Fracture liaison: Collaboration and Creation (OTS Collaborative) - Q & A

Description

In this discussion, Andrew Gray introduces a session focusing on fragility fractures and the FLS (Fracture Liaison Service) database. The session highlights the importance of assessing fragility fractures early, especially in younger individuals. Gray converses with David Marsh, who highlights the need for an estimate of fragility fractures, stating that the FLS database aims to measure how many such fractures are assessed for risk. Currently, a mere 20% of patients are receiving necessary assessments, pointing to significant room for improvement. Marsh expresses a desire to replicate the success of the NHFD (National Hip Fracture Database) in transforming practice standards via comprehensive feedback. However, he notes a challenge regarding patient follow-up, emphasizing the need for involvement from primary care.



The discussion touches on the limitations of current databases and the difficulties of securing data access from general practice due to confidentiality issues. Gray recommends using clinical and policy toolkits to assess and improve FLS effectiveness within organizations. Later, William Eardley highlights a paradigm shift in trauma demographics, noting a trend towards older populations being affected by major trauma, contradicting traditional perceptions of youth-focused trauma.



Gray concludes the session, reflecting on the need for ongoing conversations regarding fracture management and patient care.

DOI: 10.1302/3114-221633

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