Evaluation of the Fracture Liaison Service within the Canadian Healthcare Setting.


Journal

Journal of osteoporosis
ISSN: 2090-8059
Titre abrégé: J Osteoporos
Pays: United States
ID NLM: 101538878

Informations de publication

Date de publication:
2020
Historique:
received: 22 05 2019
accepted: 17 02 2020
entrez: 8 4 2020
pubmed: 8 4 2020
medline: 8 4 2020
Statut: epublish

Résumé

Previous studies evaluating fracture liaison service (FLS) programs have found them to be cost-effective, efficient, and reduce the risk of fracture. However, few studies have evaluated the clinical effectiveness of these programs. We compared the patient populations of those referred for osteoporosis management by FLS to those referred by primary care physicians (PCP), within the Canadian healthcare system in the province of Ontario. Specifically, we investigated if a referral from FLS is similarly effective as PCP at identifying patients at risk for future osteoporotic fractures and if osteoporosis therapies have been previously initiated. A retrospective chart review of patients assessed by a single Ontario rheumatology practice affiliated with FLS between January 1, 2014, and December 31, 2017, was performed identifying two groups: those referred by FLS within Hamilton and those referred by their PCP for osteoporosis management. Fracture risk of each patient was determined using FRAX. A total of 573 patients (

Identifiants

pubmed: 32257097
doi: 10.1155/2020/6742604
pmc: PMC7115141
doi:

Types de publication

Journal Article

Langues

eng

Pagination

6742604

Informations de copyright

Copyright © 2020 Matthew Wong-Pack et al.

Déclaration de conflit d'intérêts

A.N. Lau has received consulting fee (less than $10,000 each), speaking fee, and/or honoraria from Amgen Inc., Abbvie, Bristol Meyers Squibb, Roche, and UCB Pharma. J.D. Adachi has received consulting fee (less than $10,000 each), speaking fee, and/or honoraria from AgNovos, Amgen Inc., Eli Lilly, and Merck. M. Wong-Pack, N. Naqvi, and G. Ioannidis have no conflicts of interest to declare.

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Auteurs

Matthew Wong-Pack (M)

Department of Medicine, University of Toronto, Toronto, ON, Canada.

Nawazish Naqvi (N)

Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.

George Ioannidis (G)

Geriatric Education and Research in Aging Sciences (GERAS), St Peter's Hospital, Hamilton, ON, Canada.

Ramy Khalil (R)

Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.

Alexandra Papaioannou (A)

Geriatric Education and Research in Aging Sciences (GERAS), St Peter's Hospital, Hamilton, ON, Canada.

Jonathan Adachi (J)

Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.

Arthur N Lau (AN)

Division of Rheumatology, Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.

Classifications MeSH