Orthopaedic-geriatric co-care models and fracture liaison services

Orthopaedic-geriatric co-care models and fracture liaison services

The National Bone Health Alliance (NBHA) in the United States has clearly described the respective priorities for orthopaedic-geriatric co-care (OGC) models and Fracture Liaison Services (FLS) in the delivery of a systematic approach to hip fracture care and prevention in the United States. This description is likely to be applicable in other countries.

‘OGCs focus on delivering professional standards of acute care for patients suffering hip fractures, which includes appropriate discharge planning, including osteoporosis and fall prevention measures. Fracture Liaison Services focus on delivering secondary preventive assessment for patients presenting with fractures caused by osteoporosis at any skeletal site. In units with an established OGC, a FLS program could extend provision of secondary preventive care to those individuals suffering fractures that are managed in the outpatient fracture clinic setting, and for any patients admitted to hospital on account of a fracture at a site other than the hip, should this patient group fall outside of the scope of the OGC program.’

US Pyramid

Reproduced with kind permission of the National Bone Health Alliance
in the United States and the Department of Health in England.

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