title: Results of a fracture liaison service on hip fracture patients in an open healthcare system.
abstract: We assessed osteoporosis management in patients admitted for rehabilitation of acute hip fracture to an open system community hospital before and after institution of a fracture liaison service (FLS). Pre-FLS, we surveyed 60 patients 4-6 months after hip fracture. Subsequently, the FLS program performed routine consultations, and recommended lab, bone density testing (BMD) and osteoporosis medication. FLS program outcomes were assessed by survey in 75 patients after hip fracture. In the pre-FLS population, after hip fracture, 55 % changed calcium intake, 48 % changed vitamin D intake, and 35 % obtained a BMD. Osteoporosis medication was taken by 38 % before and 33 % after hip fracture. Post-FLS, 56 % changed calcium intake, 68 % changed vitamin D intake and 65 % obtained a BMD. Post-FLS, osteoporosis medication was taken by 21 % of patients before and 19 % after hip fracture. Our FLS program in hip fracture patients improved non-pharmacologic measures, but not the use of osteoporosis medication.
authors.affiliation: Helen Hayes Hospital, West Haverstraw, NY, 10093, USA. cosmanf@helenhayeshosp.org.|Department of Medicine, Columbia University, NY, NY, 10032, USA. cosmanf@helenhayeshosp.org.
authors.forename: Felicia
authors.initials: F
authors.lastname: Cosman
authors.affiliation: Helen Hayes Hospital, West Haverstraw, NY, 10093, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Nicpon
authors.affiliation: Helen Hayes Hospital, West Haverstraw, NY, 10093, USA.|Department of Epidemiology, Columbia University, NY, NY, 10032, USA.
authors.forename: Jeri W
authors.initials: JW
authors.lastname: Nieves
mesh_terms: D015502:Absorptiometry, Photon / Q000706:statistics & numerical data; D000368:Aged; D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D003695:Delivery of Health Care / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D019468:Disease Management; D017598:Efficiency, Organizational; D005260:Female; D006620:Hip Fractures / Q000453:epidemiology / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012017:Referral and Consultation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
chemical_list: D050071:Bone Density Conservation Agents
keywords: FLS; Hip fracture; Osteoporosis treatment