dc.creator | Naranjo, A. | es |
dc.creator | Ojeda, S. | es |
dc.creator | Giner García, Mercedes | es |
dc.creator | Balcells-Oliver, M. | es |
dc.creator | Canals, L. | es |
dc.creator | Cancio, J. M. | es |
dc.creator | Montoya García, María José | es |
dc.creator | Prieto-Alhambra, D. | es |
dc.date.accessioned | 2023-05-17T10:02:33Z | |
dc.date.available | 2023-05-17T10:02:33Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Naranjo, A., Ojeda, S., Giner García, M., Balcells-Oliver, M., Canals, L., Cancio, J.M.,...,Prieto-Alhambra, D. (2020). Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care. Archives of Osteoporosis, 15 (1), 63. https://doi.org/10.1007/s11657-020-0693-z PubMed:. | |
dc.identifier.issn | 1862-3522 | es |
dc.identifier.issn | 1862-3514 (Electrónica) | es |
dc.identifier.uri | https://hdl.handle.net/11441/146197 | |
dc.description.abstract | 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. | es |
dc.format | application/pdf | es |
dc.format.extent | 7 p. | es |
dc.language.iso | eng | es |
dc.relation.ispartof | Archives of Osteoporosis, 15 (1), 63. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Best Practice Framework | es |
dc.subject | FLS | es |
dc.subject | Fracture Liaison Service | es |
dc.subject | Fragility fracture | es |
dc.subject | Secondary prevention | es |
dc.title | Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Citología e Histología Normal y Patológica | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | es |
dc.relation.publisherversion | https://link.springer.com/article/10.1007/s11657-020-0693-z | es |
dc.identifier.doi | 10.1007/s11657-020-0693-z PubMed: | es |
dc.journaltitle | Archives of Osteoporosis | es |
dc.publication.volumen | 15 | es |
dc.publication.issue | 1 | es |
dc.publication.initialPage | 63 | es |
dc.contributor.funder | Amgen S.A. | es |