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Fracture risk assessment and how to implement a fracture liaison service

Fuggle, Nicholas R.
Javaid, M. Kassim
Fujita, Masaki
Halbout, Philippe
Dawson-Hughes, Bess
Rizzoli, Rene
Reginster, Jean-Yves
Kanis, John A.
Cooper, Cyrus
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Abstract
The human, healthcare and financial costs of fragility fracture are considerable and at present there is an apparent need to address the growing gap between those who require treatment and those who actually receive it. Fracture Liaison Services (FLS) have been established to address this gap through the identification, treatment and monitoring of those sustaining fragility fractures with the aim of preventing secondary fractures. In this chapter, we present data from studies which support the instigation of FLS as clinically- and cost-effective initiatives. We provide a step-by-step approach to implementation and benchmarking and provide advice regarding the development of an FLS in a low-resource setting.
Keywords
fracture liaison service, osteoporosis, fragility fracture, service improvement, falls
Date
2021
Type
Book chapter
Journal
Book
Orthogeriatrics : The management of older patients with fragility fractures
Volume
Issue
Page Range
241-256
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC-ND 4.0
File Access
Open
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