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Fracture Liaison Service

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New Horizons in Osteoporosis Management

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Abstract

Each year, hundreds of thousands of older adults unnecessarily endure debilitating fractures because the underlying cause of their broken bones, osteoporosis, was not detected or treated. These fractures impose a massive burden on the patients, as well as healthcare and social services. The International Osteoporosis Foundation subsequently supported a “Capture the Fracture” campaign to encourage the creation of FLS programs worldwide and thereby improve both the detection and subsequent management of osteoporosis-related fractures. The two major objectives of an FLS are (1) to reduce the 80% of adult low-trauma fracture patients not currently screened and/or treated for osteoporosis (“the treatment gap”) and (2) to enhance communication between different healthcare providers to facilitate the treatment of fragility fractures. Today, FLSs are widely considered the most efficient way to identify patients with a major osteoporotic fracture, assess their bone status, and select the most appropriate treatment and follow-up schedule. This chapter will discuss the concept of fracture liaison service, its different models and components, and outcomes. It will expand to discuss the cost-effectiveness of fracture liaison services and its impact on bone mineral density testing, initiation, as well as adherence to therapy. It will conclude by presenting the best practice published by the International Osteoporosis Foundation for fracture liaison services.

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  1. Canterbury Christ Church University, Canterbury, Kent, UK

    Yasser El Miedany

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    Yasser El Miedany

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El Miedany, Y. (2022). Fracture Liaison Service. In: El Miedany, Y. (eds) New Horizons in Osteoporosis Management. Springer, Cham. https://doi.org/10.1007/978-3-030-87950-1_14

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  • DOI: https://doi.org/10.1007/978-3-030-87950-1_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-87949-5

  • Online ISBN: 978-3-030-87950-1

  • eBook Packages: MedicineMedicine (R0)

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