Introduction: Fracture Liaison Service (FLS) is a coordinator-based, secondary fracture prevention service, that some countries have established their own model and there are also efforts to make an effective FLS system in Korea. We investigated characteristics of the fragility hip fracture cases under FLS in a single Korean tertiary care hospital.
Objectives: The aim of this study is to describe the characteristics and tendencies of the fragility hip fracture cases under FLS.
Methods: A total of 139 fragility hip-fracture (neck or trochanter) patients (mean age of 77.5) were included (75.5% female) in this prospective real-world setting study. Medical evaluation and therapy were performed with collaboration among responsible departments including Endocrinology and Orthopedics in a tertiary care academic hospital (Ajou University Hospital) in South Korea, from April 27th, 2017 to February 28th, 2019.
Results: Of all 139 cases, 25.9% (n?=?36) were femur neck fractures, and 74.1% (n?=?103) were trochanter fractures. The percentages of osteoporosis versus osteopenia or normal bone density were 75.5% (n?=?105) and 24.5% (n?=?34), respectively. Looking into the places of fall occurrence, 66.9% (n?=?93) were took place indoor. Analyzing the risk factors of fracture, 36.0% (n?=?50) had previous fracture history, 11.5% (n?=?16) had chronic kidney disease, 6.5% (n?=?9) had glucocorticoid use history, 2.9% (n?=?4) had rheumatoid arthritis, and 2.2% (n?=?3) had liver cirrhosis. For osteoporosis medication, patients were prescribed bisphosphonate (51.1%), denosumab (14.4%), PTH (8.6%), SERM (1.4%), and changed drug (7.9%).
Conclusion: FLSs have been initiated in some of the hospitals in South Korea. Collaboration among appropriate experts should be developed and matured.
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