Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations
Osteoporosis is a widespread disease and affects over 500,000 people in Austria. Fragility fractures are associated with it and represent not only an individual problem for the patients, but also an enormous burden for the healthcare system. While trauma surgery care is well provided in Vienna, ther...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2024.1349579/full |
| _version_ | 1827277855919177728 |
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| author | Roland Kocijan Roland Kocijan Judith Haschka Daniel Arian Kraus Aaron Pfender Aaron Pfender Stefan Frank Stefan Frank Jochen Zwerina Martina Behanova |
| author_facet | Roland Kocijan Roland Kocijan Judith Haschka Daniel Arian Kraus Aaron Pfender Aaron Pfender Stefan Frank Stefan Frank Jochen Zwerina Martina Behanova |
| author_sort | Roland Kocijan |
| collection | DOAJ |
| description | Osteoporosis is a widespread disease and affects over 500,000 people in Austria. Fragility fractures are associated with it and represent not only an individual problem for the patients, but also an enormous burden for the healthcare system. While trauma surgery care is well provided in Vienna, there is an enormous treatment gap in secondary prevention after osteoporotic fracture. Systematic approaches such as the Fracture Liaison Service (FLS) aim to identify patients with osteoporosis after fracture, to clarify diagnostically, to initiate specific therapy, and to check therapy adherence. The aim of this article is to describe the practical implementation and operational flow of an already established FLS in Vienna. This includes the identification of potential FLS inpatients, the diagnostic workup, and recommendations for an IT solution for baseline assessment and follow-up of FLS patients. We summarize the concept, benefits, and limitations of FLS and provide prospective as well as clinical and economic considerations for a city-wide FLS, managed from a central location. Future concepts of FLS should include artificial intelligence for vertebral fracture detection and simple IT tools for the implementation of FLS in the outpatient sector. |
| first_indexed | 2024-04-24T07:44:26Z |
| format | Article |
| id | doaj.art-47df4bb9d1c6436faee71b718d1b2fce |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-04-24T07:44:26Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-47df4bb9d1c6436faee71b718d1b2fce2024-04-19T04:53:52ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922024-04-011510.3389/fendo.2024.13495791349579Perspectives on Fracture Liaison Service in Austria: clinical and economic considerationsRoland Kocijan0Roland Kocijan1Judith Haschka2Daniel Arian Kraus3Aaron Pfender4Aaron Pfender5Stefan Frank6Stefan Frank7Jochen Zwerina8Martina Behanova9Ludwig Boltzmann Institute of Osteology at Hanusch Hospital of Oesterreichische Gesundheitskasse (OEGK) and Allgemeine Unfallversicherungsanstalt (AUVA) Trauma Center Meidling, 1st Medical Department Hanusch Hospital, Vienna, AustriaMetabolic Bone Diseases Unit, School of Medicine, Sigmund Freud University, Vienna, AustriaLudwig Boltzmann Institute of Osteology at Hanusch Hospital of Oesterreichische Gesundheitskasse (OEGK) and Allgemeine Unfallversicherungsanstalt (AUVA) Trauma Center Meidling, 1st Medical Department Hanusch Hospital, Vienna, AustriaLudwig Boltzmann Institute of Osteology at Hanusch Hospital of Oesterreichische Gesundheitskasse (OEGK) and Allgemeine Unfallversicherungsanstalt (AUVA) Trauma Center Meidling, 1st Medical Department Hanusch Hospital, Vienna, AustriaLudwig Boltzmann Institute of Osteology at Hanusch Hospital of Oesterreichische Gesundheitskasse (OEGK) and Allgemeine Unfallversicherungsanstalt (AUVA) Trauma Center Meidling, 1st Medical Department Hanusch Hospital, Vienna, AustriaMetabolic Bone Diseases Unit, School of Medicine, Sigmund Freud University, Vienna, AustriaLudwig Boltzmann Institute of Osteology at Hanusch Hospital of Oesterreichische Gesundheitskasse (OEGK) and Allgemeine Unfallversicherungsanstalt (AUVA) Trauma Center Meidling, 1st Medical Department Hanusch Hospital, Vienna, AustriaAUVA Traumazentrum Wien, Standort Meidling Abteilung für Traumatologie, Vienna, AustriaLudwig Boltzmann Institute of Osteology at Hanusch Hospital of Oesterreichische Gesundheitskasse (OEGK) and Allgemeine Unfallversicherungsanstalt (AUVA) Trauma Center Meidling, 1st Medical Department Hanusch Hospital, Vienna, AustriaLudwig Boltzmann Institute of Osteology at Hanusch Hospital of Oesterreichische Gesundheitskasse (OEGK) and Allgemeine Unfallversicherungsanstalt (AUVA) Trauma Center Meidling, 1st Medical Department Hanusch Hospital, Vienna, AustriaOsteoporosis is a widespread disease and affects over 500,000 people in Austria. Fragility fractures are associated with it and represent not only an individual problem for the patients, but also an enormous burden for the healthcare system. While trauma surgery care is well provided in Vienna, there is an enormous treatment gap in secondary prevention after osteoporotic fracture. Systematic approaches such as the Fracture Liaison Service (FLS) aim to identify patients with osteoporosis after fracture, to clarify diagnostically, to initiate specific therapy, and to check therapy adherence. The aim of this article is to describe the practical implementation and operational flow of an already established FLS in Vienna. This includes the identification of potential FLS inpatients, the diagnostic workup, and recommendations for an IT solution for baseline assessment and follow-up of FLS patients. We summarize the concept, benefits, and limitations of FLS and provide prospective as well as clinical and economic considerations for a city-wide FLS, managed from a central location. Future concepts of FLS should include artificial intelligence for vertebral fracture detection and simple IT tools for the implementation of FLS in the outpatient sector.https://www.frontiersin.org/articles/10.3389/fendo.2024.1349579/fullFLSfracturehealth care systemosteoporosisprevention medicine |
| spellingShingle | Roland Kocijan Roland Kocijan Judith Haschka Daniel Arian Kraus Aaron Pfender Aaron Pfender Stefan Frank Stefan Frank Jochen Zwerina Martina Behanova Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations Frontiers in Endocrinology FLS fracture health care system osteoporosis prevention medicine |
| title | Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations |
| title_full | Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations |
| title_fullStr | Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations |
| title_full_unstemmed | Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations |
| title_short | Perspectives on Fracture Liaison Service in Austria: clinical and economic considerations |
| title_sort | perspectives on fracture liaison service in austria clinical and economic considerations |
| topic | FLS fracture health care system osteoporosis prevention medicine |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2024.1349579/full |
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