Implementing and running a fracture liaison service: An integrated clinical service providing a comprehensive bone health assessment at the point of fracture management
Implementing and running a fracture liaison service: An integrated clinical service providing a comprehensive bone health assessment at the point of fracture management
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DOI：
10.1016/j.joon.2008.09.001
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发表时间：
2008-11-01
影响因子：
1.4
通讯作者：
Stephenson, Sonya
中科院分区：
文献类型：
--
作者：
Clunie, Gavin;Stephenson, Sonya
在最近的英国骨科协会指南和美国骨科协会的“自己的骨骼”倡议中，对患有脆性、非创伤性或低冲击性骨折的成年人进行潜在骨质疏松症筛查的重要性得到了强调。骨折联络服务是在骨质疏松症高危人群中管理患者筛查的有效方法。通过参考我们自己的经验，说明如何在急性骨科单元设计、建设和运行一项服务，在一家服务于32万人口的英国医院，并从我们自己的审计数据中了解情况。我们讨论了不同的患者筛查阈值可以被认为是集中资源的方式，并旨在为那些计划在骨科单位内提供骨折联络服务的人提供信息。我们还强调，在75岁以上的患者中，存在以前未诊断出的隐匿性疾病(除了骨质疏松症)，这些患者出现骨折，但通过常规详细的实验室测试披露。(C)2008爱思唯尔有限公司。保留所有权利。
The importance of screening adults who have fragility, atraumatic or low impact fractures for underlying osteoporosis has been highlighted in recent British Orthopaedic Association Guidelines and by The American Orthopaedic Association's 'Own the Bone' initiative. Fracture Liaison Services are an efficient way of managing patient screening in a population at high risk of osteoporosis. How a service might be devised, constructed and run in an acute Orthopaedic Unit is illustrated by reference to our own experience, in a UK Hospital serving a population of 320,000 and informed from our own audit data. We discuss the way that varying patient screening thresholds can be considered to focus resources and aim to provide information for those planning a Fracture Liaison Service within an Orthopaedic Unit. We also emphasise the existence of previously- undiagnosed occult conditions (in addition to osteoporosis) in patients < 75 years old presenting with fracture but disclosed by routine detailed laboratory tests. (C) 2008 Elsevier Ltd. All rights reserved.