Well-designed secondary fragility fracture prevention services (SFFPS) are of major importance in reducing the health burden of fragility fractures. Understanding how SFFPS are taking place in different countries and continents can help develop a comprehensive global strategy to support high quality SFFPS for patients worldwide.
This is the first international survey describing SFFPS on a global level. The authors explored the gaps in SFFPS and the needs for further training and mentorship to improve the quality of services provided to patients who sustain fragility fractures.
This cross-sectional study involved 69 respondents (orthopaedic surgeons, geriatricians, nurses, physiotherapists and researchers) from 34 countries, over six continents and used a 50-item questionnaire about the services and interventions provided, patient follow-up, electronic record keeping, key performance indicators (KPI)/quality indicators, barriers and facilitators to providing services.
Important positive findings were that the majority of services connected with patients with fragility at the time of their fracture in the hospital, included all fracture types, operated 5 days/week or more and used local, national or international guidelines to structure their services. In addition, the majority of services conducted one-on-one in-person assessments, created care plans in collaboration with patients and/or family, started or recommended medications to prevent future fragility fractures and undertook follow-up to ensure treatment persistence.
The study identified several key areas for improvement of SFFPS:
Facilitators to SFFPS included support of colleagues, teamwork/staff engagement and administrative support. Barriers to SFFPS included lack of funding, lack of staff, technology and database issues and a lack of interest by health providers and patients.
Dr Sonia Singh, one of the authors, stated: ‘Our survey results have provided a preliminary overview of how SFFPS are operating around the world and highlighted some gaps in care, in addition to identifying opportunities for mentorship and training that we plan to incorporate into our future SIG initiatives. We need to find better ways to communicate to both patients and policy makers the imperative of moving secondary fragility fracture prevention to the top of the list of healthcare priorities.'
Click here to read the article!
© 2024 Global Fragility Fracture Network | All Rights Reserved I Designed by Aaron Knight