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Erschienen in:

03.06.2024 | Review

Developing fracture liaison service framework based on comparative analysis and scoping review

verfasst von: Foziye Tahmasbi, Farahnaz Sadoughi, Abbas Sheikhtaheri, Mozhdeh Zabihiyeganeh, Farhad Ameri

Erschienen in: Osteoporosis International | Ausgabe 9/2024

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Abstract

Summary

This research conducts a comparative analysis and scoping review of 105 studies in the field of Fracture Liaison Service (FLS). The resulting two-dimensional framework represents a significant step toward FLS implementation.

Purpose

The primary goal is to review interventions in real world settings in order to provide the FLS framework that specifies the essential elements of its implementation and offers different perspectives on that.

Method

This study encompasses two phases: a comparative analysis of existing FLS models, including “Capture the Fracture,” “5IQ,” and “Ganda,” and a scoping review from 2012 to 2022 in PubMed, Web of Science, Scopus, ProQuest, and IEEE databases limited to publications in English.

Results

The resulting model of comparative analysis identifies patient identification, investigation, intervention and integration or continuity of care as the four main stages of FLS. Additionally, the elements of quality and information span across all stages. Following comparative analysis, the framework is designed to be used for content analysis of the included studies in the scoping review. The intersection of columns (Who, Where, When, What, How, Quality) with rows (Identification, Investigation, Intervention, and continuity of care) yields a set of questions, answered in tabular form based on the scoping review.

Conclusion

The framework offers potential benefits in facilitating the adoption of effective approaches for FLS implementation. It is recommended to undertake an in-depth review of each of these components in order to uncover novel and innovative approaches for improving their implementation.
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Literatur
4.
Zurück zum Zitat Geiger I, Kammerlander C, Höfer C, Volland R, Trinemeier J, Henschelchen M et al (2021) Implementation of an integrated care programme to avoid fragility fractures of the hip in older adults in 18 Bavarian hospitals – study protocol for the cluster-randomised controlled fracture liaison service FLS-CARE. BMC Geriatr 21:1–10. https://doi.org/10.1186/s12877-020-01966-1CrossRef Geiger I, Kammerlander C, Höfer C, Volland R, Trinemeier J, Henschelchen M et al (2021) Implementation of an integrated care programme to avoid fragility fractures of the hip in older adults in 18 Bavarian hospitals – study protocol for the cluster-randomised controlled fracture liaison service FLS-CARE. BMC Geriatr 21:1–10. https://​doi.​org/​10.​1186/​s12877-020-01966-1CrossRef
5.
Zurück zum Zitat Chandran M, Mitchell PJ (2021) Development of the Asia Pacific Consortium on Osteoporosis (APCO) framework: clinical standards of care for the screening, diagnosis, and management of osteoporosis in the Asia-Pacific region. In: Smith J (ed) The rise of modern genomics, 3rd edn. Wiley, New York, pp 1249–1275. https://doi.org/10.1007/s00198-020-05742-0 Chandran M, Mitchell PJ (2021) Development of the Asia Pacific Consortium on Osteoporosis (APCO) framework: clinical standards of care for the screening, diagnosis, and management of osteoporosis in the Asia-Pacific region. In: Smith J (ed) The rise of modern genomics, 3rd edn. Wiley, New York, pp 1249–1275. https://​doi.​org/​10.​1007/​s00198-020-05742-0
6.
16.
Zurück zum Zitat Fuggle NR, Kassim Javaid M, Fujita M, Halbout P, Dawson-Hughes B, Rizzoli R et al (2021) Fracture risk assessment and how to implement a fracture liaison service. In: Falaschi P, Marsh D (ed) Orthogeriatrics: the management of older patients with fragility fractures. Springer, pp 241–56. https://doi.org/10.1007/978-3-030-48126-1_14 Fuggle NR, Kassim Javaid M, Fujita M, Halbout P, Dawson-Hughes B, Rizzoli R et al (2021) Fracture risk assessment and how to implement a fracture liaison service. In: Falaschi P, Marsh D (ed) Orthogeriatrics: the management of older patients with fragility fractures. Springer, pp 241–56. https://​doi.​org/​10.​1007/​978-3-030-48126-1_​14
22.
Zurück zum Zitat Ben-Natan MRNP, Heyman NMD, Israel JBMD (2014) Evaluation of osteoporosis educational program on elders who sustained an osteoporotic fracture. Int J Caring Sci 7(2):602–609 Ben-Natan MRNP, Heyman NMD, Israel JBMD (2014) Evaluation of osteoporosis educational program on elders who sustained an osteoporotic fracture. Int J Caring Sci 7(2):602–609
24.
Zurück zum Zitat Marsh D, Mitchell P, Falaschi P, Beaupre L, Magaziner J, Seymour H et al (2021) The multidisciplinary approach to fragility fractures around the world: an overview. In: Falaschi P, Marsh D (eds) Orthogeriatrics: the management of older patients with fragility fractures. Springer, pp. 3–18. https://doi.org/10.1007/978-3-030-48126-1_1 Marsh D, Mitchell P, Falaschi P, Beaupre L, Magaziner J, Seymour H et al (2021) The multidisciplinary approach to fragility fractures around the world: an overview. In: Falaschi P, Marsh D (eds) Orthogeriatrics: the management of older patients with fragility fractures. Springer, pp. 3–18. https://​doi.​org/​10.​1007/​978-3-030-48126-1_​1
29.
Zurück zum Zitat Ragin CC (2014) Case-oriented comparative methods. In: The comparative method: moving beyond qualitative and quantitative strategies. University of California Press, pp 34–52 Ragin CC (2014) Case-oriented comparative methods. In: The comparative method: moving beyond qualitative and quantitative strategies. University of California Press, pp 34–52
45.
Zurück zum Zitat Stolnicki B, Inacio AM, Tutiya KK, Vieira LFT, Javaid MK, Calo M (2022) How to initiate and develop Fracture Liaison Services (FLS). Recommendations from the IOF Capture the Fracture (R) FLS Mentors in Brazil. Arch Osteoporos 17(1):63. https://doi.org/10.1007/s11657-022-01108-7 Stolnicki B, Inacio AM, Tutiya KK, Vieira LFT, Javaid MK, Calo M (2022) How to initiate and develop Fracture Liaison Services (FLS). Recommendations from the IOF Capture the Fracture (R) FLS Mentors in Brazil. Arch Osteoporos 17(1):63. https://​doi.​org/​10.​1007/​s11657-022-01108-7
49.
Zurück zum Zitat Zachman JA (2003) The Zachman framework for enterprise architecture. Primer for Enterprise Engineering and Manufacturing. Zachman International Zachman JA (2003) The Zachman framework for enterprise architecture. Primer for Enterprise Engineering and Manufacturing. Zachman International
53.
Zurück zum Zitat Javaid MK, Sami A, Lems W, Mitchell P, Thomas T, Singer A, Speerin R, Fujita M, Pierroz D, Akesson K, Halbout P, Ferrari S, Cooper C (2020) A patient-level key performance indicator set to measure the effectiveness of fracture liaison services and guide quality improvement: a position paper of the IOF Capture the Fracture Working Group, National Osteoporosis Foundation and Fragility Fracture Network. Osteoporos Int 31(7):1193–1204. https://doi.org/10.1007/s00198-020-05377-1CrossRefPubMedPubMedCentral Javaid MK, Sami A, Lems W, Mitchell P, Thomas T, Singer A, Speerin R, Fujita M, Pierroz D, Akesson K, Halbout P, Ferrari S, Cooper C (2020) A patient-level key performance indicator set to measure the effectiveness of fracture liaison services and guide quality improvement: a position paper of the IOF Capture the Fracture Working Group, National Osteoporosis Foundation and Fragility Fracture Network. Osteoporos Int 31(7):1193–1204. https://​doi.​org/​10.​1007/​s00198-020-05377-1CrossRefPubMedPubMedCentral
58.
Zurück zum Zitat Cornelissen D, Boonen A, Evers S, van den Bergh JP, Bours S, Wyers CE, Kuijk SV, Oostwaard MV, Weijden TVD, Hiligsmann (2021) Improvement of osteoporosis Care Organized by Nurses: ICON study - Protocol of a quasi-experimental study to assess the (cost)-effectiveness of combining a decision aid with motivational interviewing for improving medication persistence in patients with a recent fracture being treated at the fracture liaison service. BMC Musculoskelet Disord. 22(1):913. https://doi.org/10.1186/s12891-021-04743-2CrossRefPubMedPubMedCentral Cornelissen D, Boonen A, Evers S, van den Bergh JP, Bours S, Wyers CE, Kuijk SV, Oostwaard MV, Weijden TVD, Hiligsmann (2021) Improvement of osteoporosis Care Organized by Nurses: ICON study - Protocol of a quasi-experimental study to assess the (cost)-effectiveness of combining a decision aid with motivational interviewing for improving medication persistence in patients with a recent fracture being treated at the fracture liaison service. BMC Musculoskelet Disord. 22(1):913. https://​doi.​org/​10.​1186/​s12891-021-04743-2CrossRefPubMedPubMedCentral
Metadaten
Titel
Developing fracture liaison service framework based on comparative analysis and scoping review
verfasst von
Foziye Tahmasbi
Farahnaz Sadoughi
Abbas Sheikhtaheri
Mozhdeh Zabihiyeganeh
Farhad Ameri
Publikationsdatum
03.06.2024
Verlag
Springer London
Erschienen in
Osteoporosis International / Ausgabe 9/2024
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-024-07091-8

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