Fracture Liaison Service and Its Role in Secondary Fracture Prevention in Malaysia: A Scoping Review
https://doi.org/10.5704/MOJ.2307.001
- Author:
Lim WX
1
;
Khor HM
1
;
Lee JK
2
;
Ong T
1
Author Information
1. Department of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
2. Department of Orthopaedics, Beacon Hospital, Kuala Lumpur, Malaysia
- Publication Type:Review
- Keywords:
fragility fractures, osteoporosis, hospital, fracture liaison service
- From:Malaysian Orthopaedic Journal
2023;17(No.2):1-6
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Fragility fractures, which occur after a lowtrauma injury, increases with advancing age. Such fracture
doubles the life-time risk of sustaining another fracture. This
risk is highest in the immediate 18 months after the index
fracture. However, most patients do not receive the
appropriate risk assessment and intervention to reduce this
risk. A coordinated model of care termed Fracture Liaison
Service (FLS) has been reported to address this treatment
gap.
Materials and methods: This scoping review aims to
explore the potential role and delivery of FLS services in
Malaysia. Scientific and non-scientific sources relevant to
FLS were identified from electronic bibliographic databases,
specialist journals and relevant websites. Findings were
categorised into themes and presented narratively.
Results: FLS services remain concentrated in the Klang
Valley. Even within FLS services, many do not have
extensive coverage to risk assess all fracture patients. These
services are multidisciplinary in nature where there are links
between different departments, such as orthopaedics,
osteoporosis expertise, bone densitometry, rehabilitation,
falls services and primary care. FLS was able to increase the
number of people undergoing fracture risk assessment and
treatment. The importance of FLS was highlighted by local
experts and stakeholders. Its implementation and delivery
are supported by a number of national guidelines.
Conclusion: FLS is central to our national efforts to reduce
the impending fragility fracture crisis in the coming years.
Continued effort is needed to increase coverage within FLS
services and across the country. Training, awareness of the
problem, research, and policy change will support this
endeavour.
- Full text:16.2023my1312.pdf
