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JRSM Short Rep. 2011 Feb 10;2(2):8. doi: 10.1258/shorts.2010.010063.

An evaluation of an enhanced fracture liaison service as the optimal model for secondary prevention of osteoporosis.

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1
Department of Rheumatology, Altnagelvin Area Hospital, Western Health and Social Care Trust , Londonderry , UK.

Abstract

OBJECTIVE:

To assess secondary preventative therapy among postmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur using two service delivery models.

DESIGN:

Practice in two fracture units was audited and compared using the NICE guidelines (TA 87) as an audit standard.

SETTING:

TWO FRACTURE UNITS: one with a fracture liaison service and one without.

PARTICIPANTS:

Postmenopausal female inpatients (aged 75 years and over) receiving surgical management for a fractured neck of femur.

MAIN OUTCOME MEASURES:

Rate of anti-resorptive treatment and rate of enquiry into risk factors.

RESULTS:

There was a significantly higher rate of anti-resorptive treatment (90.5% compared to 60.9% with a difference of 29.6%, p < 0.001) and enquiry into risk factors (83% compared to 7%) in the unit with a fracture liaison service.

CONCLUSIONS:

We propose that a hospital-based enhanced fracture liaison service may result in higher osteoporosis treatment rates among postmenopausal hospitalized hip fracture patients aged 75 years and over.

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