J Bone Metab.  2019 Nov;26(4):207-211. 10.11005/jbm.2019.26.4.207.

Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?

Affiliations
  • 1Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.
  • 2Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. hayongch@naver.com
  • 3Department of Rehabilitation, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Abstract

The elderly population growth rate is extremely high in Korean society, and life expectancy is close to 85 years old for women and 80 for men as of people born in 2015. The future hip fracture prediction model of Korea shows that the elderly hip fracture rate will increase by 1.4 times by 2025, which will impose a serious socioeconomic burden on Korean society and become a key issue of public health management. The fracture liaison service (FLS) is defined adequate treatment and services for patients over 50 years old with fragility fractures, enabling systematic identification and decreasing the risk of subsequent osteoporotic fractures. In Korean society, the introduction of FLS, which is verified not only in the socioeconomic aspects but also in the treatment of patients, is thought to be essential. However, the challenges that need to be addressed in order to implement FLS include the lack of awareness regarding the necessity of this system, the lack of healthcare systems, and inadequate policies. In the future, further studies on the FLS and its clinical and socioeconomic effects for the Korean medical system will be necessary.

Keyword

Hip fractures; Osteoporotic fractures; Secondary prevention

MeSH Terms

Aged
Delivery of Health Care
Female
Hip
Hip Fractures
Humans
Korea*
Life Expectancy
Male
Osteoporotic Fractures
Population Growth
Public Health
Secondary Prevention

Reference

1. Cha YH, Ha YC, Park HJ, et al. Relationship of chronic obstructive pulmonary disease severity with early and late mortality in elderly patients with hip fracture. Injury. 2019; 50:1529–1533.
Article
2. Yonekura H, Ide K, Onishi Y, et al. Preoperative echocardiography for patients with hip fractures undergoing surgery: A retrospective cohort study using a nationwide database. Anesth Analg. 2019; 128:213–220.
Article
3. Omari A, Madsen CM, Lauritzen JB, et al. Comorbidity and mortality after hip fracture in nineteen thousand six hundred and eighty two patients aged eighteen to sixty five years in Denmark from 1996 to 2012. Int Orthop. 2019; 43:2621–2627.
Article
4. Cha YH, Ha YC, Yoo JI, et al. Effect of causes of surgical delay on early and late mortality in patients with proximal hip fracture. Arch Orthop Trauma Surg. 2017; 137:625–630.
Article
5. Abrahamsen B, van Staa T, Ariely R, et al. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009; 20:1633–1650.
Article
6. Cooper C, Campion G, Melton LJ 3rd. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992; 2:285–289.
Article
7. Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporos Int. 1997; 7:407–413.
Article
8. Ha YC, Kim TY, Lee A, et al. Current trends and future projections of hip fracture in South Korea using nationwide claims data. Osteoporos Int. 2016; 27:2603–2609.
Article
9. Organisation for Economic Co-operation and Development. Education at a glance 2017: OECD indicators. Paris, FR: OECD Publishing;2017.
10. Ministry of Health and Welfare. The first comprehensive plan of national health insurance : 2019–2023. 2019. cited by 2019 Aug 1. Available from: http://medicare1.nhis.or.kr/hongbo/static/html/minisite/file/bojangnews82_1.pdf.
11. Yu TY, Cho H, Kim TY, et al. Utilization of osteoporosis-related health services: Use of data from the Korean national health insurance database 2008–2012. J Korean Med Sci. 2018; 33:e20.
Article
12. Cranney A, Lam M, Ruhland L, et al. A multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures: a cluster randomized trial. Osteoporos Int. 2008; 19:1733–1740.
Article
13. Yuksel N, Majumdar SR, Biggs C, et al. Community pharmacist-initiated screening program for osteoporosis: randomized controlled trial. Osteoporos Int. 2010; 21:391–398.
Article
14. Bessette L, Davison KS, Jean S, et al. The impact of two educational interventions on osteoporosis diagnosis and treatment after fragility fracture: a population-based randomized controlled trial. Osteoporos Int. 2011; 22:2963–2972.
Article
15. Edwards BJ, Bunta AD, Anderson J, et al. Development of an electronic medical record based intervention to improve medical care of osteoporosis. Osteoporos Int. 2012; 23:2489–2498.
Article
16. Kim SR, Ha YC, Park YG, et al. Orthopedic surgeon's awareness can improve osteoporosis treatment following hip fracture: a prospective cohort study. J Korean Med Sci. 2011; 26:1501–1507.
Article
17. British Geriatrics Society. The care of patients with fragility fracture. London, UK: British Geriatrics Society;2007.
18. Kim HY, Ha YC, Kim TY, et al. Healthcare costs of osteoporotic fracture in Korea: Information from the national health insurance claims database, 2008–2011. J Bone Metab. 2017; 24:125–133.
Article
19. Neuburger J, Currie C, Wakeman R, et al. The impact of a national clinician-led audit initiative on care and mortality after hip fracture in England: an external evaluation using time trends in non-audit data. Med Care. 2015; 53:686–691.
Article
20. Port L, Center J, Briffa NK, et al. Osteoporotic fracture: missed opportunity for intervention. Osteoporos Int. 2003; 14:780–784.
Article
21. Gallagher JC, Melton LJ, Riggs BL, et al. Epidemiology of fractures of the proximal femur in Rochester, Minnesota. Clin Orthop Relat Res. 1980; 163–171.
Article
22. Edwards BJ, Bunta AD, Simonelli C, et al. Prior fractures are common in patients with subsequent hip fractures. Clin Orthop Relat Res. 2007; 461:226–230.
Article
23. Majumdar SR, Johnson JA, Lier DA, et al. Persistence, reproducibility, and cost-effectiveness of an intervention to improve the quality of osteoporosis care after a fracture of the wrist: results of a controlled trial. Osteoporos Int. 2007; 18:261–270.
Article
24. Morrish DW, Beaupre LA, Bell NR, et al. Facilitated bone mineral density testing versus hospital-based case management to improve osteoporosis treatment for hip fracture patients: additional results from a randomized trial. Arthritis Rheum. 2009; 61:209–215.
Article
25. Huntjens KM, van Geel TA, van den Bergh JP, et al. Fracture liaison service: impact on subsequent nonvertebral fracture incidence and mortality. J Bone Joint Surg Am. 2014; 96:e29.
Article
26. Collinge C, LeBus G, Gardner MJ, et al. Osteoporosis in orthopaedic trauma patients: a diagnosis and treatment protocol. J Orthop Trauma. 2008; 22:541–547. discussion 8–9.
Article
27. Chevalley T, Hoffmeyer P, Bonjour JP, et al. An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture. Osteoporos Int. 2002; 13:450–455.
Article
28. Ruggiero C, Zampi E, Rinonapoli G, et al. Fracture prevention service to bridge the osteoporosis care gap. Clin Interv Aging. 2015; 10:1035–1042.
29. Leal J, Gray AM, Hawley S, et al. Cost-effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: A population-based study. J Bone Miner Res. 2017; 32:203–211.
Article
30. Solomon DH, Patrick AR, Schousboe J, et al. The potential economic benefits of improved postfracture care: a cost-effectiveness analysis of a fracture liaison service in the US health-care system. J Bone Miner Res. 2014; 29:1667–1674.
Article
31. Major G, Ling R, Searles A, et al. The costs of confronting osteoporosis: Cost study of an australian fracture liaison service. JBMR Plus. 2019; 3:56–63.
Article
32. Korean Society for Bone and Mineral Research. Fracture liaison services guidebook. Seoul: Korean Society for Bone and Mineral Research;2018.
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