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Archives of Osteoporosis

, 13:59 | Cite as

Consensus on best practice standards for Fracture Liaison Service in the Asia-Pacific region

  • Ding-Cheng (Derrick) Chan
  • Lo-Yu Chang
  • Kristina E. Akesson
  • Paul Mitchell
  • Chung-Hwan Chen
  • E. Michael Lewiecki
  • Joon Kiong Lee
  • Tang Ching Lau
  • Thawee Songpatanasilp
  • Kin Bong Lee
  • Kwang Joon Kim
  • Jung-Fu Chen
  • Ko-En Huang
  • Yih-Lan Gau
  • Yin-Fan Chang
  • Peter Ebeling
  • Weibo Xia
  • Wei Yu
  • Atsushi Suzuki
  • Fen Lee Hew
  • Leilani B. Mercado-Asis
  • Yoon-Sok Chung
  • Keh-Sung Tsai
  • Gau-Tyan Lin
  • Rong-Sen YangEmail author
  • Chih-Hsing WuEmail author
Position Paper

Abstract

Summary

The Fracture Liaison Service (FLS) Consensus Meeting endorsed by the International Osteoporosis Foundation (IOF), Asian Federation of Osteoporosis Societies (AFOS), and Asia Pacific Osteoporosis Foundation (APOF) was hosted by the Taiwanese Osteoporosis Association on October 14, 2017. International and domestic experts reviewed the 13 Best Practice Framework (BPF) standards and concluded that all standards were generally applicable in the Asia-Pacific region and needed only minor modifications to fit the healthcare settings in the region.

Purpose

To review and generate consensus on best practices of fracture liaison service (FLS) in the Asia-Pacific (AP) region.

Methods

In October 2017, the Taiwanese Osteoporosis Association (TOA) invited experts from the AP region (n = 23), the Capture the Fracture Steering Committee (n = 2), and the USA (n = 1) to join the AP region FLS Consensus Meeting in Taipei. After two rounds of consensus generation, the recommendations on the 13 Best Practice Framework (BPF) standards were reported and reviewed by the attendees. Experts unable to attend the on-site meeting reviewed the draft, made suggestions, and approved the final version.

Results

Because the number of FLSs in the region is rapidly increasing, experts agreed that it was timely to establish consensus on benchmark quality standards for FLSs in the region. They also agreed that the 13 BPF standards and the 3 levels of standards were generally applicable, but that some clarifications were necessary. They suggested, for example, that patient and family education be incorporated into the current standards and that communication with the public to promote FLSs be increased.

Conclusions

The consensus on the 13 BPF standards reviewed in this meeting was that they were generally applicable and required only a few advanced clarifications to increase the quality of FLSs in the region.

Keywords

Re-fracture Secondary prevention Osteoporosis Fragility Case management 

Notes

Acknowledgements

We thank JJ Yang, C Lee, J Wei, and our colleagues from the TOA for their assistance and Bill Franke for English language editing. We also thank the IOF, AFOS, and APOF for endorsing this meeting.

Compliance with ethical standards

Conflict of interest

None.

References

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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2018
corrected publication July/2018

Authors and Affiliations

  • Ding-Cheng (Derrick) Chan
    • 1
    • 2
    • 3
  • Lo-Yu Chang
    • 4
  • Kristina E. Akesson
    • 5
    • 6
  • Paul Mitchell
    • 7
    • 8
    • 9
  • Chung-Hwan Chen
    • 10
    • 11
    • 12
    • 13
  • E. Michael Lewiecki
    • 14
  • Joon Kiong Lee
    • 15
  • Tang Ching Lau
    • 16
    • 17
  • Thawee Songpatanasilp
    • 18
  • Kin Bong Lee
    • 19
  • Kwang Joon Kim
    • 20
    • 21
  • Jung-Fu Chen
    • 22
  • Ko-En Huang
    • 23
  • Yih-Lan Gau
    • 24
  • Yin-Fan Chang
    • 25
  • Peter Ebeling
    • 26
    • 27
    • 28
  • Weibo Xia
    • 29
  • Wei Yu
    • 30
  • Atsushi Suzuki
    • 31
  • Fen Lee Hew
    • 32
  • Leilani B. Mercado-Asis
    • 33
  • Yoon-Sok Chung
    • 34
  • Keh-Sung Tsai
    • 2
    • 35
  • Gau-Tyan Lin
    • 36
  • Rong-Sen Yang
    • 37
    Email author
  • Chih-Hsing Wu
    • 25
    • 38
    Email author
  1. 1.Department of Geriatrics and GerontologyNational Taiwan University HospitalTaipeiTaiwan
  2. 2.Department of Internal MedicineNational Taiwan University HospitalTaipeiTaiwan
  3. 3.Superintendent Office, Chutung BranchNational Taiwan University HospitalHsinchu CountyTaiwan
  4. 4.School of MedicineNational Taiwan UniversityTaipeiTaiwan
  5. 5.Department of Clinical SciencesLund UniversityMalmöSweden
  6. 6.Department of OrthopedicsSkåne University HospitalMalmöSweden
  7. 7.Synthesis Medical NZ LtdAucklandNew Zealand
  8. 8.University of Notre Dame AustraliaSydneyAustralia
  9. 9.Osteoporosis New ZealandWellingtonNew Zealand
  10. 10.Orthopaedic Research Center, College of MedicineKaohsiung Medical UniversityKaohsiungTaiwan
  11. 11.Department of OrthopaedicsKaohsiung Medical University Hospital, Kaohsiung Medical UniversityKaohsiungTaiwan
  12. 12.Department of Orthopaedics, College of MedicineKaohsiung Medical UniversityKaohsiungTaiwan
  13. 13.Department of Orthopaedics, Kaohsiung Municipal Ta-Tung HospitalKaohsiung Medical UniversityKaohsiungTaiwan
  14. 14.New Mexico Clinical Research & Osteoporosis CenterAlbuquerqueUSA
  15. 15.Beacon HospitalPetaling JayaMalaysia
  16. 16.Department of Medicine, Yong Loo Lin School of MedicineNational University of SingaporeSingaporeSingapore
  17. 17.Department of University Medicine ClusterNational University Health SystemSingaporeSingapore
  18. 18.Department of OrthopaedicsPhramongkutklao HospitalBangkokThailand
  19. 19.Department of Orthopaedics and TraumatologyQueen Elizabeth HospitalKowloonHong Kong
  20. 20.Division of Geriatrics, Department of Internal MedicineYonsei University College of MedicineSeoulSouth Korea
  21. 21.Executive Health Promotion Center, Gangnam Severance Hospital, Executive Health Promotion CenterGangnam Severance Hospital Yonsei University Health SystemSeoulRepublic of Korea
  22. 22.Division of Endocrinology and Metabolism, Department of Internal MedicineKaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiungTaiwan
  23. 23.Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial HospitalChang Gung University College of MedicineTaoyuan CityTaiwan
  24. 24.Department of OrthopaedicsTaitung Christian HospitalTaitungTaiwan
  25. 25.Department of Family MedicineNational Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityTainanTaiwan
  26. 26.Bone and Muscle Health Research Group, Department of Medicine, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health SciencesMonash UniversityClaytonAustralia
  27. 27.Melbourne Medical School (Western Campus)University of MelbourneSt AlbansAustralia
  28. 28.Australian Institute for Musculoskeletal ScienceSt AlbansAustralia
  29. 29.Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College HospitalChinese Academy of Medical ScienceBeijingChina
  30. 30.Department of Radiology, Peking Union Medical College HospitalChinese Academy of Medical SciencesBeijingChina
  31. 31.Division of Endocrinology and Metabolism, Department of Internal MedicineFujita Health UniversityToyoakeJapan
  32. 32.Subang Jaya Medical CentreSubang JayaMalaysia
  33. 33.University of Santo TomasManila CityPhilippines
  34. 34.Department of Endocrinology and MetabolismAjou University School of MedicineSuwonRepublic of Korea
  35. 35.Department of Laboratory MedicineNational Taiwan University HospitalTaipeiTaiwan
  36. 36.Department of Orthopedic SurgeryKaohsiung Medical University HospitalKaohsiungTaiwan
  37. 37.Department of OrthopedicsNational Taiwan University HospitalTaipeiTaiwan
  38. 38.Institute of GerontologyCollege of Medicine, National Cheng Kung UniversityTainanTaiwan

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