Zusammenfassung
Die Osteoporose ist eine Skeletterkrankung, die mit steigendem Lebensalter vermehrt auftritt und eine Volkskrankheit ist. In Folge einer fortgeschrittenen Osteoporose treten häufig Fragilitätsfrakturen auf, die mit einer deutlich erhöhten Morbidität und Mortalität einhergehen. Zur Behandlung der Osteoporose und Vermeidung von Fragilitätsfrakturen stehen wirksame Medikamente zur Verfügung. Leider werden in Deutschland nur wenige Patienten medikamentös behandelt. Deshalb liegt ein hohes Risiko für Folgefrakturen vor, was ein Problem im Rahmen der Alterstraumatologie darstellt. Zur Verbesserung dieser Behandlungssituation wurden im Ausland bereits erfolgreich intersektorale Versorgungsstrukturen, sog. Fracture Liaison Services (FLS) etabliert. Im Rahmen eines FLS werden Hochrisikopatienten im stationären Bereich identifiziert und koordiniert einer adäquaten Behandlung der Grunderkrankung im ambulanten Sektor zugeführt. Dadurch können das Risiko für Folgefrakturen, die Morbidität und Mortalität der Patienten sowie die Behandlungskosten insgesamt reduziert werden. In einem Pilotprojekt (FLS-Care) soll die Effizienz eines FLS im deutschen Gesundheitssystem überprüft werden, damit diese intersektorale Versorgungsstruktur flächendeckend in die Regelversorgung eingeführt werden kann.
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Kammerlander, C., Hesse, E., Stumpf, U., Neuerburg, C., Böcker, W. (2020). Intersektorale Versorgung von Patienten mit Fragilitätsfrakturen. In: Hahn, U., Kurscheid, C. (eds) Intersektorale Versorgung. Springer Gabler, Wiesbaden. https://doi.org/10.1007/978-3-658-29015-3_7
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