Holbæk Hospital

Holbæk Hospital is a public district hospital serving a population of about 250,000. The fracture liaison service was established in 2013 with provision of services for patients aged 65+ with hip fractures and patients aged 50+ with forearm fractures.

Initially serving about 450 fracture patients annually, the service has been expanded as of January 2016 to include all major osteoporotic fractures. The service is provided by nurse practitioners and by specialists in rheumatology or endocrinology. DXA, VFA and bone turnover markers are used routinely.

MEDICAL PLUS, s.r.o.

MEDICAL PLUS, s.r.o., the private rheumatological and osteological clinic lead by MUDr. Eva Dokoupilova, has been dealing with both inflammatory and non-inflammatory rheumatic diseases and metabolic skeletal disorders since 2003. 
In addition to standard care the clinic also provides services of the biological therapy center, performs osteoporosis testing by densitometry and ultrasound examinations of the musculoskeletal system.
In partnership with Uherskohradistska nemocnice a.s.

Durham VA Medical Center

The Durham Veterans’ Affairs (VA) Medical Center is located in Durham North Carolina in the U.S. and serves a population of around 364,000 Veterans. The Bone Health Service started in the fall of 2011 identifying patients with fractures using ICD9 codes and screening those over age 50 for fragility fractures in order to recommend NOF treatment guidelines to providers. The fall of 2013 saw the addition of a Bone Health Nurse to provide patient education and to coordinate care between provider and patient. The Bone Health Service serves about 422 Veterans per year.

Whangarei Hospital

Health New Zealand - Te Whatu Ora. Health New Zealand - Te Tai Tokerau, is a public hospital system with a network of four hospitals serving more than 184,000 people. The Fracture Liaison Service is in the Directorate of Medical and Elder Services and manages all fragility fractures (including hip, inpatient, outpatient and vertebral fractures). Approximately 800-850 fracture patients are assessed by the FLS per year. 

Centre Hospitalier Le Mans

The General Hospital of Le Mans is a single public hospital that serves 800,000 people. The FLS was initiated in 2010 as a cooperative effort between orthopaedic surgeons and rheumatologists, and associates dieticians, physiotherapists, occupational therapists and geriatricians, targeting patients with a wrist or hip fracture. The assessment of these patients allows us to:
• measure bone mineral density
• identify vertebral fractures, secondary causes of osteoporosis, need for referral to the dentist
• assess need for drug-treatment

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