Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards

REFRA-FLS is a new registry in Spain aimed at identifying individuals over 50 years of age with a fragility fracture. Using this registry, we found hip fracture is the most prevalent fracture. Treatment for osteoporosis was 87.7%, with 65.3% adherence. REFRA-FLS provides fundamental data in the stud...

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Autores: Montoya-García, María José, Carbonell-Abella, C., Cancio-Trujillo, José Manuel, Moro-Álvarez, María Jesús, Mora-Fernández, Jesús, Izquierdo-Avino, Rafael, Nogués Solán, Xavier, Mesa-Ramos, Manuel, San Segundo Mozo, Rosa María, Calero-Muñoz, Elena, Naves-Diaz, Manuel, Olmo-Montes, F. Jesús, Duaso, Enric, GRUPO REFRA-FLS
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/55838
Acceso en línea:http://hdl.handle.net/10230/55838
http://dx.doi.org/10.1007/s11657-022-01174-x
Access Level:acceso abierto
Palabra clave:Adherence
Fracture Liaison Services
Fragility fractures
Osteoporosis
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spelling Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standardsMontoya-García, María JoséCarbonell-Abella, C.Cancio-Trujillo, José ManuelMoro-Álvarez, María JesúsMora-Fernández, JesúsIzquierdo-Avino, RafaelNogués Solán, XavierMesa-Ramos, ManuelSan Segundo Mozo, Rosa MaríaCalero-Muñoz, ElenaNaves-Diaz, ManuelOlmo-Montes, F. JesúsDuaso, EnricGRUPO REFRA-FLSAdherenceFracture Liaison ServicesFragility fracturesOsteoporosisREFRA-FLS is a new registry in Spain aimed at identifying individuals over 50 years of age with a fragility fracture. Using this registry, we found hip fracture is the most prevalent fracture. Treatment for osteoporosis was 87.7%, with 65.3% adherence. REFRA-FLS provides fundamental data in the study of fragility fractures. Purpose: fragility fractures are a growing public health concern in modern-aged societies. Fracture Liaison Services (FLS) have been shown to successfully lower rates of secondary fractures. A new registry (REFRA-FLS) has been created to monitor quality indicators of FLS units in Spain and to explore the occurrence and characteristic of fragility fractures identified by these centers. Methods: we conducted a prospective cohort study based on fragility fractures recorded in the REFRA-FLS registry. Participants were individuals 50 years or above who suffered a low energy fragility fracture identified by the 10 participating FLS units during the study period. The type of FLS unit, the characteristics of the individuals at baseline, along with patient outcomes as quality indicators among those who completed 1 year of follow-up were analyzed. Results: a total of 2965 patients and 3067 fragility fractures were identified, and the most frequent locations were hip (n = 1709, 55.7%) and spine (n = 492, 16.0%). A total of 43 refractures (4.5%) and 46 deaths (4.9%) were observed among 948 individuals in the follow-up analyses. Time from fracture to evaluation was less than 3 months in 76.7% of individuals. Osteoporosis treatment was prescribed in 87.7%, and adherence was 65.3% in Morisky-Green test. Conclusion: our results provide a comprehensive picture of fragility fractures identified in FLS units from Spain. Overall, quality indicators are satisfactory although a much higher use of DXA would be desirable. As the registry grows with the incorporation of new FLS units and longer follow-up, incoming analyses will provide valuable insight.SpringerOpen202320232022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/55838http://dx.doi.org/10.1007/s11657-022-01174-xreponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésCopyright © Montoya-Garcia MJ, Carbonell-Abella C, Cancio-Trujillo JM, Moro-Álvarez MJ, Mora-Fernández J, Izquierdo-Avino R, et al. 2022. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/558382026-06-12T07:21:37Z
dc.title.none.fl_str_mv Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
title Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
spellingShingle Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
Montoya-García, María José
Adherence
Fracture Liaison Services
Fragility fractures
Osteoporosis
title_short Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
title_full Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
title_fullStr Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
title_full_unstemmed Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
title_sort Spanish national registry of major osteoporotic fractures (REFRA) seen at fracture liaison services (FLS). Objectives and quality standards
dc.creator.none.fl_str_mv Montoya-García, María José
Carbonell-Abella, C.
Cancio-Trujillo, José Manuel
Moro-Álvarez, María Jesús
Mora-Fernández, Jesús
Izquierdo-Avino, Rafael
Nogués Solán, Xavier
Mesa-Ramos, Manuel
San Segundo Mozo, Rosa María
Calero-Muñoz, Elena
Naves-Diaz, Manuel
Olmo-Montes, F. Jesús
Duaso, Enric
GRUPO REFRA-FLS
author Montoya-García, María José
author_facet Montoya-García, María José
Carbonell-Abella, C.
Cancio-Trujillo, José Manuel
Moro-Álvarez, María Jesús
Mora-Fernández, Jesús
Izquierdo-Avino, Rafael
Nogués Solán, Xavier
Mesa-Ramos, Manuel
San Segundo Mozo, Rosa María
Calero-Muñoz, Elena
Naves-Diaz, Manuel
Olmo-Montes, F. Jesús
Duaso, Enric
GRUPO REFRA-FLS
author_role author
author2 Carbonell-Abella, C.
Cancio-Trujillo, José Manuel
Moro-Álvarez, María Jesús
Mora-Fernández, Jesús
Izquierdo-Avino, Rafael
Nogués Solán, Xavier
Mesa-Ramos, Manuel
San Segundo Mozo, Rosa María
Calero-Muñoz, Elena
Naves-Diaz, Manuel
Olmo-Montes, F. Jesús
Duaso, Enric
GRUPO REFRA-FLS
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Adherence
Fracture Liaison Services
Fragility fractures
Osteoporosis
topic Adherence
Fracture Liaison Services
Fragility fractures
Osteoporosis
description REFRA-FLS is a new registry in Spain aimed at identifying individuals over 50 years of age with a fragility fracture. Using this registry, we found hip fracture is the most prevalent fracture. Treatment for osteoporosis was 87.7%, with 65.3% adherence. REFRA-FLS provides fundamental data in the study of fragility fractures. Purpose: fragility fractures are a growing public health concern in modern-aged societies. Fracture Liaison Services (FLS) have been shown to successfully lower rates of secondary fractures. A new registry (REFRA-FLS) has been created to monitor quality indicators of FLS units in Spain and to explore the occurrence and characteristic of fragility fractures identified by these centers. Methods: we conducted a prospective cohort study based on fragility fractures recorded in the REFRA-FLS registry. Participants were individuals 50 years or above who suffered a low energy fragility fracture identified by the 10 participating FLS units during the study period. The type of FLS unit, the characteristics of the individuals at baseline, along with patient outcomes as quality indicators among those who completed 1 year of follow-up were analyzed. Results: a total of 2965 patients and 3067 fragility fractures were identified, and the most frequent locations were hip (n = 1709, 55.7%) and spine (n = 492, 16.0%). A total of 43 refractures (4.5%) and 46 deaths (4.9%) were observed among 948 individuals in the follow-up analyses. Time from fracture to evaluation was less than 3 months in 76.7% of individuals. Osteoporosis treatment was prescribed in 87.7%, and adherence was 65.3% in Morisky-Green test. Conclusion: our results provide a comprehensive picture of fragility fractures identified in FLS units from Spain. Overall, quality indicators are satisfactory although a much higher use of DXA would be desirable. As the registry grows with the incorporation of new FLS units and longer follow-up, incoming analyses will provide valuable insight.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/55838
http://dx.doi.org/10.1007/s11657-022-01174-x
url http://hdl.handle.net/10230/55838
http://dx.doi.org/10.1007/s11657-022-01174-x
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
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application/pdf
dc.publisher.none.fl_str_mv SpringerOpen
publisher.none.fl_str_mv SpringerOpen
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
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