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Secondary prevention programs like Fracture Liaison Services (FLS) are crucial for osteoporosis patients. Establishing FLS in Germany can significantly improve diagnosis and treatment rates for fragility fractures, reducing the care gap.

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Area of Science:

  • Gerontology
  • Orthopedic Surgery
  • Public Health

Background:

  • Global trauma care focuses on injuries and violence, but demographic shifts necessitate addressing fragility fractures.
  • Osteoporosis is Europe's most common bone disease in older adults.
  • Fracture Liaison Services (FLS) are established in Anglo-American systems but underutilized in Germany.

Purpose of the Study:

  • To evaluate the effectiveness of specialized osteology care versus standard care for osteoporosis diagnosis and treatment after low-energy fractures in Germany.
  • To determine if establishing FLS is necessary within the German healthcare system.

Main Methods:

  • An open, randomized prospective study involving 70 patients over 60 with low-energy fractures.
  • Comparison of osteoporosis diagnosis and treatment initiation between regular aftercare (GP/orthopedist) and specialized osteologist care.
  • 82.9% follow-up rate achieved.

Main Results:

  • Only 2 of 29 patients received specific osteoporosis treatment under regular aftercare.
  • 17 of 29 patients received specific osteoporosis treatment when transferred to an osteologist.
  • Re-evaluation recommended specific osteoporosis treatment for 21 of 29 patients in the regular aftercare group.

Conclusions:

  • A significant gap exists in osteoporosis diagnosis and treatment between general practitioners/orthopedists and osteology specialists.
  • Implementing cross-sectoral networks like FLS, integrating geriatrics and orthopedic-trauma surgery, is vital for improving fracture patient aftercare in Germany.