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Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
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Fracture liaison programs.

Piet Geusens1, Sandrine P G Bours2, Caroline E Wyers3

  • 1Department of Internal Medicine, Subdivision Rheumatology, CAPHRI Care and Public Health Research Institute, Maastricht University Medical Centre +, P.O. Box 5800, 6202 AZ Maastricht, the Netherlands; Biomedical Research Centre, Hasselt University, Agoralaan, Gebouw D, 3590 Diepenbeek, Belgium.

Best Practice & Research. Clinical Rheumatology
|September 25, 2019
PubMed
Summary
This summary is machine-generated.

Early evaluation and treatment are crucial to prevent subsequent fractures, especially after a hip fracture. Fracture liaison services and orthogeriatric care improve patient outcomes and reduce fracture risk.

Keywords:
Cost/effectivenessFracture liaison serviceFracture risk evaluationImplementationOrthogeriatric careSecondary fracture preventionSecondary osteoporosis

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Area of Science:

  • Gerontology
  • Orthopedics
  • Public Health

Background:

  • High risk of subsequent fractures following an initial fracture necessitates timely intervention.
  • Secondary fracture prevention strategies are vital for patient outcomes and healthcare systems.

Purpose of the Study:

  • To review the effectiveness of organizational approaches for secondary fracture prevention.
  • To assess the impact of fracture liaison services and orthogeriatric care on patient evaluation and treatment.
  • To evaluate the role of nitrogen-containing bisphosphonates in reducing fracture incidence and improving survival.

Main Methods:

  • Review of real-world cohort studies focusing on secondary fracture prevention.
  • Analysis of data on the implementation and impact of fracture liaison services (FLS) and orthogeriatric care.
  • Examination of treatment outcomes associated with nitrogen-containing bisphosphonates.

Main Results:

  • Fracture liaison services and orthogeriatric care enhance the evaluation and treatment of high-risk patients.
  • Most studies indicate that nitrogen-containing bisphosphonates are associated with a lower incidence of fractures.
  • Evidence suggests improved survival rates in patients treated with nitrogen-containing bisphosphonates.

Conclusions:

  • Implementing fracture liaison services and orthogeriatric care is recommended for secondary fracture prevention.
  • Nitrogen-containing bisphosphonates show promise in reducing fracture risk and improving long-term survival.
  • Early intervention strategies are key to mitigating the consequences of osteoporotic fractures.