Osteoporotic Refracture Prevention
Osteoporosis is a chronic disease characterised by reduced bone density and strength, which predispose to minimal trauma fractures. These fractures lead to people living with ongoing pain, reduced mobility, loss of function and associated loss of quality of life, and the real possibility of further fractures.
An osteoporotic fracture (commonly known as a minimal trauma or fragility fracture) is a fracture that is sustained through falling, tripping or slipping from a standing height or less, or a trauma of lesser impact. Having an underlying condition, such as osteoporosis, predisposes a person to osteoporotic fracture.
Despite the burden osteoporosis and fractures have on society, osteoporosis remains a largely undertreated chronic disease. Given the frequency of such fractures and the associated reduced life expectancy, there is an urgent need to identify those with minimal trauma fracture, and to assess and, as necessary, treat people with osteoporosis.
The model of care is based on national and international published evidence, and advice from clinical, research and management experts across NSW. These sources agree that the best approach to improve early diagnosis and access to appropriate services is through the appointment of dedicated fracture liaison coordinators, who will work alongside medical practitioners.
A formative evaluation of the NSW Model of care for osteoporotic refracture prevention showed improved treatment uptake, improved quality of life and fewer preventable presentations for fracture.