Spanish National Registry of Major Osteoporotic Fractures (REFRA) seen at Fracture Liaison Services (FLS): objectives and quality standards.

Autor: Montoya-Garcia MJ; Departamento de Medicina, Universidad de Sevilla, Hospital Universitario Virgen Macarena, Sevilla, Spain. pmontoya@us.es., Carbonell-Abella C; Centro de Salud Via Roma ICS Barcelona, Universidad de Barcelona, Barcelona, Spain. ccarbonell@ub.edu., Cancio-Trujillo JM; Departament of Geriatric Medicine and Palliative Care, Badalona Serveis Assistencials, Badalona, Barcelona, Spain., Moro-Álvarez MJ; Sección Medicina Interna Hospital Central Cruz Roja San José Y Santa Adela, Madrid, Spain.; Universidad Alfonso X El Sabio, Madrid, Spain., Mora-Fernández J; Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Universidad Complutense, Madrid, Spain., Izquierdo-Avino R; Departmento de Traumatologia Y Ortopedia, Hospital Nuestra Señora de Gracia, Zaragoza, Spain., Nogues X; IMIM (Hospital del Mar Medical Research Institute), Centro de Investigación Biomédica en Red de Fragilidad Y Envejecimiento Saludable (CIBERFES), 08003, Barcelona, Spain., Mesa-Ramos M; Hospital Valle de los Pedroches, Pozoblanco, Córdoba, Spain., San Segundo-Mozo RM; Universitat Rovira I Virgili, Tarragona, Spain., Calero-Muñoz E; Xarxa Sanitària, Social I Docent Santa Tecla, Tarragona, Spain., Naves-Diaz M; Hospital Universitario Central de Asturias, Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain., Olmo-Montes FJ; Unidad de Metabolismo Óseo, Hospital Universitario Virgen Macarena, Sevilla, Spain., Duaso E; Hospital Universitari d'Igualada, FLS Anoia, Igualada, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Archives of osteoporosis [Arch Osteoporos] 2022 Nov 01; Vol. 17 (1), pp. 138. Date of Electronic Publication: 2022 Nov 01.
DOI: 10.1007/s11657-022-01174-x
Abstrakt: 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.
(© 2022. The Author(s).)
Databáze: MEDLINE
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