title: Implementation of Models of Care for secondary osteoporotic fracture prevention and orthogeriatric Models of Care for osteoporotic hip fracture.
abstract: As the world's population ages, the prevalence of osteoporosis and its resultant fragility fractures is set to increase dramatically. This chapter focuses on current frameworks and major initiatives related to the implementation of fracture liaison services (FLS) and orthogeriatrics services (OGS), Models of Care designed to reliably implement secondary fracture prevention measures for individuals presenting to health services with fragility fractures. The current evidence base regarding the impact and effectiveness of FLS and OGS is also considered.
authors.affiliation: Synthesis Medical NZ Limited, Pukekohe, New Zealand; University of Notre Dame Australia, Sydney, Australia; Osteoporosis New Zealand, Wellington, New Zealand. Electronic address: paul.mitchell@synthesismedical.com.
authors.forename: Paul
authors.initials: P
authors.lastname: Mitchell
authors.affiliation: Department of Orthopaedics, Lund University, Skåne University Hospital, Malmö, Sweden.
authors.forename: Kristina
authors.initials: K
authors.lastname: Åkesson
authors.affiliation: Osteoporosis and Bone Metabolism Unit, Department of Endocrinology, Singapore General Hospital, ACADEMIA, 20 College Road, 169856, Singapore.
authors.forename: Manju
authors.initials: M
authors.lastname: Chandran
authors.affiliation: Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK; National Institute of Health Research (NIHR) Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK; NIHR Musculoskeletal Biomedical Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, The Botnar Research Centre, University of Oxford, Oxford, UK.
authors.forename: Cyrus
authors.initials: C
authors.lastname: Cooper
authors.affiliation: The University of Sydney, Concord Clinical School and Concord Repatriation General Hospital, 1A Hospital Road, Concord Hospital, NSW, 2139, Australia.
authors.forename: Kirtan
authors.initials: K
authors.lastname: Ganda
authors.affiliation: International Osteoporosis Foundation, 9, Rue Juste-Olivier, 1260, Nyon, Switzerland.
authors.forename: Muriel
authors.initials: M
authors.lastname: Schneider
mesh_terms: D000368:Aged; D003695:Delivery of Health Care / Q000379:methods*; D005853:Geriatrics / Q000379:methods*; D006620:Hip Fractures / Q000517:prevention & control*; D006801:Humans; D058866:Osteoporotic Fractures / Q000517:prevention & control*; D055502:Secondary Prevention / Q000379:methods
keywords: Care gap; Clinical Standards; Consensus guidelines; Cost-effectiveness; Fracture liaison service; Fragility fracture; Hip Fracture Registry; Hip fracture; Orthogeriatric; Quality Standards; Secondary fracture prevention