Work

The overlooked burden of nonattendance in hip fracture liaison models of care

Year: 2025
Type: article
Abstract: Fragility fractures are among the most serious complications of osteoporosis, associated with high morbidity, mortality, and long-term disability. Fracture liaison service (FLS) programs have demonstrated effectiveness in improving osteoporosis evaluation and reducing refracture and mortality rates. However, patient nonattendance remains a critical and underappreciated barrier to program success. At our institution, a hip FLS initiative showed a nonattendance rate of 68%, with only 7 patients initiating antiresorptive therapy. We review the multifactorial causes of nonattendance and propose targeted strategies to overcome these barriers, aiming to achieve effective secondary fracture prevention for all high-risk patients.
Source: JBMR Plus
Authors: Maria Ortega Abad, Micaela Ebert, Judy Jin, Anokha Padubidri, Leila Zeinab Khan
Institution: Cleveland Clinic
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $2,888
OpenAlex ID: W4416991199
FWCI:
Cites: 38
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