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What is the Role of Coordinators in the Secondary Fracture Prevention Program?

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Background: The purpose of this study is to search for reports on the clinical effectiveness of FLS being implemented worldwide through the systematic review, analyze the roles of coordinators in each study, and provide basic data for the development of future coordinator education programs. Methods: A systematic search of the literature using the Medline, PubMed, and EMBASE databases and the Cochrane Library was conducted for using the following keywords: ‘osteoporosis’ AND ‘fractures’ AND ’secondary prevention’. Finally, 65 studies are included in this study. Results: At the coordinator-based fracture liaison service (FLS) center, the coordinator (often a nurse) acts as a central player in the establishing of patient connections, orthopedic surgeons, radiologists, and attending physicians. Coordinators help bridge the nursing gap by supporting identification, investigation, initiation of treatment, and patient follow-up. Medics has opened the way to effectively manage patients at high risk of developing another fracture. In addition, nurses are in a unique and important role as nurses responsible for enhancing their daily lives by building relationships with patients and families. Conclusions: The coordinator in the FLS program plays an important role in the multidisciplinary management of vulnerable fractures, as well as in the diagnosis and treatment of osteoporosis and in maintaining continuity of treatment. In the future, the broader role of coordinators should be systematically organized and developed into accredited educational programs.

Abstract

Background: The purpose of this study is to search for reports on the clinical effectiveness of FLS being implemented worldwide through the systematic review, analyze the roles of coordinators in each study, and provide basic data for the development of future coordinator education programs. Methods: A systematic search of the literature using the Medline, PubMed, and EMBASE databases and the Cochrane Library was conducted for using the following keywords: ‘osteoporosis’ AND ‘fractures’ AND ’secondary prevention’. Finally, 65 studies are included in this study. Results: At the coordinator-based fracture liaison service (FLS) center, the coordinator (often a nurse) acts as a central player in the establishing of patient connections, orthopedic surgeons, radiologists, and attending physicians. Coordinators help bridge the nursing gap by supporting identification, investigation, initiation of treatment, and patient follow-up. Medics has opened the way to effectively manage patients at high risk of developing another fracture. In addition, nurses are in a unique and important role as nurses responsible for enhancing their daily lives by building relationships with patients and families. Conclusions: The coordinator in the FLS program plays an important role in the multidisciplinary management of vulnerable fractures, as well as in the diagnosis and treatment of osteoporosis and in maintaining continuity of treatment. In the future, the broader role of coordinators should be systematically organized and developed into accredited educational programs.

참고문헌 (67)

  1. Fraser S, "Secondary fracture prevention needs to happen in the country too : the first two and a half years of the Coffs Fracture Prevention Clinic", Aust J Rural Health, 25, pp.28~33 (2017)
  2. Beaton DE, "Addition of a fracture risk assessment to a coordinator’s role improved treatment rates within 6 months of screening in a fragility fracture screening program", Osteoporos Int, 28, pp.863~869 (2017)
  3. Van der Kallen J, "A fracture prevention service reduces further fractures two years after incident minimal trauma fracture", Int J Rheum Dis, 17, pp.195~203 (2014)
  4. "FLS around the world apply for Capture the Fracture® recognition" (2020)[URL]
  5. Huntjens KM, "Fracture liaison service : impact on subsequent nonvertebral fracture incidence and mortality", J Bone Joint Surg Am, 96, pp.e29~ (2014)
  6. Heilmann RM, "Impact of a pharmacist-directed intervention in postmenopausal women after fracture", Am J Health Syst Pharm, 69, pp.504~509 (2012)
  7. Bessette L, "The impact of two educational interventions on osteoporosis diagnosis and treatment after fragility fracture : a population-based randomized controlled trial", Osteoporos Int, 22, pp.2963~2972 (2011)
  8. Major G, "The costs of confronting osteoporosis : Cost study of an Australian fracture liaison service", JBMR Plus, 3, pp.56~63 (2019)
  9. Tosi LL, "The American Orthopaedic Association’s"own the bone"initiative to prevent secondary fractures", J Bone Joint Surg Am, 90, pp.163~173 (2008)
  10. Sarfani S, "Clinical efficacy of a fragility care program in distal radius fracture patients", J Hand Surg Am, 39, pp.664~669 (2014)
  11. Leslie WD, "Closing the gap in postfracture care at the population level : a randomized controlled trial", CMAJ, 184, pp.290~296 (2012)
  12. Haaland DA, "Closing the osteoporosis care gap : increased osteoporosis awareness among geriatrics and rehabilitation teams", BMC Geriatr, 9, pp.28~ (2009)
  13. Ganda K, "Compliance and persistence to oral bisphosphonate therapy following initiation within a secondary fracture prevention program: a randomised controlled trial of specialist vs. non-specialist management", Osteoporos Int, 25, pp.1345~1355 (2014)
  14. Majumdar SR, "A controlled trial to increase detection and treatment of osteoporosis in older patients with a wrist fracture", Ann Intern Med, 141, pp.366~373 (2004)
  15. Henderson CY, "Dedicated orthogeriatric service reduces hip fracture mortality", Ir J Med Sci, 186, pp.179~184 (2017)
  16. Shipman KE, "Delivering a quality-assured fracture liaison service in a UK teaching hospital-is it achievable", Osteoporos Int, 27, pp.3049~3056 (2016)
  17. Jaglal SB, "A demonstration project of a multi-component educational intervention to improve integrated post-fracture osteoporosis care in five rural communities in Ontario, Canada", Osteoporos Int, 20, pp.265~274 (2009)
  18. Chandran M, "Dropping the ball and falling off the care wagon. Factors correlating with nonadherence to secondary fracture prevention programs", J Clin Densitom, 19, pp.117~124 (2016)
  19. Jones G, "The effect of a fracture protocol on hospital prescriptions after minimal trauma fractured neck of the femur : a retrospective audit", Osteoporos Int, 16, pp.1277~1280 (2005)
  20. Jachna CM, "Effect of hospitalist consultation on treatment of osteoporosis in hip fracture patients", Osteoporos Int, 14, pp.665~671 (2003)
  21. Axelsson KF, "Effectiveness of a minimal resource fracture liaison service", Osteoporos Int, 27, pp.3165~3175 (2016)
  22. Vidán M, "Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: a randomized, controlled trial", J Am Geriatr Soc, 53, pp.1476~1482 (2005)
  23. Feldstein A, "Electronic medical record reminder improves osteoporosis management after a fracture: a randomized, controlled trial", J Am Geriatr Soc, 54, pp.450~457 (2006)
  24. Goltz L, "Evaluation of a program of integrated care to reduce recurrent osteoporotic fractures", Pharmacoepidemiol Drug Saf, 22, pp.263~270 (2013)
  25. Wallace I, "An evaluation of an enhanced fracture liaison service as the optimal model for secondary prevention of osteoporosis", JRSM Short Rep, 2, pp.8~ (2011)
  26. Tanawat Amphansap, "Evaluation of Police General Hospital's Fracture Liaison Service (PGH's FLS): The first study of a Fracture Liaison Service in Thailand", Osteoporosis and Sarcopenia, 2(4), pp.238~243 (2016), 대한골다공증학회[DOI]
  27. Nakayama A, "Evidence of effectiveness of a fracture liaison service to reduce the re-fracture rate", Osteoporos Int, 27, pp.873~879 (2016)
  28. Morrish DW, "Facilitated bone mineral density testing versus hospital-based case management to improve osteoporosis treatment for hip fracture patients : additional results from a randomized trial", Arthritis Rheum, 61, pp.209~215 (2009)
  29. Ruggiero C, "Fracture prevention service to bridge the osteoporosis care gap", Clin Interv Aging, 10, pp.1035~1042 (2015)
  30. Olenginski TP, "High-risk osteoporosis clinic (HiROC): improving osteoporosis and postfracture care with an organized, programmatic approach", Osteoporos Int, 26, pp.801~810 (2015)
  31. Davis JC, "HipWatch : osteoporosis investigation and treatment after a hip fracture : a 6-month randomized controlled trial", J Gerontol A Biol Sci Med Sci, 62, pp.888~891 (2007)
  32. Jaglal SB, "Impact of a centralized osteoporosis coordinator on post-fracture osteoporosis management : a cluster randomized trial", Osteoporos Int, 23, pp.87~95 (2012)
  33. Hawker G, "The impact of a simple fracture clinic intervention in improving the diagnosis and treatment of osteoporosis in fragility fracture patients", Osteoporos Int, 14, pp.171~178 (2003)
  34. Huntjens KM, "Impact of guideline implementation by a fracture nurse on subsequent fractures and mortality in patients presenting with non-vertebral fractures", Injury, 42(Suppl 4), pp.S39~S43 (2011)
  35. Quintos-Macasa AM, "Implementation of a mandatory rheumatology osteoporosis consultation in patients with low-impact hip fracture", J Clin Rheumatol, 13, pp.70~72 (2007)
  36. Kim D, "Implementation of fracture liaison service in a New Zealand public hospital : Waitemata district health board experience", N Z Med J, 129, pp.50~55 (2016)
  37. Laslett LL, "Improving diagnosis and treatment of osteoporosis : evaluation of a clinical pathway for low trauma fractures", Arch Osteoporos, 2, pp.1~6 (2007)
  38. Johnson SL, "Improving osteoporosis management in patients with fractures", Osteoporos Int, 16, pp.1079~1085 (2005)
  39. Queally JM, "Initiation of osteoporosis assessment in the fracture clinic results in improved osteoporosis management : a randomised controlled trial", Osteoporos Int, 24, pp.1089~1094 (2013)
  40. Streeten EA, "The inpatient consultation approach to osteoporosis treatment in patients with a fracture. Is automatic consultation needed?", J Bone Joint Surg Am, 88, pp.1968~1974 (2006)
  41. Carpintero P, "Interventions to improve inpatient osteoporosis management following first osteoporotic fracture : the PREVENT project", Arch Orthop Trauma Surg, 129, pp.245~250 (2009)
  42. Gardner MJ, "Interventions to improve osteoporosis treatment following hip fracture. A prospective, randomized trial", J Bone Joint Surg Am, 87, pp.3~7 (2005)
  43. Boudou L, "Management of osteoporosis in fracture liaison service associated with long-term adherence to treatment", Osteoporos Int, 22, pp.2099~2106 (2011)
  44. Majumdar SR, "Multifaceted intervention to improve diagnosis and treatment of osteoporosis in patients with recent wrist fracture : a randomized controlled trial", CMAJ, 178, pp.569~575 (2008)
  45. Cranney A, "A multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures : a cluster randomized trial", Osteoporos Int, 19, pp.1733~1740 (2008)
  46. Eekman DA, "Optimizing fracture prevention: the fracture liaison service, an observational study", Osteoporos Int, 25, pp.701~709 (2014)
  47. Roy A, "Optimizing screening for osteoporosis in patients with fragility hip fracture", Clin Orthop Relat Res, 469, pp.1925~1930 (2011)
  48. Miki RA, "Orthopaedic management improves the rate of early osteoporosis treatment after hip fracture. A randomized clinical trial", J Bone Joint Surg Am, 90, pp.2346~2353 (2008)
  49. Chevalley T, "An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture", Osteoporos Int, 13, pp.450~455 (2002)
  50. Harrington JT, "Osteoporosis disease management for fragility fracture patients : new understandings based on three years' experience with an osteoporosis care service", Arthritis Rheum, 57, pp.1502~1506 (2007)
  51. Collinge C, "Osteoporosis in orthopaedic trauma patients : a diagnosis and treatment protocol", J Orthop Trauma, 22, pp.541~547 (2008)
  52. Murray AW, "Osteoporosis risk assessment and treatment intervention after hip or shoulder fracture. A comparison of two centres in the United Kingdom", Injury, 36, pp.1080~1084 (2005)
  53. Lee RH, "Osteoporosis screening and treatment among veterans with recent fracture after implementation of an electronic consult service", Calcif Tissue Int, 94, pp.659~664 (2014)
  54. Fisher AA, "Outcomes for older patients with hip fractures : the impact of orthopedic and geriatric medicine cocare", J Orthop Trauma, 20, pp.172~178 (2006)
  55. Majumdar SR, "Persistence, reproducibility, and cost-effectiveness of an intervention to improve the quality of osteoporosis care after a fracture of the wrist : results of a controlled trial", Osteoporos Int, 18, pp.261~270 (2007)
  56. Roux S, "Priming primary care physicians to treat osteoporosis after a fragility fracture : an integrated multidisciplinary approach", J Rheumatol, 40, pp.703~711 (2013)
  57. Cuddihy MT, "A prospective clinical practice intervention to improve osteoporosis management following distal forearm fracture", Osteoporos Int, 15, pp.695~700 (2004)
  58. Harrington JT, "Redesigning the care of fragility fracture patients to improve osteoporosis management : a health care improvement project", Arthritis Rheum, 53, pp.198~204 (2005)
  59. Cosman F, "Results of a fracture liaison service on hip fracture patients in an open healthcare system", Aging Clin Exp Res, 29, pp.331~334 (2017)
  60. Astrand J, "Screening for osteoporosis reduced new fracture incidence by almost half : a 6-year follow-up of 592 fracture patients from an osteoporosis screening program", Acta Orthop, 83, pp.661~665 (2012)
  61. Dehamchia-Rehailia N, "Secondary prevention of osteoporotic fractures : evaluation of the Amiens University Hospital's fracture liaison service between January 2010 and December 2011", Osteoporos Int, 25, pp.2409~2416 (2014)
  62. Chandran M, "Secondary prevention of osteoporotic fractures--an"OPTIMAL"model of care from Singapore", Osteoporos Int, 24, pp.2809~2817 (2013)
  63. Ojeda-Bruno S, "Secondary prevention program for osteoporotic fractures and long-term adherence to bisphosphonates", Osteoporos Int, 22, pp.1821~1828 (2011)
  64. Kuo I, "Successful direct intervention for osteoporosis in patients with minimal trauma fractures", Osteoporos Int, 18, pp.1633~1639 (2007)
  65. Lih A, "Targeted intervention reduces refracture rates in patients with incident non-vertebral osteoporotic fractures : a 4-year prospective controlled study", Osteoporos Int, 22, pp.849~858 (2011)
  66. Naranjo A, "Two-year adherence to treatment and associated factors in a fracture liaison service in Spain", Osteoporos Int, 26, pp.2579~2585 (2015)
  67. Yuksel N, "Community pharmacist-initiated screening program for osteoporosis : randomized controlled trial", Osteoporos Int, 21, pp.391~398 (2010)

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