Comments on the use of Key Performance Indicators in evaluating the Organization of Fracture Liaison Services-Reference-Cited by-同舟云学术

Comments on the use of Key Performance Indicators in evaluating the Organization of Fracture Liaison Services

Published:2023-01-13 Issue:4 Volume:25 Page:28-42
ISSN:2311-0716
Container-title:Osteoporosis and Bone Diseases
language:
Short-container-title:Osteopor Bone Dis

Author:

Belova K. Y.¹^ORCID,Lesnyak O. M.²^ORCID,Evstigneeva L. P.³^ORCID,Gladkova E. N.⁴^ORCID,Dudinskaya E. N.⁵^ORCID,Gordzheladze Kh. G.⁶^ORCID

Affiliation:

1. Yaroslavl State Medical University

2. North-Western State Medical University named after I.I. Mechnikov

3. Sverdlovsk Regional Clinical Hospital №1

4. North-Western State Medical University named after I.I. Mechnikov; Clinical Rheumatology Hospital №25

5. Department of diseases of aging of The Pirogov Russian National Research Medical University

6. Yaroslavl Regional Emergency Care Hospital n.a. N.V. Solovyev

Abstract

In recent years Fracture Liaison Services (FLS) have been established worldwide to reduce the number of fractures due to osteoporosis. Within the framework of the global campaign «Capture the fracture» by International Osteoporosis Foundation (IOF), some questionnaires have been proposed to assess the quality of FLS’ organization. Key Performance Indicators (KPIs) are used to analyze the effectiveness of the FLS working at the patient level. Thanks to their use, it is possible to identify areas that need improvement, evaluate the effectiveness of the changes being made, and compare the quality of work in various FLS at the regional or country level. This article discusses approaches to the use and calculation of each KPI in practical healthcare in the Russian Federation, taking into account epidemiological data, national clinical guidelines, and the specifics of the organization of the healthcare system in our country.

Publisher

Endocrinology Research Centre

Subject

Automotive Engineering

Link

https://www.osteo-endojournals.ru/jour/article/viewFile/12960/pdf_61

Reference91 articles.

1. Gittoes N, McLellan AR, Cooper A, et al. Effective Secondary Prevention of Fragility Fractures: Clinical Standards for Fracture Liaison Services. Camerton: National Osteoporosis Society; 2015. [cited 09.02.23]. Available from: https://www.aub.edu.lb/fm/CaMOP/Documents/clinical-standard-fls.pdf

2. Ganda K, Schaffer A, Pearson S, Seibel MJ. Compliance and persistence to oral bisphosphonate therapy following initiation within a secondary fracture prevention program: a randomised controlled trial of specialist vs. non-specialist management. Osteoporos Int. 2014;25(4):1345-1355. doi: https://doi.org/10.1007/s00198-013-2610-4

3. Sale JEM, Beaton D, Posen J, et al. Systematic review on interventions to improve osteoporosis investigation and treatment in fragility fracture patients. Osteoporos Int. 2011;22(7):2067-2082. doi: https://doi.org/10.1007/s00198-011-1544-y

4. Little EA, Eccles MP. A systematic review of the effectiveness of interventions to improve post-fracture investigation and management of patients at risk of osteoporosis. Implement Sci. 2010;5(1):80. doi: https://doi.org/10.1186/1748-5908-5-80

5. Cooper MS, Palmer AJ, Seibel MJ. Cost-effectiveness of the concord minimal trauma fracture liaison service, a prospective, controlled fracture prevention study. Osteoporosis Int. 201;22(7):2067-2082. doi: https://doi.org/10.1007/s00198-011-1544-y