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 place of work:
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 the journal:
Clinical Osteology 2023; 28(1-2): 6-10
Category:
Summary
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
Zdroje
1. Pikner R, Palička V, Vyskočil V et al. Definice osteoporotické (křehké) zlomeniny: stanovisko Společnosti pro metabolická onemocnění skeletu České lékařské společnosti J. E. Purkyně (SMOS ČLS JEP). Clinical Osteol 2020; 25(2): 83–84.
2. Palička V. Je péče o pacienty s osteoporózou v České republice dostatečná? Remedia 2019; 29: 258–261.
3. Pikner R, Dušek L. ÚZIS. Evropský sociální fond. Národní screeningové centrum. Dostupné z WWW: <https://www.clinicalosteology.org/casopisy/clinical-osteology/2021–3–18/lekarska-sekce-128315>.
4. Naranjo A, Daniel Prieto-Alhambra D, Sánchez-Martín J et al. Cost-Effectiveness Analysis of Fracture Liaison Services Compared with Standard of Care in the Secondary Prevention of Fragility Fractures in Spain. Clinicoecon Outcomes Res 2022; 14: 249–264. Dostupné z DOI:<http://dx.doi.org/10.2147/CEOR.S350790>.
5. Chesser TJ, Javaid MK, Zaineb M et al. Overview of fracture liaison services in the UK and Europe: standards, model of care, funding, and challenges. OTA Int 2022; 5(3 Suppl): e198. Dostupné z DOI: <http://dx.doi.org/10.1097/OI9.0000000000000198>.
6. Wu CH, Shih-Te Tu ST, Chang YF et al. Fracture liaison services improve outcomes of patients with osteoporosis-related fractures: A systematic literature review and meta-analysis. Bone 2018; 111: 92–100. Dostupné z DOI: <http://dx.doi.org/10.1016/j.bone.2018.03.018t>.
7. IOF. Capture the Fracture. Dostupné z WWW: <https://www.capturethefracture.org/>.
8. Ganda K, Puech M, Chen JS et al. Models of care for the secondary prevention of osteoporotic fractures: a systematic review and meta-analysis. Osteoporos Int 2013; 24(2): 393–406. Dostupné z DOI: <https://doi: 10.1007/s00198–012–2090-y>.
9. Stevenson M, Lloyd-Jones M, Papaioannou D. Vitamin K to prevent fractures in older women: systematic review and economic evaluation. Health Technol Assess. 2009; 13(45): iii-xi, 1–134. Dostupné z DOI: <https://doi: 10.3310/hta13450>.
10. Gregson CL, Armstrong DJ, Bowden J et al. UK clinical guideline for the prevention and treatment of osteoporosis. Arch Osteoporos 2022; 1 7(1): 5 8. D ostupné z DOI: < https://doi.org/10.1007/s11657–022–01061–5>
11. Iglesias-Rodríguez S, Domínguez-Prado DM, García-Reza A et al. Epidemiology of proximal humerus fractures. J Orthop Surg Res 2021; 16(1): 402. Dostupné z DOI: <http://dx.doi.org/10.1186/s13018–021–02551-x>.
12. Flinkkila T, Sirnio K, Hippi M et al. Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland. Osteoporos Int 2011; 2 2(8): 2 307–2312. D ostupné z DOI: <http://dx.doi.org/10.1007/s00198–010–1463–3>.
13. Sigurdardottir K, Halldorsson S, Robertsson J. Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland, in 2004. Comparison with an Icelandic study from 1985. Acta Orthop 2011; 82(4): 494–498). Dostupné z DOI: <http://dx.doi.org/10.3109/17453674.2011.606074>.
14. Rolnick SJ, Kopher R, Jackson J et al. What is the impact of osteoporosis education and bone mineral density testing for postmenopausal women in a managed care setting? Menopause 2001; 8(2): 141–148. Dostupné z DOI: <http://dx.doi.org/10.1097/00042192–200103000–00010>.
15. Jo WS, Cho EH, Kang BJ et al. The Impact of Educational Interventions on Osteoporosis Knowledge among Korean Osteoporosis Patients. J Bone M etab 2 018; 2 5(2): 115–121. D ostupné z DOI: < http://dx.doi.org/10.11005/jbm.2018.25.2.115)>.
16. Němec P, Pikner R, Hejdu K et al. Pilotní projekt FLS OSTEO – Sekundární prevence osteoporotických zlomenin. Clin Osteol 2021; 26(3): 133–142.
17. Společný bonifikační program kvality péče Q-OSTEOPORÓZA. Dostupné z WWW: <https://www.saicr.cz/wp-content/uploads/2021/01/Q-OSTEOPOROZA-PZS_2021–01–25.pdf>.
18. Pikner R, Němec P, Palička V et al. Fracture Liaison Services: Program koordinované sekundární prevence osteoporotických zlomenin. Clinical Osteol 2021; 26(3): 119–132.
19. IOF. Capture the Fracture. Map of Best Practice. Dostupné z WWW: <https://www.capturethefracture.org/map-of-best-practice>. únor 2023
Štítky
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology OsteologyČlánok vyšiel v časopise
Clinical Osteology
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