%0 Observational Study
%T Three-year follow-up of a novel orthopedic ward fracture liaison services (OWFLS) model.
%A Cai X
%A Ying Y
%A Zhang C
%A Xu R
%A Xu B
%A Xia D
%J J Int Med Res
%V 52
%N 4
%D 2024 Apr
%M 38635894
%F 1.573
%R 10.1177/03000605241245280
%X <B>OBJECTIVE: </B>We established an orthopedic ward fracture liaison services (OWFLS) model and evaluated its role in improving detection rates of bone metabolic markers, treatment rates, and long-term treatability.<BR><B>METHODS: </B>This observational retrospective cohort study included 120 patients aged >50 years hospitalized for primary osteoporotic fracture from January 2018 to January 2019 (group A: not included in OWFLS). Group B (included in OWFLS) comprised 120 patients from February 2019 to February 2020. We compared rates of bone metabolic index testing, treatment, and adherence; symptomatic improvement; and recurrent fracture between groups.<BR><B>RESULTS: </B>Rates of bone metabolism index testing (50% vs. 0%) and medication use (94.2% vs. 64.2%) were significantly higher after OWFLS implementation. There was no significant difference in adherence rates at 3 months between groups (97.3% vs. 93.5%). Adherence rates at 1 and 3 years were better in group B than A (73.5% vs. 51.9%; 57.5% vs. 26%, respectively). Recurrence of bone pain at 1 and 3 years was significantly lower in group B than A (20.4% vs. 46.8%; 45.1% vs. 76.6%, respectively).<BR><B>CONCLUSIONS: </B>OWFLS improved the detection rate of bone metabolism indicators, treatment rate, and patient adherence and reduced recurrence of bone pain. OWFLS may be suitable for settings lacking human resources.