Incidence of secondary fractures after implementation of different models of FLS secondary prevention programs: Scoping review

IF 4.7 3区医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Archives of Medical Research Pub Date : 2025-02-01 DOI:10.1016/j.arcmed.2024.103121

Patricia Clark , Lucía Méndez-Sánchez , Eliseo Ramírez-García , Sergio Sánchez-García , Adriana Medina , Juan Humberto Medina Chávez

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Abstract

Background

As the number of programs aimed at preventing fragility fractures and mitigating the phenomenon of cascade fractures is increasing worldwide, so it is necessary to evaluate the effectiveness of such programs to seek their feasible implementation at regional and global levels.

Aims

This paper aims to provide an overview focusing on the incidence of secondary fractures after the implementation of any type of fracture liaison service (FLS). To this end, a scoping review was conducted focusing on the identification of clinical evidence reported in systematic reviews of the medical literature in this area.

Methods

A total of 230 titles were obtained through structured searches in four electronic libraries (updated to September 2023), from which a total of 11 systematic reviews were selected.

Results

Tables of methodological characteristics were developed. Different programs such as orthogeriatric units, educational strategies, exercise strategies, screening strategies using DXA or FRAX, and specialist intervention by orthopedic specialists or osteoporosis nurses were found in 20 different countries. The reported incidence of secondary fractures varies between populations and strategies compared depending on the data collected and the type of methodological design used. The incidence of secondary fractures in these 11 systematic reviews ranged from 0 to 37 %.

Conclusion

The incidence by intervention is described in the Supplementary Tables of the primary studies.

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不同FLS二级预防方案实施后继发骨折的发生率：范围审查。

背景：随着世界范围内旨在预防脆性骨折和减轻级联骨折现象的项目越来越多，因此有必要评估这些项目的有效性，以寻求其在区域和全球层面上的可行性实施。目的：本文旨在概述实施任何类型的骨折联络服务（FLS）后继发骨折的发生率。为此，进行了一项范围综述，重点是确定该领域医学文献系统综述中报告的临床证据。方法：通过4个电子图书馆（更新至2023年9月）的结构化检索，共获取230篇文献，从中选取11篇系统评价。结果：编制了方法学特征表。不同的项目，如骨科单元、教育策略、运动策略、使用DXA或FRAX的筛查策略，以及骨科专家或骨质疏松症护士的专家干预，在20个不同的国家被发现。根据所收集的数据和所采用的方法设计类型，不同人群和策略的继发性骨折发生率有所不同。在这11项系统综述中，继发性骨折的发生率从0%到37%不等。结论：干预的发生率在初步研究的补充表中有描述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Medical Research 医学-医学：研究与实验

CiteScore

12.50

自引率

0.00%

发文量

审稿时长

28 days

期刊介绍： Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.