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|Title: ||Optimizing fracture prevention: the fracture liaison service, an observational study|
|Authors: ||Eekman, D. A.|
van Helden, S. H.
Huisman, A. M.
Verhaar, H. J. J.
Bultink, I. E. M.
Lems, W. F.
|Issue Date: ||2014|
|Citation: ||OSTEOPOROSIS INTERNATIONAL, 25 (2), p. 701-709|
|Abstract: ||Summary: The response rate to the invitation to the fracture liaison service and reasons for non-response were evaluated in 2,207 fragility fracture patients. Fifty-one percent responded; non-responders were most often not interested (38 %) or were hip fracture patients. After 1 year of treatment, 88 % was still persistent and 2 % had a new fracture.
Introduction: To increase the percentage of elderly fracture patients undergoing a dual energy x-ray absorptiometry (DXA) measurement, and to investigate why some patients did not respond to invitation to our fracture liaison service (FLS).
Methods: In four Dutch hospitals, fracture patients ≥50 years were invited through a written or personal invitation at the surgical outpatient department, for a DXA measurement and visit to our FLS. Patients who did not respond were contacted by telephone. In patients diagnosed with osteoporosis, treatment was started. Patients were contacted every 3 months during 1 year to assess drug persistence and the occurrence of subsequent fractures.
Results: Of the 2,207 patients who were invited, 50.6 % responded. Most frequent reasons for not responding included: not interested (38%), already screened/under treatment for osteoporosis (15.7 %), physically unable to attend the clinic (11.5 %), and death (5.2 %). Hip fracture patients responded less frequently (29 %) while patients with a wrist (60 %) or ankle fracture (65.2 %) were more likely to visit the clinic. In 337 responding patients, osteoporosis was diagnosed and treatment was initiated. After 12 months of follow-up, 88 % of the patients were still persistent with anti-osteoporosis
therapy and only 2 % suffered a subsequent clinical fracture.
Conclusion: In elderly fracture patients, the use of a FLS leads
to an increased response rate, a high persistence to drug treatment, and a low rate of subsequent clinical fractures. Additional programs for hip fracture patients are required, as these patients have a low response rate.|
|Notes: ||Eekman, DA (reprint author), Vrije Univ Amsterdam Med Ctr, Dept Rheumatol, POB 7057, NL-1007 MB Amsterdam, Netherlands.
firstname.lastname@example.org; email@example.com; firstname.lastname@example.org; H.J.J.Verhaar@umcutrecht.nl; email@example.com; firstname.lastname@example.org; email@example.com; firstname.lastname@example.org|
|ISI #: ||000330981100034|
|Type: ||Journal Contribution|
|Validation: ||ecoom, 2015|
|Appears in Collections: ||Research publications|
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