, Volume 25, Issue 6, pp 489-490
Date: 30 Mar 2005

Osteoporosis fracture liaison experience: the Belfast experience

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Dear Sir,

Osteoporotic fractures are associated with substantial morbidity and mortality and as a consequence incur a heavy financial burden, with a current cost to the National Health Service in excess of £ 1 billion [1]. Among those at greatest risk are patients with osteoporosis who have already sustained a fracture [2].

We have previously reported on the current failure of appropriate targeted therapy for these fracture patients in Northern Ireland (Northern Ireland Colles Fracture Study) [3]. The silent nature of osteoporosis makes a diagnosis prior to fracture difficult, and attendance at a fracture clinic may be the first opportunity to diagnose this condition and to intervene with appropriate treatment.

In April 2003 a fracture liaison service commenced with the appointment of a fracture liaison nursing sister. The responsibility of the nurse included:

  1. Liaison and attendance at out-patient fracture clinics to ensure patients presenting with low trauma fragility fractures were as ...