Cheah, Min Hui and Lai, Pauline Siew Mei and Ong, Terence (2024) Implementation of a Fracture Liaison Service in a tertiary hospital in Malaysia: a feasibility study. Archives of Osteoporosis, 19 (1). p. 70. ISSN 1862-3522, DOI https://doi.org/10.1007/s11657-024-01427-x.
Full text not available from this repository.Abstract
The SummaryFracture Liaison Service is a coordinator-based model effective in addressing the fragility fracture care gap. This study found that the service was feasible in Malaysia and could improve the delivery of secondary fracture prevention. Local adaptations and reactive responses addressed challenges, enhancing feasibility. Purpose To assess the feasibility of a Fracture Liaison Service in Malaysia and to benchmark our service against the International Osteoporosis Foundation Best Practice Framework. Methods This feasibility study was conducted at a tertiary hospital in Malaysia from March 2021 to March 2022. Patients aged >= 50 years admitted with fragility fractures were recruited. Excluded were those with poor prognosis or transferred out from the hospital during admission. Patients were screened, assessed, and followed up at months 4 and 12 post-fracture presentations. Data was collected using Microsoft Excel and the REDCap database. The feasibility of the Fracture Liaison Service was evaluated using the typology of feasibility. Results A total of 140 patients (female (93/140, 66.4%), median age 77 (IQR 72, 83), hip fractures (100/140, 65.8%)) were recruited into the Fracture Liaison Service. The recruitment rate was (140/215, 65.1%), as some patients were ``missed'' due to the COVID-19 pandemic. The completion rate was high (101/114, 88.6%). Among those indicated for antiosteoporosis medication, 82/100 (82%) were initiated on treatment. Various ``Best Practice Standards,'' such as patient evaluation (140/140, 100%), fall prevention (130/140, 92.9%), and medication review standards (15/15, 100%) were high. Complicated referral pathways, inexperienced staff, lack of resources, and communication issues were some of the barriers identified while implementing the Fracture Liaison Service. Challenges were overcome by modifying the service workflow and coordinating with different departments. Conclusion The Fracture Liaison Service was found to be feasible in Malaysia. It demonstrated promise in improving bone health management; however, several changes were needed to adapt the service to suit our environment.
| Item Type: | Article |
|---|---|
| Funders: | Amgen Biopharmaceuticals Malaysia Sdn Bhd |
| Uncontrolled Keywords: | Fracture Liaison Service; Fragility fracture; Coordinator; Secondary fracture prevention; Feasibility |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Medicine Department Faculty of Medicine > Primary Care Medicine Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 09 Apr 2025 07:27 |
| Last Modified: | 09 Apr 2025 07:27 |
| URI: | http://eprints.um.edu.my/id/eprint/46703 |
Actions (login required)
 |
View Item |
