Correction to: Secondary prevention of osteoporotic fractures: evaluation of the Lille University Hospital’s Fracture Liaison Service between January 2016 and January 2018

The role of the fracture liaison service in the prevention of atypical femoral fractures

“… 99 FLS has been proven to be efficient and cost-effective. 12 – 32 The efficacy in reducing the treatment gap, and increasing the adherence to the anti-osteoporotic treatment might partly explain the reduced mortality rate reported by González-Quevedo et al after 1 and 2 years of the implementation of their FLS program. 20 , 101 These observations were further confirmed by Li et al in their recent meta-analysis.…”

“… 108 , 109 In fact, as formerly underlined, an effective FLS program should include several phases: case finding; patient general health assessment; bone quality assessment and osteoporosis treatment; fall prevention; patient education; and physical exercises. 12 – 32 The reported most effective approaches in case finding are as follows: manual abstraction of cases; electronic reminder systems in the patient medical record; and electronic case finding diagnosis that automatically refers the patient to the FLS. 110 The patient assessment needs an accurate collection of the present fracture history, including the mechanism of injury, the general bone health, and the prior anti-osteoporotic treatment received, as well as medication history.…”

“… 11 , 12 To reduce the incidence of a second FF, several prevention programs have been proposed, and good outcomes were reported in terms of both mortality and treatment adherence. 12 – 32 The fracture liaison service (FLS) is one of the proposed models to effectively manage a patient with an FF. Generally, FLS refers to a multidisciplinary functional coordination structure established in a third-level hospital.…”

“… 32 , 34 This kind of approach has been proven to be cost-effective, with an average reduction of 20% in the treatment gap, a 20% increase in adherence to anti-fracture treatment, and a 5% reduction in the rate of re-fracture and mortality. 12 – 32 Adherence to anti-fracture treatment is one of the pivotal points in the prevention of FFs. 35 …”