Challenges and Opportunities to Improve Fracture Liaison Service Attendance: Fracture Registration and Patient Characteristics and Motivations

Overview

Journal Osteoporos Int

Specialties Endocrinology
Orthopedics

Date 2019 May 27

PMID 31129686

Citations 12

Authors

P van den Berg

P M M van Haard

P P Geusens

J P van den Bergh

D H Schweitzer

Affiliations

Soon will be listed here.

Abstract

Introduction: The purpose of this study was to evaluate hospital registration- and patient-related factors associated with attendance or non-attendance to the Fracture Liaison Service (FLS).

Methods: Out of 1728 consecutive patients registered with a recent fracture at hospital entry, and after exclusion of 440 patients because of death, residence in a nursing home, already on osteoporosis treatment, or recent DXA, 1288 received an FLS invitation. We evaluated the hospital registration of fractures at entry and exit of the hospital. A questionnaire was sent to all invited patients to evaluate factors related to non-attendance (including age, gender, frailty, living alone, income, education, extrinsic motivations (impact of perceived information) and intrinsic motivations (patient's own perceived views and opinions) and to attendance (personal impact of clinical professionals' advice).

Results: There were 278 more hospital exit codes than entry codes. Of the 1288 invited patients, 745 returned analyzable questionnaires (537 attenders and 208 non-attenders). Non-attendance was associated with male gender (OR: 2.08, 95% CI: 1.35, 3.21), frailty (OR: 1.62, CI: 1.08, 2.45), living alone (OR:2.05, CI: 1.48, 2.85), low education (OR: 1.82, CI: 1.27, 2.63), not interested in bone strength (OR: 1.85, CI: 1.33, 2.63), and being unaware of increased subsequent fracture risk (OR: 1.75, CI: 1.08, 2.86). Information perceived by the patient was significantly associated with attendance (OR: 3.32, CI: 1.75, 6.27).

Conclusion: Fracture entry registration inaccuracies, male gender, frailty, living alone, having low general education, or low interest in bone health and subsequent fracture risk were independently associated with FLS non-attendance. Adequately perceived advice (to have a bone densitometry and attend the FLS) was strongly associated with FLS attendance.

Citing Articles

Factors Associated With Nonattendance for Osteoporosis Evaluation Following Fragility Fracture.

Seyok T, Collins J, Hodys C, Erikson S, Perez Menendez S, Earp B J Osteoporos. 2024; 2024:5602020.

PMID: 39650280 PMC: 11625084. DOI: 10.1155/joos/5602020.

The Fracture Phenotypes in Women and Men of 50 Years and Older with a Recent Clinical Fracture.

Geusens P, van den Bergh J, Roux C, Chapurlat R, Center J, Bliuc D Curr Osteoporos Rep. 2024; 22(6):611-620.

PMID: 39254815 DOI: 10.1007/s11914-024-00885-z.

Association between a history of major osteoporotic fractures and subsequent hip fracture: a systematic review and meta-analysis.

Ariie T, Yamamoto N, Tsutsumi Y, Nakao S, Saitsu A, Tsuge T Arch Osteoporos. 2024; 19(1):44.

PMID: 38816657 DOI: 10.1007/s11657-024-01393-4.

The "Can Do, Do Do" Framework Applied to Assess the Association between Physical Capacity, Physical Activity and Prospective Falls, Subsequent Fractures, and Mortality in Patients Visiting the Fracture Liaison Service.

Schene M, Wyers C, Driessen J, Vranken L, Meijer K, van den Bergh J J Pers Med. 2024; 14(4).

PMID: 38672964 PMC: 11050804. DOI: 10.3390/jpm14040337.

Physical Functioning in Patients with a Recent Fracture: The "Can Do, Do Do" Framework Applied to Explore Physical Capacity, Physical Activity and Fall Risk Factors.

Schene M, Meijer K, Cheung D, Willems H, Driessen J, Vranken L Calcif Tissue Int. 2023; 113(2):195-206.

PMID: 37367955 PMC: 10371931. DOI: 10.1007/s00223-023-01090-3.

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