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Quality Improvement Initiatives in Fragility Fracture Care and Prevention.
Mitchell, Paul J; Cooper, Cyrus; Fujita, Masaki; Halbout, Philippe; Åkesson, Kristina; Costa, Matthew; Dreinhöfer, Karsten E; Marsh, David R; Lee, Joon-Kiong; Chan, Ding-Cheng Derrick; Javaid, M Kassim.
Afiliação
  • Mitchell PJ; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. paul.mitchell@ndorms.ox.ac.uk.
  • Cooper C; School of Medicine, Sydney Campus, The University of Notre Dame Australia, 140 Broadway, Sydney, NSW, 2007, Australia. paul.mitchell@ndorms.ox.ac.uk.
  • Fujita M; Fragility Fracture Network, c/o MCI Schweiz AG, Schaffhauserstrasse 550, 8052, Zürich, Switzerland. paul.mitchell@ndorms.ox.ac.uk.
  • Halbout P; MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
  • Åkesson K; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
  • Costa M; NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.
  • Dreinhöfer KE; International Osteoporosis Foundation, 9 rue Juste-Olivier, CH-1260, Nyon, Switzerland.
  • Marsh DR; International Osteoporosis Foundation, 9 rue Juste-Olivier, CH-1260, Nyon, Switzerland.
  • Lee JK; International Osteoporosis Foundation, 9 rue Juste-Olivier, CH-1260, Nyon, Switzerland.
  • Chan DD; International Osteoporosis Foundation, 9 rue Juste-Olivier, CH-1260, Nyon, Switzerland.
  • Javaid MK; Department of Orthopaedics, Skane University Hospital, Malmö, Sweden.
Curr Osteoporos Rep ; 17(6): 510-520, 2019 12.
Article em En | MEDLINE | ID: mdl-31734907
ABSTRACT
PURPOSE OF REVIEW This review sought to describe quality improvement initiatives in fragility fracture care and prevention. RECENT

FINDINGS:

A major care gap persists throughout the world in the secondary prevention of fragility fractures. Systematic reviews have confirmed that the Fracture Liaison Service (FLS) model of care is associated with significant improvements in rates of bone mineral density testing, initiation of osteoporosis treatment and adherence with treatment for individuals who sustain fragility fractures. Further, these improvements in the processes of care resulted in significant reductions in refracture risk and lower post-fracture mortality. The primary challenge facing health systems now is to ensure that best practice is delivered effectively in the local healthcare setting. Publication of clinical standards for FLS at the organisational and patient level in combination with the establishment of national registries has provided a mechanism for FLS to benchmark and improve their performance. Major efforts are ongoing at the global, regional and national level to improve the acute care, rehabilitation and secondary prevention for individuals who sustain fragility fractures. Active participation in these initiatives has the potential to eliminate current care gaps in the coming decade.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 6_ODS3_enfermedades_notrasmisibles Base de dados: MEDLINE Assunto principal: Osteoporose / Encaminhamento e Consulta / Conservadores da Densidade Óssea / Fraturas por Osteoporose / Melhoria de Qualidade Tipo de estudo: Guideline / Prognostic_studies Limite: Humans Idioma: En Revista: Curr Osteoporos Rep Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 6_ODS3_enfermedades_notrasmisibles Base de dados: MEDLINE Assunto principal: Osteoporose / Encaminhamento e Consulta / Conservadores da Densidade Óssea / Fraturas por Osteoporose / Melhoria de Qualidade Tipo de estudo: Guideline / Prognostic_studies Limite: Humans Idioma: En Revista: Curr Osteoporos Rep Ano de publicação: 2019 Tipo de documento: Article