IWO bijeenkomst - 20 januari - Prof W.F. Lens
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This document discusses fracture liaison services (FLS) and the Capture the Fracture global campaign to prevent secondary fractures. It notes that less than 30% of patients in the Netherlands receive a DXA scan after a fracture. It outlines the partnership's goals to reduce hip and vertebral fractures by 25% by 2025 and double the number of FLS programs in countries like the Netherlands. The partnership employs advocacy, policy changes, mentorship and scalable solutions using a digital dataset to establish and improve FLS programs to better serve patients and ensure sustainability.
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- 9. Capture the Fracture A global campaign for the prevention of secondary fractures by facilitating the implementation of Fracture Liaison Services (FLS) • www.capturethefracture.org
- 10. The Fracture cascade + The care gap What we know
- 11. … And the time to act is at the first fracture A fragility fracture in patients 50 years or over signals the need for further testing and possible treatmant
- 12. The Fracture Liaison Service 1. British Orthopaedic Association, British Geriatrics Society. The care of patients with fragility fracture 2007. 2. McLellan AR, Gallacher SJ, Fraser M, McQuillian C. The fracture liaison service: success of a programme for the evaluation and management of patients with osteoporotic fracture. Osteoporos Int. Dec 2003;14(12):1028-1034.
- 13. The Fracture Liaison Service 1. British Orthopaedic Association, British Geriatrics Society. The care of patients with fragility fracture 2007. 2. McLellan AR, Gallacher SJ, Fraser M, McQuillian C. The fracture liaison service: success of a programme for the evaluation and management of patients with osteoporotic fracture. Osteoporos Int. Dec 2003;14(12):1028-1034. N=120.000 jaar in Nederland! Zinnige Zorg: DXA na fractuur bij < 30%!!
- 16. CAPTURE THE FRACTURE PARTNERSHIP OVERVIEW This effort combines ‘Top Down’ with ‘Bottom Up’ activities and seeks to: • Reduce hip and vertebral fractures by 25% by 2025. • Increase patients served by PFC/FLS programs • Double the number of FLS by 2022 • The Netherlands 11 22 Drive fracture prevention policy change and prioritization with government and payers at international, regional and national levels POLICY CHANGE With IOF as lead, create global, regional and local secondary fracture coalitions between societies, governments, and NGOs ADVOCACY ALLIANCES Leverage a PFC digital global dataset to obtain consistent understanding across Capture the Fracture sites of PFC effectiveness Provide best practices, support, and mentorship to establish new PFC programs and improve current programs to ensure sustainability Serve as global resource center for improved, scalable PFC solutions MENTOR- SHIP SCALABLE SOLUTIONS DIGITAL TOOL/ DATASET
- 19. Evaluation Methodology Fragility fracture domains Achievement & Valuation Hip Inpatient outpatient Vertebral Organizational = >90% = >70% = >50% = 0-50% 13 standards 5 domains 1 star
- 23. Thank you for your attention! Questions?? Or wf.lems@amsterdamumc.nl Amsterdam , in COVID- first wave