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Current Osteoporosis Reports

, Volume 11, Issue 4, pp 365–368 | Cite as

Commentary: The Five Ws of a Fracture Liaison Service: Why, Who, What, Where, and How? In Osteoporosis, We Reap What We Sow

  • Jeffrey R. CurtisEmail author
  • Stuart L. Silverman
The Why and How of Fracture Liaison Services (SL Silverman, Section Editor)

Abstract

Establishing a Fracture Liaison Service (FLS) to identify and treat patients with a recent fragility fracture has been shown to be effective, save money, useful to document high quality of care, and makes good clinical sense. A FLS starts with an osteoporosis champion and encompasses identification of patients with a recent fracture, diagnostic workup, treatment, and follow-up. A FLS is most effective when it is able to function in multiple settings: the hospital, emergency department, and outpatient clinic. Implementation may be somewhat easier in a closed healthcare system but can be feasible even in an open system. There are many barriers to implementation which can be addressed. The future of FLS care lies in a collaborative systems-based approach with appropriate stakeholder engagement, leading to seamless integration of osteoporosis care.

Keywords

Fracture Liaison Service FLS Osteoporosis management Fracture Risk Fragility fracture 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

J Curtis declares that he has no conflicts of interest. SL Silverman declares that he has no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Division of Clinical Immunology and RheumatologyUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Division of Rheumatology, Cedars-Sinai Medical Center, David Geffen School of Medicine, and OMC Clinical Research CenterLos AngelesUSA

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