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Related Experiment Video

Updated: Jan 3, 2026

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
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Quality Improvement Initiatives in Fragility Fracture Care and Prevention.

Paul J Mitchell1,2,3, Cyrus Cooper4,5,6,7, Masaki Fujita7

  • 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. paul.mitchell@ndorms.ox.ac.uk.

Current Osteoporosis Reports
|November 18, 2019
PubMed
Summary

Fracture Liaison Services (FLS) significantly improve secondary prevention of fragility fractures by increasing osteoporosis treatment and reducing refracture risk and mortality. Implementing FLS best practices globally is key to closing care gaps.

Keywords:
American Society for Bone and Mineral ResearchAsia Pacific Fragility Fracture AllianceCapture the Fracture®Fracture Liaison ServiceFracture prevention policyFragility Fracture NetworkFragility fractureInternational Osteoporosis FoundationOrthogeriatric ServicesOsteoporosisSecondary fracture preventionSystems-based approach

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Area of Science:

  • Gerontology
  • Orthopedics
  • Public Health

Background:

  • A significant global gap exists in the secondary prevention of fragility fractures.
  • The Fracture Liaison Service (FLS) model has demonstrated effectiveness in improving care processes for fracture patients.

Purpose of the Study:

  • To review quality improvement initiatives in fragility fracture care and prevention.
  • To highlight the role of FLS in addressing care gaps.

Main Methods:

  • Systematic review of quality improvement initiatives.
  • Analysis of FLS model effectiveness based on existing literature.

Main Results:

  • FLS improves bone density testing, osteoporosis treatment initiation, and adherence.
  • FLS implementation leads to reduced refracture rates and lower mortality.
  • Clinical standards and national registries aid FLS performance benchmarking.

Conclusions:

  • FLS is a proven model for enhancing secondary fracture prevention.
  • Global, regional, and national efforts are underway to optimize fracture care.
  • Widespread adoption of FLS best practices can eliminate care gaps within a decade.