Subsequent Fracture Prevention in Patients 50 Years and Older With Fragility Fractures: A Quality Improvement...

Area of Science:

• Geriatrics
• Orthopedics
• Public Health

Background:

• Osteoporosis significantly increases fracture risk in patients over 50.
• Fragility fractures in this demographic portend a high likelihood of subsequent fractures.
• Existing osteoporosis assessment rates were below 13% pre-initiative.

Purpose of the Study:

• To implement an evidence-based Fracture Liaison Service (FLS) model.
• To improve the identification and management of osteoporosis in patients with fragility fractures.
• To reduce the incidence of secondary fractures in at-risk populations.

Main Methods:

• Developed a registry to identify patients over 50 with fragility fractures.
• Implemented interventions including patient identification, outreach, education, and coordinated screening.
• Facilitated outpatient follow-up with endocrinology specialists.

Main Results:

• Patient identification rates for fragility fractures increased from 0% to 74.5% post-registry implementation.
• Screening and follow-up visits were achieved for 33.9% of identified patients.
• Significant improvement in systematic care for fracture patients.

Conclusions:

• A systematic approach is crucial for managing osteoporosis in patients over 50 with fragility fractures.
• Fracture Liaison Services (FLS) are effective in identifying and initiating treatment for at-risk individuals.
• Proactive identification, education, and assessment are key to preventing secondary fractures.