Academic Journal
Implementation of a primary care-based fracture liaison service with information technology support to improve osteoporosis management in general practice - a pilot study.
| Τίτλος: | Implementation of a primary care-based fracture liaison service with information technology support to improve osteoporosis management in general practice - a pilot study. |
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| Συγγραφείς: | Lyubomirsky G; Healthy Bones Australia, 175 Pitt St, Sydney, NSW, 2000, Australia. Electronic address: greg@healthybonesaustralia.org.au., Hogan C; Department of General Practice and Primary Care, University of Melbourne, Grattan Street, Parkville, Melbourne, Victoria, 3010, Australia., Del Fante P; Thompson Institute, University of the Sunshine Coast, 12 Innovation Pkwy, Birtinya, Sunshine Coast, Queensland, 4575, Australia., Chen W; Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA; Department of Endocrinology, St Vincent's Hospital, Garvan Institute of Medical Research, Sydney, New South Wales, Australia., Lyons D; Australian Primary Care Nurses Association, Level 17, 350 Queen Street, Melbourne, Victoria, 3000, Australia., Cotter E; Healthy Bones Australia, 175 Pitt St, Sydney, NSW, 2000, Australia., Niddrie F; Department of Rheumatology, The John Hunter Hospital, Lookout Road, New Lambton, Newcastle, New South Wales, 2305, Australia. Electronic address: fiona.niddrie@health.nsw.gov.au., Marine F; Healthy Bones Australia, 175 Pitt St, Sydney, NSW, 2000, Australia. Electronic address: franca@healthybonesaustralia.org.au., Ebeling PR; Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 7, TRF Building, 246 Clayton Road, Clayton, Victoria, 3168, Australia. Electronic address: peter.ebeling@monash.edu., Jurd KL; MedKom Group, Sydney, New South Wales, Australia., Wong P; Department of Rheumatology, Westmead Hospital, cnr Hawkesbury and Darcy Roads Westmead, New South Wales, 2145, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia. Electronic address: Peter.Wong2@health.nsw.gov.au. |
| Πηγή: | Bone [Bone] 2026 Oct; Vol. 211, pp. 117960. Date of Electronic Publication: 2026 Jun 05. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 8504048 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2763 (Electronic) Linking ISSN: 18732763 NLM ISO Abbreviation: Bone Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York : Elsevier Science Original Publication: Elmsford, NY : Pergamon Press, c1985- |
| Ιατρικοί όροι (MeSH): | Osteoporosis*/therapy , Osteoporotic Fractures*/prevention & control , Primary Health Care* , General Practice* , Information Technology*, Humans ; Pilot Projects ; Female ; Aged ; Male ; Middle Aged ; Bone Density ; Australia ; Aged, 80 and over |
| Περίληψη: | Purpose: This study evaluated the effectiveness and acceptability of implementing a Fracture Liaison Service (FLS) and Information Technology (IT) platform into Australian general practices to improve osteoporosis management. Methods: Fracture Liaison Coordinators (FLCs) supported participating general practices in case-finding, and bone health education and assessment in at-risk individuals over 18 months from June 2022 to December 2023. Using the Compass IT platform, FLCs generated individualised patient management plans aligned with clinical guidelines for discussion between the general practitioner (GP) and patient. Initiation of bone protective medication occurred, as appropriate. Post-intervention surveys evaluated the effectiveness and acceptability of the intervention by participating GPs and patients. Results: Overall, 1299 individuals and 66 GPs across 51 general practice sites participated in the study, an enrolment rate of 3.1% for invited GPs (n = 66/2118) and 4.7% for invited clinic sites (n = 51/1083). Three hundred and sixteen patients were newly identified with osteoporosis based on bone mineral density (BMD) assessment by dual energy x-ray absorptiometry (DXA) scan, spinal x-ray, or prior history of fragility fracture, who were not on treatment. Of these, 141 patients commenced osteoporosis treatment, a treatment rate of 45% (n = 141/316). In post-intervention evaluation surveys, 89% of participating GPs and 92% of patient respondents found the FLS service valuable and acceptable. Conclusion: This real-world study of a general practice-based FLS supported by a disease-specific IT platform improved osteoporosis diagnosis and management and was acceptable to both GPs and patients. Summary: Osteoporosis is under-diagnosed and under-treated in primary care. Our study found that implementing an integrated Fracture Liaison Service (FLS) and Information Technology (IT) platform into Australian general practices improved osteoporosis diagnosis and management and was acceptable to both general practitioners and patients. Wider implementation could complement and enhance hospital-based FLSs to improve bone health management in the community. (Copyright © 2026. Published by Elsevier Inc.) |
| Competing Interests: | Declaration of competing interest Dr. Del Fante is a Board Director of the Adelaide Primary Health Network and a Digital Health advisor for the Australian Digital Health Agency. Dr. Chen has received honoraria from Theramex, Sandoz and Arrotex. Dr. Wong has received honoraria from Theramex and Sandoz. The remaining authors declare no conflicts of interest. |
| Contributed Indexing: | Keywords: Fracture liaison service; Fracture risk assessment; Information technology; Osteoporosis; Primary care |
| Entry Date(s): | Date Created: 20260606 Date Completed: 20260723 Latest Revision: 20260723 |
| Update Code: | 20260724 |
| DOI: | 10.1016/j.bone.2026.117960 |
| PMID: | 42250898 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1873-2763 |
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| DOI: | 10.1016/j.bone.2026.117960 |