The following examples of coordinator-based, post-fracture models of care demonstrate that a systematic approach to fragility fracture prevention has been successfully implemented in many countries, with structurally distinct healthcare systems.
Australia
Concord Repatriation General Hospital, Sydney
The Minimal Trauma Fracture Liaison (MTFL) service
- Targeted intervention reduces refracture rates in patients with incident non-vertebral osteoporotic fractures: a 4-year prospective controlled study. Lih A, Nandapalan H, Kim M, Yap C, Lee P, Ganda K, Seibel MJ. Osteoporos Int. 2011 Mar;22(3):849-858. PubMed ID 21107534
- Cost-effectiveness of the Concord Minimal Trauma Fracture Liaison service, a prospective, controlled fracture prevention study. Cooper MS, Palmer AJ, Seibel MJ. Osteoporos Int. 2012 Jan;23(1):97-107. PubMed ID 21953475
Canada
St. Michael’s Hospital, Toronto
The Osteoporosis Exemplary Care Program (OECP)
Singapore
Singapore hospitals
Netherlands
Academic Hospital of Maastricht
United Kingdom
Glasgow, Scotland
- The fracture liaison service: success of a program for the evaluation and management of patients with osteoporotic fracture. McLellan AR, Gallacher SJ, Fraser M, McQuillian C. Osteoporos Int. 2003 Dec;14(12):1028-1034. PubMed ID 14600804
- Fracture liaison services for the evaluation and management of patients with osteoporotic fracture: a cost-effectiveness evaluation based on data collected over 8 years of service provision. McLellan AR, Wolowacz SE, Zimovetz EA, Beard SM, Lock S, McCrink L, Adekunle F, Roberts D. Osteoporos Int. 2011 Jul;22(7):2083-2098. PubMed ID 21607809
United States of America
Kaiser Healthy Bones Program