusPublished - 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

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