Fracture liaison service evaluation during admission for fragility femur fracture increases rates of bone health intervention and outpatient follow-up
Authors' conclusion
Inpatient FLS evaluation during hospital admission for fragility femur fracture increases rates of bone health clinic follow-up, osteoporosis intervention, and DXA scan acquisition.
Study context
- Population
- Patients 50 years and older undergoing operative fixation of a femur fracture at a level I academic trauma center, January 1, 2021, to June 1, 202254.9% received inpatient fracture liaison services (FLS) evaluation
- Participants
- 233 patients
- Exposure
- Inpatient FLS evaluation vs no inpatient FLS evaluation
- Outcome
- Rates of bone health interventions and outpatient follow-up
- Follow-up
- Up to 1 year postoperatively
Methodological detailssingle-centre, level I academic trauma center
- Single-centre
- Level I academic trauma center
Main finding
As reported in the abstract
Referral to bone health clinic
- Presented to bone health clinic, evaluation vs no evaluation
- 54% vs. 17%, p < 0.0001
- Vitamin D supplementation, evaluation vs no evaluation
- 95% vs. 41%, p < 0.0001
- Calcium supplementation, evaluation vs no evaluation
- 88% vs. 35%, p < 0.0001
- Protein supplementation, evaluation vs no evaluation
- 66% vs. 29%, p < 0.0001
- DXA acquisition, evaluation vs no evaluation
- 51% vs. 14%, p < 0.0001
- Outpatient osteoporosis medication prescription, evaluation vs no evaluation
- 38% vs. 17%, p = 0.0003
Observational data: associations, not effects.
Further findings
Predictors of outpatient follow-up attendance
- Younger patients had increased outpatient clinic attendance
Safety
Refracture, subsequent fracture, nonunion, mortality · up to 1 year postoperatively
- No difference in rates of refracture, subsequent fracture, nonunion, or mortality
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Fracture liaison service evaluation during admission for fragility femur fracture increases rates of bone health intervention and outpatient follow-up. Osteoporos Int. Published 27 June 2025. doi:10.
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