Association between recurrent fracture risk and implementation of fracture liaison services in four swedish hospitals: a cohort study
Journal of Bone and Mineral Research Mar 27, 2020
Axelsson KF, et al. - This study was attempted to evaluate the association between implementation of fracture liaison services (FLSs) and reduced risk of recurrent fractures. Using electronic health records during 2012 to 2017, researchers designed a retrospective cohort study to distinguish a total of 21,083 individuals from four hospitals in Western Sweden, two with FLS (n = 15,449) and two without (n = 5634). They included individuals aged 50 years or older (mean age 73.9 [SD 12.4] years, 76% women) with a major osteoporotic index fracture (hip, clinical spine, humerus, radius, and pelvis), The primary endpoint included recurrent major osteoporotic fracture. They compared all individuals with an index fracture during the FLS period (n = 13,946) with all individuals in the period before FLS implementation (n = 7137) in an intention‐to‐treat analysis. The study found that implementation of FLS was correlated with a decreased risk of recurrent fracture, demonstrating that FLSs should be included routinely at hospitals treating fracture individuals.
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