A new study reveals the urgent need for national policy in Ireland to enhance fracture prevention services.
According to a new Irish poll, a national policy is needed to deploy effective, high-quality Fracture Liaison Services (FLS) across Irish hospitals in order to reduce the risk of fractures in patients.
According to the nationwide survey, which is the first of its kind in Ireland, implementing and funding a national FLS would bring fracture prevention services in Irish hospitals up to worldwide standards. A nationwide FLS would save the healthcare system money while also improving patient outcomes and quality of life.
The expected increase of fragility fractures in Ireland by 2030 is 58 percent, the greatest of any EU country.
According to the assessment, no trauma centers in Ireland are recording all fracture victims. Within four months of a fracture, 50% of all sites reported that patients received their first prescription for osteoporosis medication.
«We urgently need the policy to promote the nationwide deployment of FLS throughout Irish trauma hospitals,» said Dr. Frances Dockery, co-clinical lead for the Fracture Liaison Service Database. Fracture Liaison Services (FLS) are the most effective way of finding, treating, and monitoring these individuals, and they have been shown to reduce fracture counts, enhance patient treatment, and significantly cut health-care costs.
A total of sixteen public hospitals were invited to take part in the poll, which received a 100% response rate. In 2019, ten sites (62.5%) reported the presence of FLS and managed 3,444 non-hip fractures, accounting for 19% of the predicted non-hip fragility fracture numbers in Ireland each year.
Six of the 10 sites assessed said their services had been in place for more than a decade, but that they were failing to satisfy the thirteen standards stated in the International Best Practice Framework—»Capture the Fracture»—due to a lack of resources. However, aspects of a high-quality FLS service, such as a full falls risk assessment, were achieved.
«The publication and findings of the facilities survey underline the necessity for the introduction of FLS nationally as a matter of urgency,» stated Mr. Paddy Kenny, Joint National Clinical Lead for the National Clinical Programme for Trauma and Orthopaedic Surgery (NCPTOS).
FLS has been shown to be clinically and economically successful in the management of secondary fracture prevention around the world. As a result of this service, hospital admissions will be minimized. The FLS Database, which will publish its preliminary findings and recommendations later this year, is fully supported by the program.»