Erschienen in:
01.12.2013 | The Why and How of Fracture Liaison Services (SL Silverman, Section Editor)
Commentary: The Five Ws of a Fracture Liaison Service: Why, Who, What, Where, and How? In Osteoporosis, We Reap What We Sow
verfasst von:
Jeffrey R. Curtis, Stuart L. Silverman
Erschienen in:
Current Osteoporosis Reports
|
Ausgabe 4/2013
Einloggen, um Zugang zu erhalten
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.