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Fracture liaison services 

Fracture liaison services
Fracture liaison services

Stephen J. Gallacher

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date: 26 October 2020

Previous fracture is an important risk factor for future fracture. Incident fracture is the only clinical risk factor for future fracture that will come to routine clinical attention. This gives an opportunity to develop structured services to identify and assess these patients for osteoporosis risk. The fracture liaison service (FLS) is an example of such a service.

There is a robust evidence base to support fracture risk reduction when patients who present with fracture and have osteoporosis are treated with anti-osteoporosis therapy.

A recent large-scale clinical audit has shown that FLS is the most effective way to identify ‘fracture’ patients and ensure they are appropriately treated.

The appointment of an osteoporosis specialist nurse/coordinator is key to the success of FLS.

Evaluation of FLS has shown this to be a cost-effective intervention.

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