Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care

Summary The coordination of Fracture Liaison Services (FLS) with Primary Care (PC) is necessary for the continuity of care of patients with fragility fractures. This study proposes a Best Practice Framework (BPF) and performance indicators for the implementation and follow-up of FLS-PC coordination...

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Autores: Naranjo, A., Ojeda, S., Giner García, Mercedes, Balcells-Oliver, M., Canals, L., Cancio, J. M., Montoya García, María José, Prieto-Alhambra, D.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/146197
Acceso en línea:https://hdl.handle.net/11441/146197
https://doi.org/10.1007/s11657-020-0693-z PubMed:
Access Level:acceso abierto
Palabra clave:Best Practice Framework
FLS
Fracture Liaison Service
Fragility fracture
Secondary prevention
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spelling Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary CareNaranjo, A.Ojeda, S.Giner García, MercedesBalcells-Oliver, M.Canals, L.Cancio, J. M.Montoya García, María JoséPrieto-Alhambra, D.Best Practice FrameworkFLSFracture Liaison ServiceFragility fractureSecondary preventionSummary The coordination of Fracture Liaison Services (FLS) with Primary Care (PC) is necessary for the continuity of care of patients with fragility fractures. This study proposes a Best Practice Framework (BPF) and performance indicators for the implementation and follow-up of FLS-PC coordination in clinical practice in Spain. Purpose To develop a BPF for the coordination of FLS with PC in Spain and to improve the continuity of care for patients with fragility fractures. Methods A Steering Committee selected experts from seven Spanish FLS and related PC doctors and nurses to participate in a best practice workshop. Selection criteria were an active FLS with an identified champion and prior contact with PC centres linked to the hospital. The main aim of the workshop was to review current FLS practices in Spain and their integration with PC. A BPF document with processes, tools, roles, and metrics was then generated. Results Spanish FLS consists of a multidisciplinary team of physicians/nurses but with low participation of other professionals and PC staff. Evaluation and treatment strategies are widely variable. Four desired standards were agreed upon: (1) Effective channels for FLS-PC communication; (2) minimum contents of an FLS clinical report and its delivery to PC; (3) adherence monitoring 3 months after FLS baseline visit; and (4) follow-up by PC. Proposed key performance indicators are (a) number of FLS-PC communications, including consensus protocols; (b) confirmation FLS report received by PC; (c) medical/nursing PC appointment after FLS report received; and (d) number of training sessions in PC. Conclusions The BPF provides a comprehensive approach for FLS-PC coordination in Spain, to promote the continuity of care in patients with fragility fractures and improve secondary prevention. The implementation of BPF recommendations and perfor- mance indicator tracking will benchmark best FLS practices in the future.Citología e Histología Normal y PatológicaMedicinaAmgen S.A.2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/146197https://doi.org/10.1007/s11657-020-0693-z PubMed:reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésArchives of Osteoporosis, 15 (1), 63.https://link.springer.com/article/10.1007/s11657-020-0693-zinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1461972026-06-17T12:51:07Z
dc.title.none.fl_str_mv Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
title Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
spellingShingle Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
Naranjo, A.
Best Practice Framework
FLS
Fracture Liaison Service
Fragility fracture
Secondary prevention
title_short Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
title_full Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
title_fullStr Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
title_full_unstemmed Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
title_sort Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
dc.creator.none.fl_str_mv Naranjo, A.
Ojeda, S.
Giner García, Mercedes
Balcells-Oliver, M.
Canals, L.
Cancio, J. M.
Montoya García, María José
Prieto-Alhambra, D.
author Naranjo, A.
author_facet Naranjo, A.
Ojeda, S.
Giner García, Mercedes
Balcells-Oliver, M.
Canals, L.
Cancio, J. M.
Montoya García, María José
Prieto-Alhambra, D.
author_role author
author2 Ojeda, S.
Giner García, Mercedes
Balcells-Oliver, M.
Canals, L.
Cancio, J. M.
Montoya García, María José
Prieto-Alhambra, D.
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Citología e Histología Normal y Patológica
Medicina
Amgen S.A.
dc.subject.none.fl_str_mv Best Practice Framework
FLS
Fracture Liaison Service
Fragility fracture
Secondary prevention
topic Best Practice Framework
FLS
Fracture Liaison Service
Fragility fracture
Secondary prevention
description Summary The coordination of Fracture Liaison Services (FLS) with Primary Care (PC) is necessary for the continuity of care of patients with fragility fractures. This study proposes a Best Practice Framework (BPF) and performance indicators for the implementation and follow-up of FLS-PC coordination in clinical practice in Spain. Purpose To develop a BPF for the coordination of FLS with PC in Spain and to improve the continuity of care for patients with fragility fractures. Methods A Steering Committee selected experts from seven Spanish FLS and related PC doctors and nurses to participate in a best practice workshop. Selection criteria were an active FLS with an identified champion and prior contact with PC centres linked to the hospital. The main aim of the workshop was to review current FLS practices in Spain and their integration with PC. A BPF document with processes, tools, roles, and metrics was then generated. Results Spanish FLS consists of a multidisciplinary team of physicians/nurses but with low participation of other professionals and PC staff. Evaluation and treatment strategies are widely variable. Four desired standards were agreed upon: (1) Effective channels for FLS-PC communication; (2) minimum contents of an FLS clinical report and its delivery to PC; (3) adherence monitoring 3 months after FLS baseline visit; and (4) follow-up by PC. Proposed key performance indicators are (a) number of FLS-PC communications, including consensus protocols; (b) confirmation FLS report received by PC; (c) medical/nursing PC appointment after FLS report received; and (d) number of training sessions in PC. Conclusions The BPF provides a comprehensive approach for FLS-PC coordination in Spain, to promote the continuity of care in patients with fragility fractures and improve secondary prevention. The implementation of BPF recommendations and perfor- mance indicator tracking will benchmark best FLS practices in the future.
publishDate 2020
dc.date.none.fl_str_mv 2020
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 https://hdl.handle.net/11441/146197
https://doi.org/10.1007/s11657-020-0693-z PubMed:
url https://hdl.handle.net/11441/146197
https://doi.org/10.1007/s11657-020-0693-z PubMed:
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Archives of Osteoporosis, 15 (1), 63.
https://link.springer.com/article/10.1007/s11657-020-0693-z
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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