Bridging the Osteoporosis Treatment Gap: Performance and Cost-Effectiveness of a Fracture Liaison Service

Yates, Christopher J; Chauchard, Marie Anne; Liew, Danny; Bucknill, Andrew; Wark, John D.

doi:10.1016/j.jocd.2015.01.003

Cited by 50 publications

(30 citation statements)

References 20 publications

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“…Regarding this issue, studies about the economic burden of the disease are important to guide actions in health, mainly preventing fractures 5,6 . Economic assessment helps to clarify the costs of treatments and can be used with different approaches, especially in the health care area, where expenditures related Paulo State.…”

Section: Introductionmentioning

confidence: 99%

Association between osteoporosis, health-related productivity loss and use of hospital services in outpatients of the Brazilian National Health System

Rocha

Turi-Lynch

Morais

et al. 2017

Motriz: rev. educ. fis.

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Section: Introductionmentioning

confidence: 99%

Association between osteoporosis, health-related productivity loss and use of hospital services in outpatients of the Brazilian National Health System

Rocha

Turi-Lynch

Morais

et al. 2017

Motriz: rev. educ. fis.

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“…4 In Australia it is expected that 66% of those aged over 50 will be affected by osteoporosis. 5 This is similar to the UK, where osteoporosis and the associated consequences are becoming ever more prevalent, with 1 in 2 women and 1 in 5 men expected to have a fragility fracture after the age of 50. 1 The synergy of population ageing and osteoporosis will become an economic burden.…”

Section: An Ageing Population a Cost To Societymentioning

confidence: 65%

“…10 The expected level of cost is not unique to the UK, where the cost of osteoporosis and fracture care in Australia is expected to rise to 3.84 billion Australian Dollars (£2.2 billion) by 2020. 5 Nakayama et al 7…”

Section: An Ageing Population a Cost To Societymentioning

confidence: 99%

“…20 Effective communication to the wider team caring for these patients is critical to ensure that eligible patients receive either dual-energy X-ray absorptiometry (DXA) or pharmacologic therapy to reduce future fracture risk. 20,21 Correct identification of fragility 5 fractures that leads onto suitable investigation is the key improvement required for secondary prevention. 15…”

Section: Fragility Fracture Identification: the Role Of Radiologymentioning

confidence: 99%

“…This targeted treatment via implementation of a FLS is associated with better diagnosis of osteoporosis and a reduction in the number of secondary fractures. 5 A FLS based within an acute setting serves to improve care for patients who present with a low impact (fragility) fracture i.e. gained from a fall, slip or trip.…”

mentioning

confidence: 99%

See 2 more Smart Citations

An evaluation of Fracture Liaison Services in the detection and management of osteoporotic fragility fractures: A narrative review

2018

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Patient Healthcare Trajectory and its Impact on the Cost-Effectiveness of Fracture Liaison Services

Senay

Fernandes

Delisle

et al. 2020

Journal of Bone and Mineral Research

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This study aimed to assess the cost‐utility of a Fracture Liaison Service (FLS) with a systematic follow‐up according to patients' follow‐up compliance trajectories. The Lucky Bone™ FLS is a prospective cohort study conducted on women and men (≥40 years) with fragility fractures. Dedicated personnel of the program identified fractures, investigated, treated, and followed patients systematically over 2 years. Groups of follow‐up compliance trajectories were identified, and Markov decision models were used to assess the cost‐utility of each follow‐up trajectory group compared to usual care. A lifetime horizon from the perspective of the healthcare payer was modeled. Costs were converted to 2018 Canadian dollars and incremental cost‐utility ratios (ICURs) were measured. Costs and benefits were discounted at 1.5%. A total of 532 participants were followed in the FLS (86% women, mean age of 63 years). Three trajectories were predicted and interpreted; the high followers (HFs, 48.4%), intermediate followers (IFs, 28.1%), and low followers (LFs, 23.5%). The costs of the interventions per patient varied between $300 and $446 for 2 years, according to the follow‐up trajectory. The FLS had higher investigation, treatment, and persistence rates compared to usual care. Compared to usual care, the ICURs for the HF, IF, and LF trajectory groups were $4250, $21,900, and $72,800 per quality‐adjusted life year (QALY) gained, respectively ($9000 per QALY gained for the overall FLS). Sensitivity analyses showed that the HF and IF trajectory groups, as well as the entire FLS, were cost‐effective in >67% of simulations with respect to usual care. In summary, these results suggest that a high‐intensity FLS with a systematic 2‐year follow‐up can be cost‐effective, especially when patients attend follow‐up visits. They also highlight the importance of understanding the behaviors and factors that surround follow‐up compliance over time as secondary prevention means that they are at high risk of re‐fracture. © 2020 American Society for Bone and Mineral Research (ASBMR).

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Bridging the Osteoporosis Treatment Gap: Performance and Cost-Effectiveness of a Fracture Liaison Service

Cited by 50 publications

References 20 publications

Association between osteoporosis, health-related productivity loss and use of hospital services in outpatients of the Brazilian National Health System

Association between osteoporosis, health-related productivity loss and use of hospital services in outpatients of the Brazilian National Health System

An evaluation of Fracture Liaison Services in the detection and management of osteoporotic fragility fractures: A narrative review

Patient Healthcare Trajectory and its Impact on the Cost-Effectiveness of Fracture Liaison Services

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