Liječnički vjesnik, Vol. 146 No. 5-6, 2024.
Pregledni rad
https://doi.org/10.26800/LV-146-5-6-6
Fracture Liaison Servis of the Croatian Society for Physical and Rehabilitation Medicine of the Croatian Medical Association – position paper
Simeon Grazio
*
Tatjana Nikolić
Tea Schnurrer Luke Vrbanić
Ana Poljičanin
Frane Grubišić
* Autor za dopisivanje.
Sažetak
Osteoporotic fractures represent a great burden for both the patient and the healthcare system, including high direct and indirect costs. As the population ages, their incidence increases. Recognition of the need for treatment of osteoporosis and consequent fractures is insufficient, and effectiveness is weak due to a relatively high degree of non-compliance (persistence and adherence) to therapy. A previous fracture is one of the most significant risk factors for a subsequent fracture. Therefore, there is a need for systematic secondary prevention strategies, which have been developed and implemented in numerous countries through programs called Fracture Liaison Services (FLS). FLS includes health professionals of various profiles, and the key role is played by the coordinator. The identification of a patient with a fragility fracture is the starting point of the FLS process, and the process itself functions on the basis of an established algorithm. During hospitalization, targeted diagnostic treatment,
risk assessment for subsequent fractures, education of the patient and his relatives/carers are carried out, and recommendations are given for basic and specific pharmacological anti-osteoporotic therapy, as well as for other measures and procedures (e.g. physical therapy, exercises), including modification of risk factors and prevention of falls. All results, and especially recommendations, must be clearly stated in the discharge letter and communicated to all team members, as well as to the family medicine doctor. Regular follow-up of these patients is important, with an emphasis on compliance as a prerequisite for successful treatment and prevention of new fractures. On the basis of the FLS program that was established at the University Hospital Centre Sestre milosrdnice in Zagreb, a group of experts proposed by consensus the key elements, the role of the members of the multidisciplinary
team and the algorithm for the FLS of the Croatian Society for Physical and Rehabilitation Medicine of the Croatian Medical Association, with the choice of hip fracture as the index fracture. The proposal was approved at the meeting of the professional society. In doing so, the basic principles of FLS were followed, identification of patients with a fracture, appropriate evaluation and individualized assessment of the risk for the next fracture, promptness of the start of treatment and monitoring of patients with the assurance of continuity of therapy. This
position paper is a fundamental document for FLS in the Croatian physiatry community, and we believe that it will contribute to the reduction of morbidity, mortality and overall health expenditures related to osteoporotic fractures.
Ključne riječi
OSTEOPOROSIS – complications, drug therapy, epidemiology; OSTEOPOROTIC FRACTURES – epidemiology, prevention and control; HIP FRACTURES – epidemiology, etiology, prevention and control; SECONDARY PREVENTION – methods; ALGORITHMS; PHYSICAL AND REHABILITATION MEDICINE; CROATIA
Hrčak ID:
319962
URI
Datum izdavanja:
8.7.2024.
Posjeta: 0 *