Evidence map›Paper›PMID 33954815›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2021

One-year outcomes of an osteoporosis liaison services program initiated within a healthcare system.

C-B Chang, R-S Yang, L-Y Chang, J-K Peng, K-S Tsai, W-J Huang, T-H Yang, D-C Chan

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Fracture liaison service evaluation during admission for fragility femur fracture increases rates of bone health intervention and outpatient follow-up.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

C-B ChangDepartment of Geriatrics and Gerontology, National Taiwan University Hospital, Taipei, Taiwan.
R-S YangDepartment of Orthopaedics, National Taiwan University Hospital, Taipei, Taiwan.
L-Y ChangNatioanl Taiwan University College of Medicine, Taipei, Taiwan.
J-K PengDepartment of Family Medicine, Bei-Hu Branch, National Taiwan University Hospital, Taipei, Taiwan.
K-S TsaiSuperintendent Office, Far Eastern Polyclinic of Far Eastern Medical Foundation, Taipei, Taiwan.
W-J HuangDepartment of Geriatrics and Gerontology, National Taiwan University Hospital, Taipei, Taiwan.
T-H YangDepartment of Orthopaedics, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu City, Taiwan.
D-C ChanDepartment of Geriatrics and Gerontology, National Taiwan University Hospital, Taipei, Taiwan. dingchengchan@ntu.edu.tw.
National Taiwan University Hospital · TWFar Eastern Memorial Hospital · TWNational Taiwan University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the huge gap in the care of patients with osteoporosis and fragility fractures, we aimed to explore the effectiveness of the osteoporosis liaison service (OLS) in osteoporosis care. We found that OLS can improve osteoporosis care, including increasing medication compliance, increasing calcium/vitamin D/protein intake, and reducing fall rate.

introductionA significant gap exists in the care of patients with osteoporosis and fragility fractures. This study aimed to evaluate 1-year outcomes of an osteoporosis liaison service (OLS) program that includes two independent components: medication management services (MMS) to improve medication adherence and fracture liaison services (FLS) for secondary prevention.

methodsPatients with new hip fracture or untreated vertebral fractures enrolled in the FLS program (n = 600), and those with osteoporosis medication management issues but not necessarily fragility fractures enrolled in the MMS program (n = 499) were included. To evaluate outcomes, care coordinators assessed baseline items adapted from the 13 Best Practices Framework (BPF) standards of the International Osteoporosis Foundation, with telephone follow-up every 4 months for 1 year.

resultsMean age of this cohort was 76.2 ± 10.3 years, 78.8% were female. After 1-year participation in the program, all patients had received bone mineral density tests, and medication adherence for the entire cohort at 12 months was 91.9 ± 19.6%, with significant improvement in fall rates (23.4% reduction), exercise rates (16.8% increase), calcium intake (26.5% increase), vitamin D intake (26.4% increase), and adequate protein intake (17.3% increase) (all p < 0.05). After 1-year OLS program, the overall rates of mortality, incident fracture, and falls were 6.6%, 4.0%, and 24.3%, respectively.

conclusionsThe OLS program is associated with improved osteoporosis care, including increased medication adherence, calcium/vitamin D and protein intake, and reduced fall rate.

Indexed as

Bone Density Conservation AgentsOsteoporosisOsteoporotic FracturesSpinal FracturesAgedAged, 80 and overFemaleHumansMedication AdherenceSecondary PreventionBone Density Conservation AgentsFracture liaison servicesFragility fractureMedication management servicesOsteoporosis

Identifiers

PMID33954815
OpenAlexW3157918446

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.