Evidence map›Paper›PMID 35411442›Full record

ReviewArchives of osteoporosis2022

How to initiate and develop Fracture Liaison Services (FLS). Recommendations from the IOF Capture the Fracture® FLS Mentors in Brazil.

Bernardo Stolnicki, André Manoel Inácio, Karina Kuraoka Tutiya, Luiz Fernando Tikle Vieira, M Kassim Javaid, Monica Caló

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of osteoporosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Bernardo StolnickiIOF Capture the Fracture® FLS Mentors Group, São Paulo, SP, Brazil.
André Manoel InácioIOF Capture the Fracture® FLS Mentors Group, São Paulo, SP, Brazil. andremanoel.inacio@yahoo.com.
Karina Kuraoka TutiyaIOF Capture the Fracture® FLS Mentors Group, São Paulo, SP, Brazil.
Luiz Fernando Tikle VieiraIOF Capture the Fracture® FLS Mentors Group, São Paulo, SP, Brazil.
M Kassim JavaidNuffield Department of Orthopedics, Rheumatology and Orthopedic Sciences, University of Oxford, Oxford, UK.
Monica CalóInternational Osteoporosis Foundation, Latin America office, Buenos Aires, Argentina.
Favaloro Foundation · ARFederal Police of Brazil · BRHospital São Paulo · BRUniversidade Federal do Rio de Janeiro · BRUniversity of Oxford · GB

Funding

Department of Health
6 · The paper itself

Abstract

Expected number of fragility fractures in Brazil, raising the healthcare prioritization for interventions that reduce fracture risk. An FLS is dedicated to managing patient with fragility fracture to reduce risk of another fracture. We review FLSs cost-effectiveness and describe key components to effectively set up FLS in Brazil. PURPOSE: To create a guideline to show health professionals, hospital managers, and stakeholders in Brazil the importance of secondary fracture prevention and how to implement a Fracture Liaison Service.

methodsWe review the cost-effectiveness for FLSs in Brazil. We describe the key components needed to set up an effective FLS including methods for identification, investigation, treatment indication, including bone drugs, supplementation, physical activity, fall prevention, and monitoring. The staffing of FLSs, value of regional clinical networks and quality improvement are also described as a guide for healthcare professionals and decision makers in Brazil.

resultsAn FLS is a service dedicated to identifying, assessing, recommending treatment, and monitoring patient who present with a fragility fracture reducing the risk of another fracture. FLS has been implemented in Brazil since 2012 overcoming a large geography and a complex health system. Even the limitations, restrictions, differences, and characteristics of each region, it is possible for health institutions to initiate an FLS, adapted to own available resources and meet the stages of identification, investigation, treatment, and monitoring.

conclusionThe peculiarity of the Brazilian healthcare system means FLS implementation needs to be tailored to local reality. However, even with limitations, any attempt to capture patients who suffer a fracture due to bone fragility is effective and reduces the risk of further fractures.

Indexed as

Bone Density Conservation AgentsOsteoporosisOsteoporotic FracturesBrazilHumansMentorsSecondary PreventionBone Density Conservation AgentsBrazilFracture Liaison Services (FLS)Fragility fracturesOsteoporosis

Identifiers

PMID35411442
OpenAlexW4223422217

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.