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WFRF:(Brandi M L)
 

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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003823naa a2200469 4500
001oai:lup.lub.lu.se:f8fc7a4b-1e7a-41d2-88fc-44583eef6069
003SwePub
008160401s2011 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/19852332 URI
024a https://doi.org/10.1007/s00198-011-1642-x2 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Marsh, D.4 aut
2451 0a Coordinator-based systems for secondary prevention in fragility fracture patients
264 c 2011-05-24
264 1b Springer Science and Business Media LLC,c 2011
520 a The underlying causes of incident fractures-bone fragility and the tendency to fall-remain under-diagnosed and under-treated. This care gap in secondary prevention must be addressed to minimise both the debilitating consequences of subsequent fractures for patients and the associated economic burden to healthcare systems. Clinical systems aimed at ensuring appropriate management of patients following fracture have been developed around the world. A systematic review of the literature showed that 65% of systems reported include a dedicated coordinator who acts as the link between the orthopaedic team, the osteoporosis and falls services, the patient and the primary care physician. Coordinator-based systems facilitate bone mineral density testing, osteoporosis education and care in patients following a fragility fracture and have been shown to be cost-saving. Other success factors included a fracture registry and a database to monitor the care provided to the fracture patient. Implementation of such a system requires an audit of existing arrangements, creation of a network of healthcare professionals with clearly defined roles and the identification of a 'medical champion' to lead the project. A business case is needed to acquire the necessary funding. Incremental, achievable targets should be identified. Clinical pathways should be supported by evidence-based recommendations from national or regional guidelines. Endorsement of the proposed model within national healthcare policies and advocacy programmes can achieve alignment of the objectives of policy makers, professionals and patients. Successful transformation of care relies upon consensus amongst all participants in the multi-disciplinary team that cares for fragility fracture patients.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
653 a Clinical systems
653 a FLS
653 a Fracture prevention
653 a IOF
653 a Osteoporosis
653 a Osteoporotic fracture
700a Åkesson, Kristinau Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups4 aut0 (Swepub:lu)orto-kak
700a Beaton, D. E.4 aut
700a Bogoch, E. R.4 aut
700a Boonen, S.4 aut
700a Brandi, M. -L.4 aut
700a McLellan, A. R.4 aut
700a Mitchell, P. J.4 aut
700a Sale, J. E. M.4 aut
700a Wahl, D. A.4 aut
710a Ortopedi - klinisk och molekylär osteoporosforskningb Forskargrupper vid Lunds universitet4 org
773t Osteoporosis Internationald : Springer Science and Business Media LLCg 22:7, s. 2051-2065q 22:7<2051-2065x 1433-2965x 0937-941X
856u http://dx.doi.org/10.1007/s00198-011-1642-xy FULLTEXT
8564 8u https://lup.lub.lu.se/record/1985233
8564 8u https://doi.org/10.1007/s00198-011-1642-x

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