Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model
Objective We established an orthopedic ward fracture liaison services (OWFLS) model and evaluated its role in improving detection rates of bone metabolic markers, treatment rates, and long-term treatability. Methods This observational retrospective cohort study included 120 patients aged >50 year...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-04-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605241245280 |
| _version_ | 1797201010470420480 |
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| author | Xiongxiong Cai Yijian Ying Chi Zhang Rong Xu Baolin Xu Dongdong Xia |
| author_facet | Xiongxiong Cai Yijian Ying Chi Zhang Rong Xu Baolin Xu Dongdong Xia |
| author_sort | Xiongxiong Cai |
| collection | DOAJ |
| description | Objective We established an orthopedic ward fracture liaison services (OWFLS) model and evaluated its role in improving detection rates of bone metabolic markers, treatment rates, and long-term treatability. Methods This observational retrospective cohort study included 120 patients aged >50 years hospitalized for primary osteoporotic fracture from January 2018 to January 2019 (group A: not included in OWFLS). Group B (included in OWFLS) comprised 120 patients from February 2019 to February 2020. We compared rates of bone metabolic index testing, treatment, and adherence; symptomatic improvement; and recurrent fracture between groups. Results Rates of bone metabolism index testing (50% vs. 0%) and medication use (94.2% vs. 64.2%) were significantly higher after OWFLS implementation. There was no significant difference in adherence rates at 3 months between groups (97.3% vs. 93.5%). Adherence rates at 1 and 3 years were better in group B than A (73.5% vs. 51.9%; 57.5% vs. 26%, respectively). Recurrence of bone pain at 1 and 3 years was significantly lower in group B than A (20.4% vs. 46.8%; 45.1% vs. 76.6%, respectively). Conclusions OWFLS improved the detection rate of bone metabolism indicators, treatment rate, and patient adherence and reduced recurrence of bone pain. OWFLS may be suitable for settings lacking human resources. |
| first_indexed | 2024-04-24T07:40:45Z |
| format | Article |
| id | doaj.art-da756a37556e47d092b039c930fc78aa |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-24T07:40:45Z |
| publishDate | 2024-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-da756a37556e47d092b039c930fc78aa2024-04-19T19:03:25ZengSAGE PublishingJournal of International Medical Research1473-23002024-04-015210.1177/03000605241245280Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) modelXiongxiong CaiYijian YingChi ZhangRong XuBaolin XuDongdong XiaObjective We established an orthopedic ward fracture liaison services (OWFLS) model and evaluated its role in improving detection rates of bone metabolic markers, treatment rates, and long-term treatability. Methods This observational retrospective cohort study included 120 patients aged >50 years hospitalized for primary osteoporotic fracture from January 2018 to January 2019 (group A: not included in OWFLS). Group B (included in OWFLS) comprised 120 patients from February 2019 to February 2020. We compared rates of bone metabolic index testing, treatment, and adherence; symptomatic improvement; and recurrent fracture between groups. Results Rates of bone metabolism index testing (50% vs. 0%) and medication use (94.2% vs. 64.2%) were significantly higher after OWFLS implementation. There was no significant difference in adherence rates at 3 months between groups (97.3% vs. 93.5%). Adherence rates at 1 and 3 years were better in group B than A (73.5% vs. 51.9%; 57.5% vs. 26%, respectively). Recurrence of bone pain at 1 and 3 years was significantly lower in group B than A (20.4% vs. 46.8%; 45.1% vs. 76.6%, respectively). Conclusions OWFLS improved the detection rate of bone metabolism indicators, treatment rate, and patient adherence and reduced recurrence of bone pain. OWFLS may be suitable for settings lacking human resources.https://doi.org/10.1177/03000605241245280 |
| spellingShingle | Xiongxiong Cai Yijian Ying Chi Zhang Rong Xu Baolin Xu Dongdong Xia Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model Journal of International Medical Research |
| title | Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model |
| title_full | Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model |
| title_fullStr | Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model |
| title_full_unstemmed | Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model |
| title_short | Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model |
| title_sort | three year follow up of a novel orthopedic ward fracture liaison services owfls model |
| url | https://doi.org/10.1177/03000605241245280 |
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