Overview of fracture liaison services in the UK and Europe: standards, model of care, funding, and challenges

Timothy J S Chesser; Muhammad Kassim Javaid; Zaineb Mohsin; Carlotta Pari; Alberto Belluati; Achille Contini; Vincenzo Caiaffa; Francisco Chana-Rodríguez; Jesus Gómez-Vallejo; Coral Sánchez-Pérez; Zoe H Dailiana; Nikolaos Stefanou; Theodoros Tosounidis; Michaël Laurent; Guy Putzeys; Martijn Poeze; Kees Jan Ponsen

doi:10.1097/OI9.0000000000000198

Overview of fracture liaison services in the UK and Europe: standards, model of care, funding, and challenges

OTA Int. 2022 Jun 9;5(3 Suppl):e198. doi: 10.1097/OI9.0000000000000198. eCollection 2022 Jun.

Authors

Timothy J S Chesser¹, Muhammad Kassim Javaid², Zaineb Mohsin², Carlotta Pari³, Alberto Belluati³, Achille Contini⁴, Vincenzo Caiaffa⁵, Francisco Chana-Rodríguez⁶, Jesus Gómez-Vallejo⁷, Coral Sánchez-Pérez⁷, Zoe H Dailiana⁸, Nikolaos Stefanou⁸, Theodoros Tosounidis⁹, Michaël Laurent¹⁰, Guy Putzeys¹¹, Martijn Poeze¹², Kees Jan Ponsen¹³

Affiliations

¹ Department of Trauma and Orthopaedic Surgery, North Bristol NHS Trust, Bristol.
² Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
³ Orthopaedic and Trauma Department, Hospital Santa Maria delle Croci, Ravenna.
⁴ Orthopaedic and Trauma Department, Ospedale del Mare, Naples.
⁵ Orthopaedic and Trauma Department, Ospedale di Venere, Bari, Italy.
⁶ Orthopaedic Department, General University Hospital Lozano Blesa Zaragoza.
⁷ Orthopaedic Department, General University Hospital Gregorio Maranón, Madrid, Spain.
⁸ Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa.
⁹ Department of Orthopaedic Surgery, Medical School, University of Crete, Crete, Greece.
¹⁰ Geriatrics Department, Imelda Hospital, Bonheiden.
¹¹ Orthopedic and Trauma Department, AZ Groeninge hospital, Kortrijk, Belgium.
¹² Department of Orthopedic Trauma and Traumasurgery, Maastricht University Medical Center, Maastricht.
¹³ Department of Surgery, Northwest Hospital Groupo, Alkmaan, The Netherlands.

Abstract

Fragility fractures represent a growing global problem, including in the United Kingdom and European countries. Reports demonstrate the benefits of national guidance and organized fragility fracture programs through fracture liaison services to deliver care to patients who sustain these injuries. The challenge of assembling multidisciplinary teams, providing routine screening of appropriate patients, and monitoring therapies where there is a known compliance problem, remains an obstacle to the success of fragility fracture treatment programs to all. Efforts should continue to introduce and maintain fracture liaison services through coordinated national approaches and advanced systems.

Keywords: fracture liaison services; fragility fractures.