Impact of osteoporosis liaison services on the expected lifetime osteoporosis-related medical expenses of patients with fragility fracture in a private hospital in Japan

Kobayashi, Saori; Tanaka, Shinya; Yoshino, Yasumasa; Tobita, Hideki; Kuwagaki, Kanae; Fujioka, Rie; Totsuka, Hiroaki; Ichiba, Yuka; Ishimine, Sachiko; Sakamoto, Kazumi; Ohama, Hikaru; Kubo, Tetsuo

doi:10.1007/s11657-022-01101-0

Cited by 5 publications

(6 citation statements)

References 29 publications

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“… 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.…”

Section: Affs: Prevention and Early Diagnosismentioning

confidence: 98%

“… 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.…”

Section: Affs: Prevention and Early Diagnosismentioning

confidence: 99%

“… 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.…”

Section: Introductionmentioning

confidence: 99%

“… 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 …”

Section: Introductionmentioning

confidence: 99%

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

Toro,

Braile,

Liguori

et al. 2023

Therapeutic Advances in Musculoskeletal

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Osteoporosis and fragility fractures (FFs) are considered critical health problems by the World Health Organization (WHO) because of high morbidity, mortality, and healthcare costs. The occurrence of a FF raises the risk of a subsequent fracture (refracture). The hip is the most common site of fragility refracture, and its onset is associated with a further increase in patient’s morbidity, mortality, and socioeconomic burden. Therefore, the prevention of refracture is essential. In this context, fracture liaison service (FLS) demonstrated to be able to reduce FF risk and also improve patients’ adherence to anti-osteoporotic treatments, particularly for bisphosphonates (BPs). However, long-term and high adherence to BPs may lead to atypical femoral fractures (AFFs). These latter are tensile side stress fractures of the femur, with high rates of complications, including delayed and non-healing. An effective FLS should be able to prevent both FF and AFF. A comprehensive and interdisciplinary approach, through the involvement and education of a dedicated team of healthcare professionals (i.e. orthopedic, geriatrician, primary care physician, rehabilitation team, and bone nurse) for evaluating both FF and AFF risks might be useful to improve the standard of care.

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Section: Affs: Prevention and Early Diagnosismentioning

confidence: 98%

Section: Affs: Prevention and Early Diagnosismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Toro,

Braile,

Liguori

et al. 2023

Therapeutic Advances in Musculoskeletal

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“…Through a cross-sectional study, Albright et al ( 21 ) explored the effect of The Patient Protection and Affordable Care Act on residents' out-of-pocket cost burden and found that the reform only had small improvements. Kobayashi et al ( 22 ) investigated the impact of a Japanese fracture liaison service on medical expenses of patients, and found that the service can reduce overall healthcare costs.…”

Section: Literature Reviewmentioning

confidence: 99%

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

Nie

Yuan

2023

Front. Public Health

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Residents' high medical expenses is the core challenge that needs to be solved urgently in China's medical reform for a long time. Based on the panel data of 30 provinces in Chinese Mainland during 2011–2019, we evaluate the impact of China's national comprehensive medical reform pilot policy on residents' medical expenses by using the difference-in-differences model. The results show that the pilot policy was generally conducive to reducing residents' medical expenses, resulting in a reduction of 2.13% in per capita medical expenses for inpatients, but the effect on per capita medical expenses for outpatients was insignificant. Mechanism analysis shows that hospital competition and institutional environment played a moderating role in the effect of the pilot policy on residents' medical expenses reduction. The more intense the hospital competition and the better the institutional environment, the more significant of the reduction effect. In addition, the reduction effect of the pilot policy was greater in the central provinces, the provinces with poor medical infrastructure, and the provinces with strong financial strength. This study provides useful policy insights for deepening medical reform and reducing residents' medical expenses.

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In Vivo Effects of Biosilica and Spongin-Like Collagen Scaffolds on the Healing Process in Osteoporotic Rats

de A. Cruz,

Sousa,

Avanzi

et al. 2024

Mar Biotechnol

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Impact of osteoporosis liaison services on the expected lifetime osteoporosis-related medical expenses of patients with fragility fracture in a private hospital in Japan

Cited by 5 publications

References 29 publications

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

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

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

In Vivo Effects of Biosilica and Spongin-Like Collagen Scaffolds on the Healing Process in Osteoporotic Rats

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